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At least 577 records · Page 32Linked to original sources
PubMed1978

Quantitative evaluation of joint motion sensation in an aging population.

Fifty-two neurologically normal subjects from 61 to 84 years in age were evaluated for sensitivity of perception of joint motion. Right and left metacarpophalangeal and metatarsophalangeal joints were passively moved in an ever-increasing amplitude in a sinusoidal flexion-extension mode. Precise measurements of the amplitude of the angle of deviation where the subjects felt motion were made and stored with the help of a computer. A younger cohort 19 to 34 years in age was also tested. The older subjects did less well in perceiving motion at the lowest frequency in the metatarsophalangeal joints. When the older cohort was separated in semidecades and compared to each other, as well as the younger cohort, all differences of motion threshold perception lost significance. It is concluded that there is no major decline in joint motion sensation with aging.

Adult↗
PubMed1979

Rehabilitation in juvenile chronic arthritis.

Rehabilitation or, in the case of young children, habilitation, begins with an appraisal of the type of disease process and therefore its possible outcome and the various problems that are likely to be encountered. This will need to be accompanied by a careful assessment of the whole family background, including the ability and willingness of the parents to carry out what is going to be a long, often difficult and very time-consuming programme. The principles of management are maintenance or improvement in position and function of joints, the learning of new skills consistent with the age of the child and the continuation of education so that the young adult is able to enter the world with as little physical and mental scarring as possible.

Ankle Joint↗
PubMed2003

Proximal interphalangeal joint instability in the dog.

A prospective study into the use of transarticular external skeletal fixation in the treatment of proximal interphalangeal instability was undertaken. Only dogs with soft tissue injuries were included. All the dogs except one were greyhounds or related breeds. A hypothesis was proposed that if the articular surfaces were held in normal congruency for a period of time then the development of periarticular fibrosis would alone give sufficient joint support. Joint congruency was maintained by the application of a unilateral external skeletal fixator for approximately three weeks. Complications were common and were due to frame impingement on the neighbouring digit, pin tract infection and pin loosening, and all resolved following frame removal and antibiotic therapy. Careful pin placement and prophylactic antibiotic treatment prevented complications in subsequent cases. All dogs returned to normal function with no lameness, with the exception of one racing greyhound which had a recurrence of the instability.

Animals↗
PubMed1982

Lupus foot.

Explore the source record for details and available documents.

Adult↗
PubMed1981

Total replacement arthroplasty of the first metatarsophalangeal joint.

A surface replacement prosthesis for the first metatarsophalangeal joint has been designed to be used in arthritic conditions of this joint. The components are made of stainless steel and polyethylene and fixed with methylmethacrylate. The surgical details of insertion are important in such a complex, small joint. In the series of 20 patients (21 joints), the patient and physician satisfaction rate was 81% at an average follow-up period of 43 months (range 16 to 58 months). Current use of this prosthesis is most reasonable in older patients with painful degenerative arthritis of the first metatarsophalangeal joint and minimal joint imbalance.

Adult↗
PubMedDate not supplied

Management of the arthritic forefoot.

Rheumatoid diseases frequently involve the forefoot producing severe hallux valgus and dislocated metatarsophalangeal (MTP) joints. One must stress the importance of continual evaluation of the foot in these patients. The relationship of midfoot and hindfoot deformities, especially pronation deformities, to the forefoot is essential. Nonoperative treatment can be highly effective and consists of skin and nail care and proper shoes which enclose and support early deformities. Operative care now spans the gamut from excising all or part of the MTP joints, to silicone implant arthroplasty of the MTP joints.

Arthritis, Rheumatoid↗
PubMedDate not supplied

Revision rates in forefoot surgery.

In an attempt to determine failure or reoperation rates for common forefoot procedures, the records of 706 patients who had 1003 forefoot operations were studied. The revision rate for the Keller procedure was 2.26% when no interposition implant was used. The revision rate for metatarsal osteotomies, mainly due to nonunion, was 2.7%. The revision rate for proximal phalangectomies was 3.3%, being 1.9% when the distal end of the phalanx was removed and 4.4% when the proximal end was removed. The failure rate for proximal interphalangeal joint fusion was 17.8%. These results demonstrate that the antiquity of a procedure is not necessarily a recommendation.

Arthroplasty↗
PubMed1989

Prosthetic replacement of the first metatarsophalangeal joint.

As an alternative to Keller bunionectomy, Silastic implant replacement, and cheilectomy of the first metatarsophalangeal joint, a custom implant was designed at the Hospital for Special Surgery. Between April 1985 and January 1987, 15 implants were placed in 12 patients. Of these patients, 9 were available for follow-up, 2 were lost to follow-up, and 1 patient had died. A high rate (54.5%) of loosening is observed. Subjective, good, and excellent results were seen in 4 of the 11 feet studied. Further modification of the prosthesis and its fixation method is currently being considered.

Aged↗
PubMed1980

A modification of the Lapidus operation for hallux valgus.

A modification of the Lapidus procedure to correct hallux valgus is described in which the length of the first metatarsal is maintained. One hundred and nineteen operations in 78 patients have been followed up for between two and 16 years. There were excellent or good results in 110 feet (92 per cent).

Bone Transplantation↗
PubMed1984

A simple method of arthrodesis of the first metatarsophalangeal joint.

Eighty-seven feet have been reviewed after arthrodesis of the first metatarsophalangeal joint stabilised by chromic catgut. Radiological union was present in 90% of patients at the mean review time of six years. Twenty-four patients had significant metatarsalgia before operation and only two failed to improve afterwards. Excellent or good subjective results were reported in 94% of patients at review. Chromic catgut is advocated as a simple and effective method of stabilising an arthrodesis of the first metatarsophalangeal joint.

Arthrodesis↗
PubMed1980

Silastic arthroplasty of the first metatarso-phalangeal joint.

Twenty-nine patients were operated on for painful conditions of the first metatarso-phalangeal joint using Swanson's implant arthroplasty. In three cases the implant had to be removed. An analysis was made of the remaining 26 cases 4 to 6 years postoperatively based on a clinical and radiographic review. The results were deemed favourable and comparable to those attained by successful resections or osteotomies. The relatively high incidence of reactive bone changes, plus implant breakage in five cases, makes long-term results more uncertain.

Adult↗
PubMed1989

Implant arthroplasty: still a consideration.

The Keller arthroplasty has long been the hallmark of first metatarsophalangeal joint corrections. However, in the presence of adverse postoperative effects, numerous modifications have been introduced. They include preoperative evaluation, soft-tissue and osseous techniques in the procedure itself, and postoperative care of the patient. These modifications have created a new and improved Keller arthroplasty.

Humans↗
PubMed1989

Bone reaction to silicone metatarsophalangeal joint-1 hemiprosthesis.

The incidence of inflammatory response to silicone implants in the first metatarsophalangeal joint was investigated. In 34 of 59 silicone arthroplasties, cysts were noticed in the proximal phalanx after a mean follow-up period of 59 months. In the metatarsal head, cysts were seen in 40 cases. Histologic examination showed that the cysts were filled with an avascular cellular stroma containing histiocytes and multinucleated giant cells, opsonizing wear debris of the prosthesis. Because of this destructive process, caution is advised when using silicone prostheses in young, active people.

Adolescent↗