Edit concept Question Editor Create issue ticket

Foot Deformity

Deformities Foot


Presentation

  • Abstract Two children presented with an isolated foot and ankle deformity. Examination in each suggested a plexiform neurofibroma although this diagnosis had not been considered before referral.[ncbi.nlm.nih.gov]
  • Furthermore, 56% of the sample presented with unsuitable footwear and upon clinical biomechanical examination a further 28% of the sample required prescription orthosis.[ncbi.nlm.nih.gov]
  • The clinical presentation, radiographic findings, and pathology that are noted at the time of reconstruction are described.[ncbi.nlm.nih.gov]
  • Positive identification was based upon unique skeletal features present in the radiographs.[ncbi.nlm.nih.gov]
  • The authors present a case of this deformity and share their experiences of its reconstruction. Different surgical strategies are discussed.[ncbi.nlm.nih.gov]
Chronic Infection
  • All patients had chronic infections with fractures of the tarsal bones for at least 2 years. Durable wound coverage and ankylosis were achieved in all patients with two-staged Boyd's operation.[ncbi.nlm.nih.gov]
Impulsivity
  • Relative impulse was high on the lateral column of the foot in the equinovarus group and on the medial column of the foot in the equinovalgus group.[ncbi.nlm.nih.gov]
  • Heel impulse showed negative correlation with talonavicular uncoverage index and talonavicular angle. Simple linear regression was used to assess the relationship between radiographic and foot pressure component measurements.[ncbi.nlm.nih.gov]

Treatment

  • If the lesion and infection reach to midfoot and hindfoot region, a major amputation is usually required for treatment.[ncbi.nlm.nih.gov]
  • BACKGROUND: The treatment of Charcot foot arthropathy has traditionally involved immobilization during the acute phase followed by longitudinal management with accommodative bracing.[ncbi.nlm.nih.gov]
  • The most common treatment-related adverse event was muscular weakness (10 U/Kg/leg 2; placebo 1).[ncbi.nlm.nih.gov]
  • Well-controlled quality of life studies comparing alternative methods of treatment in Charcot foot deformity are almost entirely lacking. Copyright 2004 John Wiley & Sons, Ltd.[ncbi.nlm.nih.gov]
  • Demographics, pre-surgical health status, details of foot pathology, details of surgery, postoperative treatment, treatment failure, and adverse events were registered.[ncbi.nlm.nih.gov]

Prognosis

  • It is distinguished from Friedreich's ataxia (FA) mainly by the preservation of tendon reflexes, a better prognosis, and the absence of GAA expansion in the frataxin gene.[ncbi.nlm.nih.gov]
  • Prognosis of Metatarsus Adductus The natural history of MTA is controversial, and treatment methods lack satisfactory outcome data. Many clinicians recommend observation in the hope of spontaneous resolution.[unfo-med.com]
  • Prognosis is good with a non-operative approach using the Ponseti method of treatment (bracing and serial casting). Achilles tenotomy is used in 90% of cases to improve dorsiflexion.[bestpractice.bmj.com]
  • Overall prognosis will often depend on other associated condition. Isolated condition may be treated successfully 8 . Promoted articles (advertising)[radiopaedia.org]

Etiology

  • It is likely that the etiology of this case was an early embryologic exposure to amniotic constriction bands that affected the development of the distal limb.[ncbi.nlm.nih.gov]
  • Abstract Nineteen ambulant patients (children and adolescents, 23 feet), with mild-to-moderate cavus and claw feet of neuromuscular etiology, underwent a modified Chuinard-Baskin operation, combining long toe extensor tendon transfer to the metatarsals[ncbi.nlm.nih.gov]
  • Abstract A cavus deformity of the foot is easily recognizable, but appropriate neurologic assessment can help to determine the etiology.[ncbi.nlm.nih.gov]
  • Abstract We assessed the effect of foot deformity on the loading axis of lower limbs in 33 patients with genu varum (25 bilateral and eigth unilateral) caused by varying etiologies including achondroplasia, cerebral palsy, prior trauma, rickets, metaphyseal[ncbi.nlm.nih.gov]
  • Etiology End-stage of planovalgus foot Posttraumatic Treatment Orthotics or ankle braces that support the longitudinal arch ( supination wedge) to straighten the heel Surgery should be performed ( osteotomy , arthrodesis ) if conservative treatment is[amboss.com]

Epidemiology

  • Genetics and epidemiology of idiopathic congenital talipes equinovarus. J Pediatr Orthop. 2003;23:265-272. [2] Dietz F. The genetics of idiopathic clubfoot. Clin Orthop Relat Res. 2002;(401):39-48.[bestpractice.bmj.com]
  • Introduction Deformity characterized by cavus (elevated longitudinal arch) plantarflexion of the 1st ray and forefoot pronation hindfoot varus forefoot adduction Epidemiology seen in both pediatric and adult populations 67% due to a neurologic condition[orthobullets.com]
Sex distribution
Age distribution

Pathophysiology

  • In order for this to occur, physicians require a basic understanding of the anatomy, pathophysiology, and biomechanics of the foot.[ncbi.nlm.nih.gov]
  • […] elevated longitudinal arch) plantarflexion of the 1st ray and forefoot pronation hindfoot varus forefoot adduction Epidemiology seen in both pediatric and adult populations 67% due to a neurologic condition when bilateral often hereditary or congenital Pathophysiology[orthobullets.com]

Prevention

  • Early diagnosis is vital to secondary prevention of the destructive process and avoidance of consequent deformity and, ultimately, amputation.[ncbi.nlm.nih.gov]
  • Therefore, in neurological patients with stress fractures, optimal treatment would be to achieve a plantigrade foot enabling them to relieve the fifth metatarsal overload, which prevents the consolidation.[ncbi.nlm.nih.gov]
  • This radiographic evidence of worsening foot alignment over time supports the need for aggressive intervention (conservative bracing or surgical fixation) to attempt to prevent limb-threatening complications.[ncbi.nlm.nih.gov]
  • Surgical correction may be required to improve function and prevent long-term problems.[medicine.umich.edu]
  • Parents should bring their child to see a doctor at the first sign of foot problems in order to prevent the condition from causing permanent damage.[nyfootsurgeons.com]

Ask Question

5000 Characters left Format the text using: # Heading, **bold**, _italic_. HTML code is not allowed.
By publishing this question you agree to the TOS and Privacy policy.
• Use a precise title for your question.
• Ask a specific question and provide age, sex, symptoms, type and duration of treatment.
• Respect your own and other people's privacy, never post full names or contact information.
• Inappropriate questions will be deleted.
• In urgent cases contact a physician, visit a hospital or call an emergency service!