Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Toe Joint”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 163 records · Page 9Linked to original sources
PubMed2000

Effect of physical therapy on limited joint mobility in the diabetic foot. A pilot study.

Eleven patients with limited joint mobility and neuropathy were enrolled in a physical therapy program of passive joint mobilization at a rate of two sessions per week. Treatment resulted in a significant improvement in joint mobility after 10 sessions. Further improvement after 20 sessions did not reach the level of statistical significance, although near-normal joint mobility was attained. After completion of therapy, there was a progressive deterioration in joint mobility. No serious adverse effects were noted during treatment. This study provides some evidence that use of physical therapy may result in significant, although temporary, improvement in the mobility of the ankle and foot joints in diabetic patients with limited joint mobility and neuropathy. As limited joint mobility has been associated with the development of abnormally high pressures under the feet, which in turn may contribute to plantar ulceration in the susceptible neuropathic foot, the results indicate that physical therapy may be useful in the prevention of plantar ulceration in diabetic patients with limited joint mobility and neuropathy, although this must be verified by additional research.

Adult↗
PubMedDate not supplied

Proximal oblique crescentic osteotomy in hallux valgus.

Twenty-six patients with moderate-to-severe hallux valgus deformities were evaluated before and after treatment. All of the patients had incongruent great toe joints. The patients underwent modified proximal crescentic osteotomy, which was termed proximal oblique crescentic osteotomy. The results were evaluated at an average follow-up time of 55 weeks. Objective criteria were hallux valgus angle, intermetatarsal angle, shortening of the first metatarsal, and angulation at the osteotomy site. Clinical evaluation was made according to the rating system of the American Orthopaedic Foot and Ankle Society. The mean correction of the hallux valgus and intermetatarsal angles was 22.1 degrees and 9.9 degrees, respectively. Short-term results indicate that proximal oblique crescentic osteotomy is effective in the treatment of hallux valgus; its advantages over other procedures include its technical ease and low rate of complications.

Combined Modality Therapy↗
PubMed1975

Hammertoe surgery: waist resection of the proximal phalanx, a more simplified procedure.

A technic for correcting hammertoe and other toe deformities by waist resection of the proximal phalanges of the toes effectively corrected these conditions in 95 patients and 466 toes. This procedure can be done quickly and easily with low morbidity. Through a very short incision over the waist of the proximal phalanx, a subperiosteal resection is carried out which permits settling of the resected bone ends together within the periosteal tube, resulting in bony union. The proximal phalanx is effectively shortened and the imbalance of the tendon length to the bony arch, which originally produced these deformities, is thereby corrected.

Foot Deformities, Acquired↗
PubMed1976

Foot deformities.

A list of syndromes that include foot deformities as part of the clinical presentation has been compiled and subdivided into a descriptive classification. A brief discussion is presented of the embryology of the foot as it pertains to and helps explain the etiology of these various anomalies. Variations in the treatment of arthrogryposis multiplex congenita and ring constrictions are described. Finally, unique foot configurations are documented, which if seen should alert the clinician to consider the diagnosis of a specific syndrome.

Abnormalities, Drug-Induced↗
PubMed2006

[An experimental study on transplantation of frozen canine phalangeal joint allografts incorporated with autogenic bone marrow].

OBJECTIVE: To investigate the result of the transplantation of frozen canine phalangeal joint allografts perforated and incorporated with autogenic bone marrow. METHODS: A proximal interphalangeal joint defect of 1.5 cm was prepared at bilateral sides of twenty-four adult healthy out-bred dogs. Three different types of allografts were applied to repair the defects: fresh autogenic phalangeal joints (group A, n = 16), frozen phalangeal joint allografts perforated and incorporated with fresh autogenic bone marrow (group B, n = 16), and frozen phalangeal joint allografts (group C, n = 16). Radiographic and histological study were used to evaluate the survival of transplanted joints. The observation was done 1, 3, 6 and 12 months after operation respectively. RESULTS: Based on the radiographic and histological changes of the transplanted joints, the osteoarthropathy of transplanted canine phalangeal joints could be divided into 3 degrees: mild degeneration, moderate degeneration and severe degeneration. Mild degeneration was observed in group A from 3 to 12 months. Mild degeneration was also found in group B from 1 to 6 months, and the endochondral ossification was obvious within the drilled bony holes. However, some joints in group B underwent moderate degeneration 12 months after operation. Group C joints in the first month had moderate degeneration, which progressed to severe degeneration 3 months after operation. CONCLUSION: Transplantation of frozen canine phalangeal joint allografts perforated and incorporated with autogenic bone marrow can effectively delay the degeneration of transplanted osteoarticular allografts at the early and middle stage.

Animals↗
PubMed1986

Soft tissue digital procedures.

The purpose of this article is to discuss the common soft tissue procedures used to correct the reducible digital deformities. The reader should keep in mind that often these procedures are used in combination with osseous techniques for semi- or nonreducible digital deformities.

Contracture↗
PubMed1986

Arthroplasty of the fifth digit.

This article deals with the etiology, pathomechanics, and treatment of the varus rotated toe. Various surgical principles and techniques are demonstrated, from elliptical derotating procedures to Z and V-Y skin flaps for the more severe deformity.

Arthroplasty↗
PubMed1986

Arthroplasty via intermediate phalangectomy. Partial or complete.

The intermediate phalangectomy is discussed as an alternative to resection of the head of the proximal phalanx when surgically addressing the hammered digit syndrome. Its use in several other clinical settings is presented along with its contraindications and potential complications.

Arthroplasty↗
PubMed1986

Biomechanical implications of hammertoe deformities.

A discussion of hammertoe, mallet toe, and clawtoe has been presented. Their relationship to the various pathomechanic structural deformities has also been discussed. The practitioner must consider the biomechanics of foot function whenever surgery is planned.

Biomechanical Phenomena↗
PubMed1986

The diagnosis and treatment of infections of the pedal integument.

Dr. Miller's discussion of the diagnosis and management of soft tissue infections is probably one of the most important topics in this issue. We are all faced with the potential for relatively minor infections becoming serious problems. Having a sound understanding of the infectious process and treatment regimens is extremely important in our general practices. Few things can make a patient as unhappy or destroy good surgical results as quickly and easily as an infection. I recommend reading the articles suggested by Dr. Miller and add that I believe that if the infection has not responded as quickly to therapy as is expected, an infectious disease consultation should be requested.

Adult↗
PubMed1985

Restoration of toe function with minimal traumatic procedures including advanced diaphysectomy.

Minimal traumatic surgery is considered the preferred treatment for painful digital deformities including hammertoes, overlapping toes, mallet toes, underlapping toes, and painful corns. With the introduction of technology such as intraoperative x-ray monitoring, these procedures can be performed more efficiently, safely, and without unnecessary hospitalization in most cases. Mobility is kept to a minimum, yet the patients can be comfortably mobile while they are recovering.

Adult↗
PubMed1985

Tenotomy, tenectomy, and capsulotomy for the lesser toes.

Indications and contraindications for tenotomy, tenectomy, and capsulotomy have been cited and surgical procedures outlined. The importance of possible supplemental surgery and biomechanical follow-up have also been stressed.

Anesthesia, Local↗
PubMed1988

[Epinephrine in spinal anesthesia].

Isobaric bupivacaine for spinal anesthesia has frequently proved advantageous because of its long and safe analgesia, good motor blockade and low incidence of side-effects. Significant prolongation of analgesia is possible with an epinephrine concentration of as low as 1:200,000 added to bupivacain 0.5%, while optimal prolongation can be achieved by a concentration of 1:100,000. The addition of 1:50,000 epinephrine, however, does not induce any further enhancement. These results are contrary to those of Chambers and Scott, whose short durations of action were possibly due to relative overdosage of epinephrine with a paradoxical reduction of action. The latency period until complete blockade is achieved can be reduced by high epinephrine concentrations (beginning with 1:50,000), a fact which is possibly due to a direct, receptor-induced mechanism of epinephrine. The motor blockade of ankle and toe joints beginning from a concentration of 1:100,000 epinephrine is also prolonged significantly. With all epinephrine concentrations, the overall duration of analgesia could be prolonged significantly, in contrast to the overall duration of motor blockade. Only with free bupivacaine solution did motor and sensory function return at more or less the same time. The period between the beginning and the end of regression for both sensation and motor function was influenced only by the highest epinephrine concentration (1:50,000).(ABSTRACT TRUNCATED AT 250 WORDS)

Aged↗
PubMedDate not supplied

A new classification of first metatarsophalangeal joint dislocations (type I B).

Dorsal dislocation of the first metatarsophalangeal joint is a rare occurrence that has been infrequently reported in the podiatric literature. Two types of dislocations have been described. The authors review the mechanisms of injury and describe a third type of dislocation not yet reported in the literature.

Humans↗