Nicoletta Frescos, Lucy Stopher, Shirley Jansen, Michelle R Kaminski
BACKGROUND: Diabetes-related foot disease (DFD) is a common, costly, and severe complication of diabetes mellitus. DFD is associated with high rates of morbidity and mortality and poses a significant burden on patients, healthcare systems and society. While the detrimental impact of DFD is widely recognised, the precise financial implications of its management in Australia remain unclear due to inconsistent and inconclusive contemporary data. Therefore, the aim of this review was to identify, summarise and synthesise existing evidence to estimate the costs associated with DFD management in Australia...
December 27, 2023: Journal of Foot and Ankle Research
Gabriel Moisan, Dominic Chicoine, Sean McBride, Nader Farahpour, Pier-Luc Isabelle, Camille Dagenais, Ian Griffiths
BACKGROUND: Supination resistance is a clinical outcome that estimates the amount of external force required to supinate the foot. A greater supination resistance may indicate greater loads on structures responsible for generating internal supination moments across the subtalar joint during static and dynamic tasks. As such, greater supination resistance may be an expected finding in medial foot and ankle musculoskeletal disorders, such as plantar fasciopathy (PF) and posterior tibial tendon dysfunction (PTTD), whereas reduced supination resistance may be present in lateral ankle disorders, such as chronic ankle instability (CAI)...
December 21, 2023: Journal of Foot and Ankle Research
Hideaki Nagamoto, Takumi Okunuki, Shimpei Takahashi, Kazuki Wakamiya, Zijian Liu, Toshihiro Maemichi, Hirofumi Katsutani, Yoshiyasu Yamada, Hiroyuki Takahashi, Hirofumi Tanaka, Toshimi Aizawa, Tsukasa Kumai
BACKGROUND: Floating toes are a condition and deformity in which some of the toes are afloat. Many functional impairments in floating toes have been previously studied lately and several factors related to floating toes have also been reported. However, no reports have considered the relationship between lifestyle and floating toes among children. The purpose of this study was to reveal the prevalence of floating toes among school children and reveal its relationship with lifestyle. METHODS: In total, 138 young male baseball players were recruited...
December 13, 2023: Journal of Foot and Ankle Research
Michael J Callaghan, Jinal Pravin Gala, Edward Roddy
BACKGROUND: Patients with painful ankle osteoarthritis (OA) have a mixed experience of non-surgical management which they may attribute to a lack of guidance for clinicians on usual care treatment. Therefore, the purpose of this study was to survey the current clinical practices of UK-based physiotherapists and podiatrists for the treatment of painful ankle osteoarthritis (OA). METHODS: UK-based physiotherapists and podiatrists who treat patients with ankle OA completed a self-administered online questionnaire about their professional and clinical service characteristics, diagnostic criteria, treatment aims, preferred treatment options, and treatment outcome measures...
December 12, 2023: Journal of Foot and Ankle Research
Vasileios Lepesis, Joanne Paton, Alec Rickard, Jos M Latour, Jonathan Marsden
INTRODUCTION: People with diabetic peripheral neuropathy (DPN) and limited joint mobility syndrome (LJMS) can experience increased forefoot peak plantar pressures (PPPs), a known risk factor for ulceration. The aim of this study was to investigate whether ankle and 1st metatarsophalangeal (MTP) joint mobilisations and home-based stretches in people with DPN improve joint range of motion (ROM) and reduce forefoot PPPs. DESIGN AND METHODS: Sixty-one people with DPN (IWGDF risk 2), were randomly assigned to a 6-week programme of ankle and 1st MTP joint mobilisations (n = 31) and home-based stretches or standard care only (n = 30)...
December 6, 2023: Journal of Foot and Ankle Research
Roman Taday, Erik Schiffner, Sebastian Viktor Gehrmann, Lena Marie Wilms, Robert Alexander Kaufmann, Joachim Windolf, David Latz
BACKGROUND: Soft tissue swelling assessment benefits from a reproducible and easy to use measurement method. Monitoring of the injured lower extremity is of clinical import during staged soft tissue management. Portable 3D scanners offer a novel and precise option to quantify and contrast the shapes and volumes of the injured and contralateral uninjured limbs. This study determined three regions of interest (ROI) within the lower extremity (lower leg, ankle and foot), that can be used to evaluate 3D volumetric assessment for staged soft tissue management in orthopedic and trauma surgery...
December 5, 2023: Journal of Foot and Ankle Research
Songlin Zhu, Thomas Jenkyn
BACKGROUND: Traditionally, gait analysis studies record the foot as a single rigid segment, leaving movements and loads within the foot undetected. In addition, very few data of multi-segment foot kinetics have been represented in the literature due to measurement and equipment limitations. As a result, this study aims to develop a novel multi-segment kinetic foot model that is clinically feasible and enables both kinematic and kinetic analysis of large patient groups. RESULTS: Outcome measurements include rotation angles of intersegmental dorsi/plantar flexion, inversion/eversion, and internal/external rotation, joint moments, joint powers and the medial longitudinal arch (MLA) height/length ratio...
November 29, 2023: Journal of Foot and Ankle Research
Kevin Deschamps, Karel Mercken, Pieter Verschuren, Maarten Eerdekens, Eline Vanstraelen, Sander Wuite, Giovanni A Matricali
BACKGROUND: A comprehensive insight into the effects of subtalar- and mid-tarsal joint osteoarthritis on lower limb's biomechanical characteristics during walking is lacking. Our goal was to assess joint kinematics and kinetics and compensatory mechanisms in patients with subtalar and mid-tarsal joint osteoarthritis. METHODS: Patients with symptomatic and radiographically confirmed osteoarthritis of the subtalar and mid-tarsal (n = 10) and an asymptomatic control group (n = 10) were compared...
November 28, 2023: Journal of Foot and Ankle Research
Jordi Viadé, Maria Nicolás, Magdalena Bundó, Marc Sirvent, Clàudia Riera, Miquel Sabriá
BACKGROUND: This report aims to present a novel system for the management of foot lesions in patients with diabetes. It was developed in the diabetic foot unit (DFU) of the Mutua de Terrassa University Hospital (HUMT) by primary care professionals, the Diabetic Foot Clinic (DFC), and during emergency cases treated by our group based on daily activities in patients with neuropathy or neuroischemia. BODY: This system considers five degrees of action based on two fixed variables: presence of infection and lesion depth...
November 25, 2023: Journal of Foot and Ankle Research
Lucy S Gates, Lindsey Cherry, Dorte T Grønne, Ewa M Roos, Søren T Skou
BACKGROUND: Osteoarthritis (OA) affecting the knee or hip is highly prevalent in the general population and has associated high disease burden. Early identification of modifiable risk factors that prevent, limit, or resolve disease symptoms is critical. Foot pain may represent a potentially modifiable factor however little is known about the prevalence of foot pain in people with knee or hip OA nor whether foot pain is associated with clinical characteristics. The main aim of this study was therefore to determine the prevalence of foot pain in people with knee or hip OA attending an education and supervised exercise-based intervention in Denmark (GLA:D®) and determine if baseline demographic or clinical characteristics are associated with foot pain...
November 23, 2023: Journal of Foot and Ankle Research
Fatma Bosnina, Nat Padhiar, Stuart Miller, Krishna Girotra, Chrysovalanto Massoura, Dylan Morrissey
BACKGROUND: Numerous conditions are grouped under the generic term exercise-induced leg pain (EILP), yet clear diagnostic guidelines are lacking. This scoping review was conducted to clarify the definition and diagnostic criteria of nine commonly occurring EILP conditions. METHODS: Three online databases were searched from inception to April 2022 for any English language original manuscripts identifying, describing, or assessing the clinical presentation and diagnostic criteria of the nine most common conditions that cause EILP...
November 21, 2023: Journal of Foot and Ankle Research
Sarah M Manewell, Purnima Rao, Keren Haneman, Minjia Zheng, Hady Charaf, Hylton B Menz, Cathie Sherrington, Serene S Paul
BACKGROUND: Foot and lower limb health complications are common among patients undergoing dialysis; but a summary of prevention and management evidence is not available. The aim of this scoping review was to summarise study characteristics and the nature of results regarding strategies to prevent and manage peripheral arterial disease (PAD), foot ulceration, amputation, associated infection and associated hospital admission in adults undergoing dialysis. METHODS: MEDLINE, Embase, CINAHL and AMED databases were searched for longitudinal experimental and observational studies...
November 20, 2023: Journal of Foot and Ankle Research
Jorge Gomes Lopes, André Rodrigues-Pinho, Maria Abreu Neves, Filipe Fonseca Pinto, Miguel Relvas-Silva, Luísa Vital, Francisco Serdoura, António Nogueira-Sousa, Maria Dulce Madeira, Pedro Alberto Pereira
BACKGROUND: The heel is a complex anatomical region and is very often the source of pain complaints. The medial heel contains a number of structures, capable of compressing the main nerves of the region and knowing its anatomical topography is mandatory. The purpose of this work is to evaluate if tibial nerve (TN) and its main branches relate to the main anatomical landmarks of the ankle's medial side and if so, do they have a regular path after emerging from TN. METHODS: The distal part of the legs, ankles and feet of 12 Thiel embalmed cadavers were dissected...
November 14, 2023: Journal of Foot and Ankle Research
Hylton B Menz, Polly Q X Lim, Sheree E Hurn, Karen J Mickle, Andrew K Buldt, Matthew P Cotchett, Edward Roddy, Anita E Wluka, Bircan Erbas, Mehak Batra, Shannon E Munteanu
BACKGROUND: Hallux valgus is a common and disabling condition. This randomised pilot and feasibility trial aimed to determine the feasibility of conducting a parallel group randomised trial to evaluate the effectiveness of a nonsurgical intervention for reducing pain associated with hallux valgus. METHODS: Twenty-eight community-dwelling women with painful hallux valgus were randomised to receive either a multifaceted, nonsurgical intervention (footwear, foot orthoses, foot exercises, advice, and self-management) or usual care (advice and self-management alone)...
November 13, 2023: Journal of Foot and Ankle Research
Marcelle Ben Chmo, Lisa Matricciani, Saravana Kumar, Kristin Graham
BACKGROUND: The purpose of this study is to extend on our previous research by exploring patient-perceived factors that lead to their Lower Extremity Amputations (LEA). LEA are a serious complication of Type 2 Diabetes Mellitus (T2DM), LEA are thought to be preventable with early detection and management of risk factors. Our previous study identified that these factors extend beyond the typical biological and modifiable risk factors and may also extend to patient awareness and competing priorities...
November 13, 2023: Journal of Foot and Ankle Research
Karthikeyan Govindasamy, Joydeepa Darlong, Samuel I Watson, Paramjit Gill
BACKGROUND: Plantar ulcers are a leading complication of leprosy that requires frequent visits to hospital and is associated with stigma. The extent of burden of ulcers in leprosy and its risk factors are scant impeding the development of targeted interventions to prevent and promote healing of ulcers. The aim of this review is to generate evidence on the prevalence of plantar ulcer and its risk factors in leprosy. METHODS: Databases (Medline, Embase, Web of Science, CINAHL, BVS), conference abstracts and reference lists were searched for eligible studies...
November 13, 2023: Journal of Foot and Ankle Research
J Alex Albright, Mary Lou, Elliott Rebello, Jonathan Ge, Edward J Testa, Alan H Daniels, Michel Arcand
BACKGROUND: Prescription of testosterone replacement therapy (TRT) has increased in the United States in recent years, and though anabolic steroids have been associated with tendon rupture, there is a paucity of literature evaluating the risk of Achilles tendon injury with TRT. This study aims to evaluate the associative relationship between consistent TRT, Achilles tendon injury, and subsequent surgery. METHODS: This is a one-to-one matched retrospective cohort study utilizing the PearlDiver database...
November 11, 2023: Journal of Foot and Ankle Research
Yuki Kusagawa, Toshiyuki Kurihara, Sumiaki Maeo, Takashi Sugiyama, Hiroaki Kanehisa, Tadao Isaka
BACKGROUND: Plantar intrinsic foot muscles (PIFMs) are composed of 10 muscles and play an essential role in achieving functional diversity in the foot. Previous studies have identified that the morphological profiles of PIFMs vary between individuals. The morphological profiles of a muscle theoretically reflect its output potentials: the physiological cross-sectional area (PCSA) of a muscle is proportional to its maximum force generation, and the muscle fiber length (FL) is its shortening velocity...
November 11, 2023: Journal of Foot and Ankle Research
Michael A Hunt, Calvin T F Tse, Michael B Ryan, Alexander Scott, Eric C Sayre
BACKGROUND: Lateral wedge insoles (both standalone and those incorporating individualized arch support) have been frequently studied for the effects on knee joint loading and pain in people with knee osteoarthritis. It has been shown that many people who use these insoles do not obtain the intended biomechanical effect, and thus may not experience a clinical benefit. The ability to identify biomechanical responders to lateral wedge insoles before research or clinical intervention is an important objective for efficient resource use and optimizing patient outcomes...
October 26, 2023: Journal of Foot and Ankle Research
Joana Almeida, Jonathan Brocklehurst, Adrienne Sharples
Foot health and wellbeing in the UK are often overlooked in healthcare. Foot health outcomes are strongly interlinked to the social determinants of health, in that the way these determinants intersect can impact an individual's vulnerability to foot pain and disorders. In this commentary we explore some social determinants that hinder individuals from improving their foot health behaviour and ultimately reducing foot pain and foot disorder vulnerability. We focus on socioeconomic status, gender, disability, age, culture and ethnicity, and footwear quality; we also highlight the potential impact of the Covid-19 pandemic and the cost-of-living crisis on foot health inequities; rises in inflation have resulted in footcare becoming less affordable among vulnerable groups, like those with intellectual disabilities and chronic illness, older people, those living in rural and inner-city communities, and the ethnically and linguistically diverse population living in the UK...
October 26, 2023: Journal of Foot and Ankle Research
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