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Results for “Foot Deformities, Acquired”

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At least 19 recordsLinked to original sources
PubMed1986

[Congenital and acquired foot deformities in the x-ray picture].

In addition to general radiologic aspects there are special orthopedic considerations in interpretation of x-rays of the foot. This is especially important for the diagnosis of orthopedic foot diseases. In clubfoot x-rays are useful for therapeutic planning and control. Even in the first months of life radiographs can show important disturbances of growth of the foot and displacement of the bones of the tarsus. In other congenital foot deformities x-rays are important for diagnostic reasons: they prove luxations or skeletal deformities. The most important acquired foot disease is the pronating foot. X-rays do not only show the amount of joint damage and structural changes of bones but also allow to draw conclusions to be drawn about the causes of static and dynamic changes of the foot skeleton. Functional diagnostic radiological investigation is of decisive importance for evaluation of infantile pronating foot. X-rays allow the differentiation to be made between physiological and pathologic changes. Subtle radiographic investigation is essential while planning operative treatment in childhood, as in adults.

Child↗
PubMed2003

Nonsurgical treatment of adult acquired flat foot deformity.

The adult acquired flat foot requires assessment with unique casting and fabrication of support appliances. Conservative treatment is preferred as the initial protocol. Stabilization and control of affected joints can provide the patient with a decreased level of pain and an increased level of function. The orthosis design must acceptable to the patient's lifestyle to ensure compliancy.

Adult↗
PubMed2003

The treatment of failed reconstruction for adult acquired flat foot deformity.

The successful salvage of a failed reconstruction for adult acquired flat foot deformity requires a thorough assessment of the alignment, healing, and function of the entire foot. The pain that is experienced by the patient often emanates from multiple sources. Once identified, the plan of treatment must provide an integrated and comprehensive approach to resolve the origins of pain to restore durable function to the foot. Often, these goals may be achieved through the use of orthotics, physical therapy, and other nonoperative means. Additional or revision surgical procedures may be necessary to complete or correct the previous attempts to reconstruct the foot.

Adult↗
PubMed2003

Adult acquired flat foot deformity: clinical and radiographic examination.

Symptomatic adult acquired flat foot deformity is encountered in the orthopedic office on a frequent basis. Although many causes exist, a careful history and a stepwise approach to the physical examination will clue the examiner into making the correct diagnosis and provide appropriate treatment. Radiographs serve as an adjunct and assist in verifying the examination findings. CT, US, and MRI are helpful modalities for surgical planning or when the diagnosis remains questionable.

Adult↗
PubMed1964

A RADIOGRAPHIC ANALYSIS OF MAJOR FOOT DEFORMITIES.

Major foot deformities were analyzed using standardized radiographic drawings of the foot in weight-bearing. Specific criteria and a classification of foot deformities by radiographic analysis are presented, utilizing "lining systems" related to the main bones of the hindfoot.The radiographic appearance of the foot is described and analyzed, as are the principal deformities such as varus and valgus heel and forefoot. The prefixes "talipes" and "pes" have been used to signify congenital and acquired deformities, respectively.Specific foot deformities, including talipes equinovarus (clubfoot), pes planovalgus (flatfoot), pes cavus, and metatarsus varus, are analyzed. This method can also be applied in the radiological analysis of any foot deformity.By using this technique, a brief, concise and simplified analysis of foot deformities is available to the student, general practitioner, and specialist.

Calcaneus↗
PubMed1998

The pediatric foot and ankle.

MR imaging can be extremely helpful in evaluating congenital and acquired deformities of the foot and ankle. Knowledge of the normal developmental anatomy of the foot and ankle is important to accurately identify abnormalities versus normal variants. The foot and ankle may be abnormal because of trauma, infection, tumor, or systemic disease. MR imaging can help in the differential diagnosis of abnormalities as well as in treatment planning and follow-up.

Adolescent↗
PubMed2001

Tarsal coalition.

Tarsal coalition is a common abnormality of the hindfoot skeleton that only rarely leads to symptoms. These symptoms occur most commonly in adolescence but rarely can be found also in adults. Although most coalitions are congenital, as the consequence of autosomal dominant inheritance, coalitions also can be acquired by degenerative joint disease, inflammatory arthritis, infection, and clubfoot deformities. Fifty percent of all coalitions are bilateral. Talocalcaneal and calcaneonavicular coalitions are most commonly found, and patients frequently have more than one coalition in the same foot. Clinical symptoms of the tarsal coalition frequently follow a sequence of sprains or other minor injuries to the involved foot. This leads to a rigid, painful foot. The pain is worsened by continued activities. The frequently cited peroneal spastic flatfoot is an uncommon means of identifying a tarsal coalition. The diagnosis of the tarsal coalition is made on the oblique radiograph of the foot, which demonstrates the calcaneonavicular coalition. Computed tomography (CT) and magnetic resonance imaging scans show the presence and extent of other coalitions. Secondary signs for the presence of a coalition are talar beaking, anteater nose sign, and C sign. These secondary signs can be demonstrated best on a lateral view of the involved foot. Local anesthetic blocks under image intensifier or CT guidance can identify areas of joint degeneration, which are caused by the altered biomechanics of the foot. Initial treatment should consist of conservative therapy in the form of support or immobilization of the involved foot, change in the activities of the patient, and nonsteroidal anti-inflammatory medication. Surgical treatment in the form of a resection of the coalition should be reserved for those patients for whom conservative therapy has failed. Subtalar or triple arthrodesis should be reserved for those patients for whom all other therapy has failed.

Adolescent↗
PubMedDate not supplied

Metatarsal lengthening by distraction osteogenesis: a report of two cases.

Two cases of lengthening of metatarsals by distraction osteogenesis are reported. One of these cases is an acquired deformity of the first metatarsal; the other is a congenital short fourth metatarsal. By following the principles set forth by Ilizarov, it was possible to lengthen the metatarsal bones and surrounding soft tissues without open lengthening of tendons or secondary bone grafting of the distraction gap. We believe this method is an improvement over previously described methods of metatarsal lengthening.

Adolescent↗
PubMed1996

[The Ilizarov external fixator and method. Treatment of congenital and acquired deformities].

The Ilizarov method, with external fixation by means of rings, rods and wires, has been used at the Norwegian National Hospital, Orthopaedic Centre, since 1992. The method is unique in correcting multiplanar deformities in one surgical procedure. We have treated 70 patients with a wide variety of orthopaedic etiologies. Soft tissue and bone deformities in the lower extremity have been corrected separately or combined. The frequency of complications has been relatively high, but we still think that the Ilizarov method is useful to correct complex deformities in children and adults alike.

Adolescent↗
PubMed2005

Lengthening procedures of small bones of foot and foot stump.

Foot length discrepancy may result from congenital or acquired causes. If the absence of the foot is more proximal than the metatarsal level, push off and foot resilience will be disturbed and rapid walking and spring will be awkward. Those patients have to be fitted with a prosthesis extending above the ankle to the distal leg. The functional impairment and poor cosmetic appearance become social problems especially for adolescents. Twelve cases underwent a lengthening procedure of small bones of the foot in our clinic since 1995 to lengthen the foot or a foot stump. Results were satisfactory.

Adolescent↗
PubMed1980

Triple arthrodesis and Lambrinudi arthrodesis. Literature review and follow-up study.

A literature review is presented about triple arthrodesis and Lambrinudi arthrodesis including indications, techniques, complications, and a more extensive review of some specific indications. Forty-eight patients were operated on between 1961 and 1977, 25 of whom were reviewed at follow-up. Our follow-up study shows a rather high rate of pseudarthrosis, with however a normal failure rate. According to these findings transfixation of the bones with K-wires is to be considered.

Adolescent↗
PubMed2005

Surgical correction of the true vertical talus deformity.

OBJECTIVE: Correction of skeletal deformity and restoration of muscle balance for the improvement of form and function of the foot. INDICATIONS: Developmental vertical talus deformity (idiopathic form). Vertical talus in a developmental arthrogryposis multiplex or in neurologic diseases such as cerebral palsy or spina bifida. CONTRAINDICATIONS: Serious illnesses preventing anesthesia. SURGICAL TECHNIQUE: Achilles tendon lengthening. Release of contracted parts of ankle capsule, of the talonavicular and the calcaneocuboid joints. Reduction of the hindfoot bones and fixation with Kirschner wires. Augmentation of the spring ligament. Further stabilization by an anterior transfer of the tibialis posterior tendon and a posterior transfer of the tibialis anterior tendon. In addition, in instances of severe deformities or inadequately treated feet before surgery, lengthening of extensor tendons and repositioning of anteriorly displaced peroneal tendons. For paretic feet transfer of the peroneus brevis tendon to the tendon of the peroneus longus or in instances of paralysis of the supinators transfer to the tendon of the tibialis posterior. RESULTS: This procedure was done in 74 feet of 45 patients. Follow-up of 59 feet in 35 patients after an average of 7 years and 3 months. At the time of surgery the youngest patient was 6 months old and the oldest 25 years and 6 months (average 4 years and 6 months). Assessment of results using the parameters of Walker et al. An average of 12.5 out of 16 points was reached. The loss of function was mostly due to the underlying diseases such as arthrogryposis, spina bifida or cerebral palsy. One pin site infection, one osteomyelitis, one pressure sore in the cast, and five wound healing disturbances were observed.

Adult↗
PubMed2003

[Inserts and shoes for foot deformities].

Prevention of habitual or shoe-induced foot and toe deformities in children and treatment of congenital or developing malformations require a change of view towards functional aspects and the use of modern technical possibilities based on our traditional knowledge.Statics, functional anatomy, biomechanics, neuromotor and psychomotor activity, and developmental physiology have to be considered as well as the broad variety of physiological interindividual differences. Modern materials and fabrication techniques make it easier to produce anatomically and functionally correct and appealing shoes, inserts, and orthoses. New means of invasive treatment improve the preconditions for orthotic management. Cultural and cosmetic expectations and the real extent of disability, impairment, and handicap have to be carefully differentiated for the sake of every single child.

Adolescent↗