1
|
Boretto JG, Holc F, Victorica PB. The Foot as a Donor Site for Reconstruction in the Hand. Hand Clin 2024; 40:249-258. [PMID: 38553096 DOI: 10.1016/j.hcl.2023.08.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/02/2024]
Abstract
The foot contains a unique collection of tissue types that can be used in the reconstruction of the hand. Numerous reconstructive options have been presented, some of which have been adopted, such as modifications to procedures that have been described in the past or even newly developed options for hand reconstruction. It is possible to reconstruct missing fingers and other hand structures using tissues taken from the foot rather than removing healthy tissue from a hand that has already been injured. This makes it possible to avoid having healthy tissue removed from an injured hand.
Collapse
Affiliation(s)
- Jorge G Boretto
- Hand and Upper Extremity Surgery Department, Prof. Dr. "Carlos Ottolenghi Institute", Hospital Italiano de Buenos Aires.
| | - Fernando Holc
- Hand and Upper Extremity Surgery Department, Prof. Dr. "Carlos Ottolenghi Institute", Hospital Italiano de Buenos Aires
| | - Pedro Bronenberg Victorica
- Hand and Upper Extremity Surgery Department, Prof. Dr. "Carlos Ottolenghi Institute", Hospital Italiano de Buenos Aires
| |
Collapse
|
2
|
Gaurav V, Mondal A, Grover C, Gupta S. Y-shaped anchor for nail dressing stability. J Am Acad Dermatol 2024; 90:e159-e161. [PMID: 37730016 DOI: 10.1016/j.jaad.2023.08.095] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2023] [Accepted: 08/31/2023] [Indexed: 09/22/2023]
Affiliation(s)
- Vishal Gaurav
- Department of Dermatology and Venereology, All India Institute of Medical Sciences, New Delhi, India
| | - Avik Mondal
- Department of Dermatology and Venereology, All India Institute of Medical Sciences, New Delhi, India
| | - Chander Grover
- Department of Dermatology and STD, University College of Medical Sciences and Guru Teg Bahadur Hospital, New Delhi, India.
| | - Somesh Gupta
- Department of Dermatology and Venereology, All India Institute of Medical Sciences, New Delhi, India
| |
Collapse
|
3
|
Abstract
Microsurgery is undoubtedly the pinnacle of hand surgery. Significant advancement in recent years has stretched the indications for toe-to-hand transfer in both acquired and congenital hand defects to restore function, esthetics, and motion, with minimal morbidity to the donor site. There is no one fixed microsurgical transfer technique but a surgeon's versatility and innovation in using what one could spare because each case is unique. Esthetic refinements and reducing donor site morbidities have taken a front seat in recent years. We present a few cases to put forward the senior author's preferred techniques with this objective in mind.
Collapse
Affiliation(s)
- Xiao Fang Shen
- Department of Pediatric Orthopaedics, Children's Hospital of Soochow University, 92 Zhongnan Street, Suzhou Industrial Park, Suzhou, Jiangsu 215025, China.
| | - Saw Sian Khoo
- National Orthopaedic Centre of Excellence for Research and Learning (NOCERAL), Department of Orthopaedic Surgery, Universiti Malaya, 50603 Lembah Pantai, Kuala Lumpur, Malaysia
| |
Collapse
|
4
|
Bechara N, Hng TM, Gunton JE. The association between tobacco smoking and systolic toe pressures in active foot ulceration. Sci Rep 2024; 14:8550. [PMID: 38609449 PMCID: PMC11015010 DOI: 10.1038/s41598-024-59158-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2023] [Accepted: 04/08/2024] [Indexed: 04/14/2024] Open
Abstract
Smoking may increase the risk of diabetic foot disease and ulceration. It does so by impairing glycaemic control and promoting the formation of advanced glycated end-products. Additionally, smoking is known to delay surgical wound healing and accelerate peripheral arterial disease. We aimed to determine whether toe pressures differed in smokers with a foot ulcer, when compared to non-smokers and ex-smokers, as well as ulcer outcomes at 12 months, among patients attending Blacktown Hospital High Risk Foot Service (HRFS). This study is a retrospective analysis of our prospectively collected clinic database. Eligible participants were adults attending the HRFS between June 2020 and April 2022. Participants were included if they had an ulcer, at least one systolic toe pressure reading completed at their initial visit and attended at least one follow-up visit. Participants were followed until healing, loss to follow-up or a minimum of 12 months. A total of 195 participants were included; 36 smokers, 82 ex-smokers, and 77 controls who had never smoked. Smoking status was by self-report. Current smokers were significantly younger at initial presentation (p = .002) and tended towards lower socioeconomic status (p = .067). Current smokers were significantly more likely to have ischaemic grade 3 toe pressures (< 30 mmHg) of their left foot (p = .027), suggestive of reduced perfusion. At the end of follow up period, smokers had the numerically highest rates of minor amputations. In conclusion, smokers ulcerate younger and are more likely to have grade 3 ischaemia. Collecting information about the brachial artery pressures and the time since the last cigarette may clarify any relationship between smoking and toe pressures.Trial registration: WSLHD HREC ethics approval 2111-02 and ANZCTR registration 382470. Registered on 15/09/2021.
Collapse
Affiliation(s)
- Nada Bechara
- Centre for Diabetes, Obesity and Endocrinology (CDOE) Research, The Westmead Institute for Medical Research, Westmead, NSW, 2145, Australia
- Department of Diabetes and Endocrinology, Blacktown Mt Druitt Hospital, Blacktown, NSW, 2148, Australia
- Faculty of Medicine and Health, Westmead Hospital, Sydney Medical School, The University of Sydney, Westmead, NSW, 2145, Australia
| | - Tien-Ming Hng
- Department of Diabetes and Endocrinology, Blacktown Mt Druitt Hospital, Blacktown, NSW, 2148, Australia
- School of Medicine, Western Sydney University, Blacktown Mt Druitt Hospital, Blacktown, NSW, 2148, Australia
| | - Jenny E Gunton
- Centre for Diabetes, Obesity and Endocrinology (CDOE) Research, The Westmead Institute for Medical Research, Westmead, NSW, 2145, Australia.
- Faculty of Medicine and Health, Westmead Hospital, Sydney Medical School, The University of Sydney, Westmead, NSW, 2145, Australia.
| |
Collapse
|
5
|
Morrow E, Harris J, Gelfer Y, Cashman J, Kothari A. Health-related Quality of Life in Idiopathic Toe Walkers: A Multicenter Prospective Cross-sectional Study. J Pediatr Orthop 2024; 44:e357-e360. [PMID: 38273462 DOI: 10.1097/bpo.0000000000002620] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/27/2024]
Abstract
OBJECTIVE Despite idiopathic toe walking (ITW) being a significant source of stress and anxiety for children and parents alike, little is known about the effect on health-related quality of life (HRQoL). The primary research question for this study was "Is ITW associated with impaired HRQoL, and is the degree of equinus contracture related to the degree of impairment?" METHODS Twelve pediatric orthopaedic centers across the United Kingdom participated in this prospective, cross-sectional observational study of children younger than 18 years with ITW. Data were collected between May 2022 and July 2022. Using a standardized, piloted proforma, data collected included: demographics, toe-walking duration, passive ankle range of motion (Silfverskiold test), associated autism spectrum disorder or attention deficit hyperactivity disorder, previous and planned treatments, and Oxford Ankle Foot Questionnaire for Children scores. Domain scores were compared with a healthy control group and correlation was made to plantarflexion contracture using standard nonparametric statistical methods. RESULTS Data were collected from 157 children. Significant reductions in physical, school and play, and emotional domain scores were noted compared with healthy controls. A significant moderate correlation was noted between passive ankle dorsiflexion and physical domain scores. There were no significant differences in Oxford Ankle Foot Questionnaire for Children scores among patient groups by treatment. CONCLUSIONS ITW in children is associated with an impairment in HRQoL, not only across the physical domain but also the school and play and emotional domains. The more severe the equinus contracture, the worse the physical domain scores. LEVEL OF EVIDENCE Level II-prospective cross-sectional observational study.
Collapse
Affiliation(s)
- Eileen Morrow
- Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS), University of Oxford, Oxford, UK
| | - Jennifer Harris
- Department, Paediatric Orthopaedic Physiotherapy Service, Chesterfield Royal Hospital NHS Foundation Trust, Chesterfield, UK
| | - Yael Gelfer
- Department of Paediatric Orthopaedic Service, St George's University Hospitals NHS Foundation Trust, London, UK
| | - John Cashman
- Department of Orthopaedics, Sheffield Children's NHS Foundation Trust, Sheffield, UK
| | - Alpesh Kothari
- Department of Paediatric Orthopaedic, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
| |
Collapse
|
6
|
Correia C, Fernandes S, Filipe P. Subungual Exostosis of the Second Finger. Actas Dermosifiliogr 2024; 115:T405. [PMID: 38340987 DOI: 10.1016/j.ad.2024.02.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2022] [Accepted: 01/08/2023] [Indexed: 02/12/2024] Open
Affiliation(s)
- C Correia
- Dermatology Department, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte (CHULN), Lisboa, Portugal.
| | - S Fernandes
- Dermatology Department, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte (CHULN), Lisboa, Portugal; Faculty of Medicine, University of Lisbon, Lisboa, Portugal
| | - P Filipe
- Dermatology Department, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte (CHULN), Lisboa, Portugal; Faculty of Medicine, University of Lisbon, Lisboa, Portugal
| |
Collapse
|
7
|
Sun Y, Lan CCE, Tsai TY, Lin SY. Using dental floss pick and alternative packing material for ingrown toenails: A video demonstration. J Am Acad Dermatol 2024; 90:e115-e116. [PMID: 37062460 DOI: 10.1016/j.jaad.2023.04.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Revised: 03/14/2023] [Accepted: 04/07/2023] [Indexed: 04/18/2023]
Affiliation(s)
- Yng Sun
- Department of Dermatology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan
| | - Cheng-Che E Lan
- Department of Dermatology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Dermatology, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
| | - Tsung-Yu Tsai
- Department of Dermatology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Radiology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan
| | - Sheng Yiao Lin
- Department of Dermatology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
| |
Collapse
|
8
|
Correia C, Fernandes S, Filipe P. Subungual Exostosis of the Second Finger. Actas Dermosifiliogr 2024; 115:405. [PMID: 36842476 DOI: 10.1016/j.ad.2023.01.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2022] [Accepted: 01/08/2023] [Indexed: 02/28/2023] Open
Affiliation(s)
- C Correia
- Dermatology Department, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte (CHULN), Lisbon, Portugal.
| | - S Fernandes
- Dermatology Department, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte (CHULN), Lisbon, Portugal; Faculty of Medicine, University of Lisbon, Lisbon, Portugal
| | - P Filipe
- Dermatology Department, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte (CHULN), Lisbon, Portugal; Faculty of Medicine, University of Lisbon, Lisbon, Portugal
| |
Collapse
|
9
|
Everett J, Lawrance S, Cooper K, Phillips N. The assessment and management of foot and toe oedema as part of holistic lower limb care. Br J Community Nurs 2024; 29:S6-S13. [PMID: 38578926 DOI: 10.12968/bjcn.2024.29.sup4.s6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/07/2024]
Abstract
Toe and foot swelling can manifest as lymphoedema or chronic oedema but can also be a complication of the treatment of these conditions. In this article, the authors discuss the assessment and treatment options for toe and foot swelling, highlighting the importance of prevention in the first instance.
Collapse
Affiliation(s)
- Jeanne Everett
- Lymphoedema Nurse Specialist, Lymph Solutions; Clinical Advisor, Haddenham Healthcare
| | - Sue Lawrance
- Lymphoedema Nurse Specialist, Florence Knightingale Hospice; Clinical Advisor, Haddenham Healthcare
| | - Karen Cooper
- Lymphoedema Therapist, The Lighter Touch; Clinical Advisor, Haddenham Healthcare
| | - Natalie Phillips
- Lymphoedema Nurse Specialist, Clinical Manager, Haddenham Healthcare
| |
Collapse
|
10
|
Takamasu E, Miyoshi Y. Écartement des orteils causé par une bursite intermétatarsienne chez une personne atteinte de polyarthrite rhumatoïde. CMAJ 2024; 196:E357-E358. [PMID: 38499305 PMCID: PMC10948186 DOI: 10.1503/cmaj.231253-f] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/20/2024] Open
Affiliation(s)
- Eisuke Takamasu
- Département de rhumatologie, Centre médical Tama de la métropole de Tokyo, Tokyo, Japon.
| | - Yuji Miyoshi
- Département de rhumatologie, Centre médical Tama de la métropole de Tokyo, Tokyo, Japon
| |
Collapse
|
11
|
Papaetis GS, Dionysiou EA, Charalambous IS, Doukanaris PT. Extended-Spectrum Beta-Lactamase Escherichia coli Diabetic Foot Osteomyelitis Causing Sausage Toe Deformity: Successful Therapy with Ertapenem in the Outpatient Setting. Am J Case Rep 2024; 25:e943092. [PMID: 38503690 PMCID: PMC10942098 DOI: 10.12659/ajcr.943092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2023] [Revised: 01/23/2024] [Accepted: 01/12/2024] [Indexed: 03/21/2024]
Abstract
BACKGROUND Diabetic foot osteomyelitis is a high-morbidity and debilitating complication of diabetic foot ulcers that contributes to significantly worse quality of life in the affected population and higher cost of healthcare services. One of the clinical presentations of diabetic foot osteomyelitis is the 'sausage' toe deformity, which affects the phalanges (local soft tissue infection and underlying bony changes). This deformity is highly suggestive of the presence of osteomyelitis. Unfortunately, during recent years, the emergence of antibiotic-resistant bacteria have created great difficulties in choosing appropriate empirical antibiotics for the treatment of diabetic foot infections. Multidrug-resistant pathogens have been strongly related to higher morbidity and mortality compared with infections caused by their antibiotic-susceptible counterparts. CASE REPORT We describe a case of a 74-year-old woman with long-standing insulin-treated type 2 diabetes, who experienced extended-spectrum beta-lactamase-producing Escherichia coli infection that caused diabetic foot osteomyelitis with 'sausage' deformity in her second right toe. She was successfully treated with surgical debridement combined with the administration of ertapenem in the outpatient setting, completing, in total, a 6-week course of antibiotic therapy. CONCLUSIONS 'Sausage' toe deformity is one of the clinical presentations of diabetic foot osteomyelitis, and should be an alarming sign in everyday clinical practice. Ertapenem is an excellent option for the treatment of diabetic foot infections caused by extended-spectrum beta-lactamase E. coli in the outpatient setting. Early diagnosis and proper therapeutic approach are of great importance to reduce the risk of amputations, overall mortality, total cost, and the surge of antimicrobial resistance in the community.
Collapse
Affiliation(s)
- Georgios S. Papaetis
- Internal Medicine and Diabetes Clinic, K.M.P. THERAPIS Paphos Medical Center, Paphos, Cyprus
- Department of Internal Medicine, CDA College, Paphos, Cyprus
| | | | | | | |
Collapse
|
12
|
Argyriou C, Lazarides MK, Georgakarakos E, Georgiadis GS. Role of Hemodynamic Assessment and Limitations in Ankle-Brachial Pressure Index, Toe- Brachial Pressure Index to Predict Wound Healing After Revascularization. INT J LOW EXTR WOUND 2024; 23:7-11. [PMID: 37933181 DOI: 10.1177/15347346231212782] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2023]
Abstract
Chronic limb-threatening ischemia (CLTI) represents one of the most severe forms of peripheral arterial disease implying impaired wound healing and tissue loss at the same time posing a significant impact on the quality of life of patients and a serious economic burden on healthcare systems around the world. A major challenge in the management of patients with CLTI is the validity and role of non-invasive hemodynamic parameters in assessing their clinical status before and after revascularization. Traditionally, the diagnosis of CLTI is routinely based on clinical symptoms and confirmed by measurements of non-invasive limb hemodynamics including ankle-brachial pressure index (ABPI) and toe-brachial pressure index (TBPI). However, whether these indices alone can provide definitive treatment or be used as adjunctive tool along with the implementation of novel techniques to help guide revascularization for CLI patients still remains unclear.
Collapse
Affiliation(s)
- Christos Argyriou
- Department of Vascular Surgery, "Democritus" University of Thrace, University Hospital of Alexandroupolis, Alexandroupoli, Greece
| | - Miltos K Lazarides
- School of Medicine, "Democritus" University of Thrace, Alexandroupolis, Greece
| | - Efstratios Georgakarakos
- Department of Vascular Surgery, "Democritus" University of Thrace, University Hospital of Alexandroupolis, Alexandroupoli, Greece
| | - George S Georgiadis
- Department of Vascular Surgery, "Democritus" University of Thrace, University Hospital of Alexandroupolis, Alexandroupoli, Greece
| |
Collapse
|
13
|
Kadowaki H, Takeda T, Noto M, Mori M, Suzuki A, Ujima K, Nakamura T. Analysis of veering during gait in blind individuals. Gait Posture 2024; 109:183-188. [PMID: 38335771 DOI: 10.1016/j.gaitpost.2024.01.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/17/2023] [Revised: 01/11/2024] [Accepted: 01/18/2024] [Indexed: 02/12/2024]
Abstract
BACKGROUND Veering occurs during blind walking, which causes individuals to deviate from crosswalks or fall off platforms. Despite being linked to static postural control, the relationship between veering and gait function (gait variability and plantar pressure), which is presumed to be related to dynamic postural control, has yet to be fully understood. RESEARCH QUESTION How do gait variability and plantar pressure affect veering? METHODS This experiment involved a walking task in which 11 blind adults were instructed to walk along a straight path using a white cane. We measured the veering values and analyzed the relationship between gait variability and plantar pressure. RESULTS One participant with a particularly severe veering tendency was excluded from the analysis. Based on the veering characteristics of the participants, the walking trajectories were classified as veering to the left (14 trials) or the right (14 trials) sides. Correlation analysis showed no significant correlation between the veering value and gait variability (vertical, lateral, and anterior-posterior). Plantar pressure (the ball of the fifth toe and the total) was significantly negatively correlate with the veering value. In contrast, the plantar pressure results for the participant who was excluded showed a different characteristic. SIGNIFICANCE We hypothesized that blind individuals would exhibit dynamic postural control to stay on a straight path by increasing the plantar pressure on the ball of the fifth toe and the total pressure on the opposite foot when veering occurs. However, this adaptation was not observed in a blind individual with severe veering tendencies.
Collapse
Affiliation(s)
- Hiroki Kadowaki
- Faculty of Education, Yamaguchi Gakugei University, Yamaguchi, Japan.
| | | | - Misako Noto
- Faculty of Human Sciences, Chikushi Jogakuen University, Fukuoka, Japan
| | | | - Akihiro Suzuki
- Department of Mechanical and Intelligent Systems Engineering, National Institute of Technology, Ichinoseki College, Ichinoseki, Japan
| | - Kazuhito Ujima
- Graduate School of Humanities and Social Sciences, Hiroshima University, Higashi-Hiroshima, Japan
| | - Takashi Nakamura
- Faculty of Education, University of Teacher Education Fukuoka, Fukuoka, Japan
| |
Collapse
|
14
|
Kessler P. [Old and New Regional Anesthesia Procedures Under Review - Abdomen to Toe]. Anasthesiol Intensivmed Notfallmed Schmerzther 2024; 59:159-179. [PMID: 38513641 DOI: 10.1055/a-2065-7660] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/23/2024]
Abstract
Ultrasound (US) technology has significantly expanded the spectrum of regional anesthesiological procedures in recent years. Abdominal wall blocks are becoming an increasingly integral part of a multimodal postoperative pain concept after abdominal surgery, gynecological or urological interventions. Thoracic epidural analgesia remains the gold standard for extensive surgery. The requirement for rapid postoperative mobilization and discharge after lower extremity surgery has led to the abandonment of neuroaxial or plexus blocks in favor of selective, peripheral blocks such as the PENG block or adductor canal block. The following article is intended to show the reader the change in the use of regional anesthesiological procedures for abdominal wall and lower extremity blocks using selected blockages.
Collapse
|
15
|
LeBlang S, Ziemlewicz TJ. The art of histotripsy: a focused ultrasound application that has the potential to treat from head to toe! Int J Hyperthermia 2024; 41:2312608. [PMID: 38323559 DOI: 10.1080/02656736.2024.2312608] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2024] Open
Affiliation(s)
- Suzanne LeBlang
- Neuroradiologist, Director of Clinical Relationships-Focused Ultrasound Foundation, Charlottesville, VA, USA
| | | |
Collapse
|
16
|
Doerks F, Riedel L, Einfeldt AK, Windhagen H, Hurschler C, Jakubowitz E. Contribution of various forefoot areas to push-off peak at different speeds and slopes during walking. Gait Posture 2024; 108:264-269. [PMID: 38150947 DOI: 10.1016/j.gaitpost.2023.12.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/12/2023] [Revised: 11/24/2023] [Accepted: 12/20/2023] [Indexed: 12/29/2023]
Abstract
BACKGROUND Push-off during the terminal stance phase has a major impact on forward progression during walking. During this phase, the ground reaction force is applied to a small area under the forefoot. A better understanding of how single forefoot areas contribute to push-off peak in healthy subjects is needed to develop biomimetic orthopedic devices for forefoot amputees. RESEARCH QUESTION What is the contribution of different forefoot sole areas to push-off peak as a function of speed and slope? METHODS In this analytical study, 15 healthy subjects walked on a treadmill at different speeds (0.8 m/s; 1.2 m/s; 1.6 m/s; max. gait speed) without de-/inclination and on different slopes (-10°; -5°; 0°; 5°; 10°) with normal walking speed. The Novel Pedar-X System was used to measure vertical sole force. Push-off peak of the entire sole was determined and relative contributions of the areas under the hallux, first ray, and toes (I-V) were calculated and analyzed using separate repeated-measures ANOVA (α = 0.05). RESULTS Push-off peak increases with faster walking speeds as well as with 10° inclination. Downhill walking is associated with a reduced push-off peak. The contribution of all forefoot areas increases with faster walking speeds and at a declination of -10°. Push-off contribution of the area under the hallux increases by about 64.6% at fast walking compared to slow walking and this increase is higher than that of the area under the first ray and toes (p < 0.05). SIGNIFICANCE These findings indicate the major role of the hallux in speed generation and the importance of the forefoot during downhill walking. The results show the need for an adequate assistive device even in hallux amputation cases to compensate for deficits in the push-off phase.
Collapse
Affiliation(s)
- Frithjof Doerks
- Laboratory of Biomechanics and Biomaterials, Department of Orthopedic Surgery, Hannover Medical School, Anna-von-Borries-Strasse 1-7, 30625 Hannover, Germany
| | - Lisa Riedel
- Laboratory of Biomechanics and Biomaterials, Department of Orthopedic Surgery, Hannover Medical School, Anna-von-Borries-Strasse 1-7, 30625 Hannover, Germany
| | - Ann-Kathrin Einfeldt
- Laboratory of Biomechanics and Biomaterials, Department of Orthopedic Surgery, Hannover Medical School, Anna-von-Borries-Strasse 1-7, 30625 Hannover, Germany
| | - Henning Windhagen
- Department of Orthopedic Surgery, Hannover Medical School, Anna-von-Borries-Strasse 1-7, 30625 Hannover, Germany
| | - Christof Hurschler
- Laboratory of Biomechanics and Biomaterials, Department of Orthopedic Surgery, Hannover Medical School, Anna-von-Borries-Strasse 1-7, 30625 Hannover, Germany
| | - Eike Jakubowitz
- Laboratory of Biomechanics and Biomaterials, Department of Orthopedic Surgery, Hannover Medical School, Anna-von-Borries-Strasse 1-7, 30625 Hannover, Germany.
| |
Collapse
|
17
|
Valagussa G, Purpura G, Balatti V, Trentin L, Signori A, Grossi E. Quantitative assessment of tip-toe behavior in individuals with autism spectrum disorder and intellectual disability: A cross-sectional study. Autism Res 2024; 17:311-323. [PMID: 38108559 DOI: 10.1002/aur.3072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2023] [Accepted: 11/27/2023] [Indexed: 12/19/2023]
Abstract
The term "toe walking" describes walking on the toes with a lack of heel strike upon initiation of the stance phase of gait. In individuals with autism spectrum disorder (ASD), this phenomenon, or "tip-toe behavior" (TTB), can be present in a substantial proportion of subjects even during standing. In this study, we investigated TTB in 50 persons with ASD (age range 4-26 years). We evaluated TTB through an observational/report-based assessment protocol. Subsequently, we employed a new structured video-based coding protocol based on standardized video recordings, focusing on static and dynamic conditions. Finally, the findings of the two protocols were compared. Twenty-four subjects with TTB were identified and classified according to three functional groups: TTB1, present only during running (6 subjects); TTB2, present during walking and running (11 subjects); and TTB3, present during standing, walking, and running (7 subjects). Moreover, we found that TTB3 subjects exhibited a significantly higher quantity of TTB compared with subjects in the TTB1 and TTB2 groups during both standing and walking tests. Additionally, a high quantity of TTB in the static test was found to be related to a high quantity of TTB in the dynamic test. Variables such as age, autism severity, intellectual disability, and gender were not significantly associated with the mean percent of TTB both in static and dynamic tests in multivariate analysis. This structured video-based coding approach appears feasible and useful for assessing TTB in individuals with ASD and it has the potential to provide insights into TTB trajectories and aid in designing possible interventions.
Collapse
Affiliation(s)
- Giulio Valagussa
- School of Medicine and Surgery, University of Milano Bicocca, Milan, Italy
- Autism Research Unit, Villa S. Maria Foundation, Tavernerio (CO), Italy
| | - Giulia Purpura
- School of Medicine and Surgery, University of Milano Bicocca, Milan, Italy
| | - Valeria Balatti
- Autism Research Unit, Villa S. Maria Foundation, Tavernerio (CO), Italy
| | - Luca Trentin
- Autism Research Unit, Villa S. Maria Foundation, Tavernerio (CO), Italy
| | - Alessio Signori
- Department of Health Sciences, Section of Biostatistics, University of Genoa, Genoa, Italy
| | - Enzo Grossi
- Autism Research Unit, Villa S. Maria Foundation, Tavernerio (CO), Italy
| |
Collapse
|
18
|
Bastías GF, Sage K, Orapin J, Schon L. Diaphyseal Proximal Phalangeal Shortening Osteotomy for Correction of Hammertoe Deformity: Operative Technique and Radiological Outcomes. Foot Ankle Spec 2024; 17:29-38. [PMID: 34142594 DOI: 10.1177/19386400211012800] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND Correction of hammertoe deformities at the proximal interphalangeal (PIP) joint results in an inherent loss of motion that can be a concern for active patients who want to maintain toe function and grip strength. Diaphyseal proximal phalangeal shortening osteotomy (DPPSO) is a joint-sparing procedure resecting a cylindrical portion of the proximal phalanx on the middiaphysis. PATIENTS/METHODS This was a retrospective review including patients treated using DPPSO with at least a 1-year follow-up. Demographic, comorbidity, and Visual Analogue Scale (VAS) scores and complication data were obtained. Radiological assessment included union status and alignment. Medial frontal anatomical (mFAA), frontal proximal interphalangeal (mFIA), plantar lateral anatomical (pLAA), and medial and plantar lateral interphalangeal angles (pLIA) were measured. RESULTS A total of 31 patients (45 toes) were included, with a mean age of 59 years (range: 24-72) and follow-up of 35 months (range: 12-60; mean preoperative VAS score was 4.9 ± 1.72 improving to 1.62 ± 2.28; P < .01). Union occurred in all patients at an average of 11.2 weeks. Complications were present on 4 toes (8.8%), with no recurrences. The pLIA significantly changed from 44.9° to 17.9°. There were no significant differences in the preoperative and postoperative values of the mFAA, pLAA, and mFIA. CONCLUSIONS DPPSO provides adequate pain relief and corrects the PIP joint in the lateral plane without significantly affecting the coronal plane or the anatomical axis of the phalanx in the frontal and lateral views, nor producing secondary deformities. DPPSO is a safe, effective, and reproducible technique with a low complication rate. LEVELS OF EVIDENCE Level IV: Retrospective case series.
Collapse
Affiliation(s)
- Gonzalo F Bastías
- Department of Orthopedic Surgery, Foot and Ankle Unit Clinica Las Condes, Hospital del Trabajador Hospital San Jose-Universidad de Chile, Santiago, Chile
| | - Katherine Sage
- Foot and Ankle Specialists, Grand Rapids, Michigan ßaculty Michigan State University
| | - Jakrapong Orapin
- Department of Orthopaedics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
| | - Lew Schon
- Institute of Foot and Ankle Reconstruction, Mercy Medical Center; Faculty MedStar Union Memorial Hospital; and Johns Hopkins School of Medicine; Baltimore, Maryland; New York University Langone, New York; and Georgetown School of Medicine, Washington, District of Columbia
| |
Collapse
|
19
|
Zhang W, Jia Q, Han M, Zhang X, Guo L, Sun S, Yin W, Bo C, Han R, Sai L. Bifidobacteria in disease: from head to toe. Folia Microbiol (Praha) 2024; 69:1-15. [PMID: 37644256 DOI: 10.1007/s12223-023-01087-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/31/2023]
Abstract
Bifidobacteria as a strictly anaerobic gram-positive bacteria, is widely distributed in the intestine, vagina and oral cavity, and is one of the first gut flora to colonize the early stages of life. Intestinal flora is closely related to health, and dysbiosis of intestinal flora, especially Bifidobacteria, has been found in a variety of diseases. Numerous studies have shown that in addition to maintaining intestinal homeostasis, Bifidobacteria may be involved in diseases covering all parts of the body, including the nervous system, respiratory system, genitourinary system and so on. This review collects evidence for the variation of Bifidobacteria in typical diseases among various systems, provides mild and effective therapeutic options for those diseases that are difficult to cure, and moves Bifidobacteria from basic research to further clinical applications.
Collapse
Affiliation(s)
- Weiliang Zhang
- Shandong First Medical University & Shandong Academy of Medical Sciences, Shandong Academy of Occupational Health and Occupational Medicine, Jinan, Shandong, China
| | - Qiang Jia
- Shandong Academy of Occupational Health and Occupational Medicine, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, Shandong, China
| | - Mingming Han
- Shandong Academy of Occupational Health and Occupational Medicine, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, Shandong, China
| | - Xin Zhang
- Shandong First Medical University & Shandong Academy of Medical Sciences, Shandong Academy of Occupational Health and Occupational Medicine, Jinan, Shandong, China
| | - Limin Guo
- Rongcheng Municipal Hospital of Traditional Chinese Medicine, Rongcheng, Shandong, China
| | - Shichao Sun
- Shandong Academy of Occupational Health and Occupational Medicine, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, Shandong, China
- Shandong University of Traditional Chinese Medicine Doctoral candidate Class of 2022, Jinan, Shandong, China
| | - Wenhui Yin
- Shandong Academy of Occupational Health and Occupational Medicine, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, Shandong, China
| | - Cunxiang Bo
- Shandong Academy of Occupational Health and Occupational Medicine, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, Shandong, China
| | - Ru Han
- Shandong Academy of Occupational Health and Occupational Medicine, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, Shandong, China.
| | - Linlin Sai
- Shandong Academy of Occupational Health and Occupational Medicine, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, Shandong, China.
| |
Collapse
|
20
|
Liang X, Lin J, Zhou P, Fu W, Xu N, Liu J. Toe stimulation improves tactile perception of the genitals. Cereb Cortex 2024; 34:bhae054. [PMID: 38367614 DOI: 10.1093/cercor/bhae054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2023] [Revised: 01/27/2024] [Accepted: 01/28/2024] [Indexed: 02/19/2024] Open
Abstract
The human body is represented in a topographic pattern in the primary somatosensory cortex (S1), and genital representation is displaced below the toe representation. However, the relationship between the representation of the genitals and toe in S1 remains unclear. In this study, tactile stimulation was applied to the big toe in healthy subjects to observe changes in tactile acuity in the unstimulated genital area, abdomen, and metacarpal dorsal. Then tactile stimulation was applied to the right abdomen and metacarpal dorsal to observe changes in tactile acuity in bilateral genitals. The results revealed that tactile stimulation of the big toe led to a reduction in the 2-point discrimination threshold (2PDT) not only in the stimulated big toe but also in the bilateral unstimulated genitals, whereas the bilateral abdomen and metacarpal dorsal threshold remained unchanged. On the other hand, tactile stimulation of the abdomen and metacarpal dorsal did not elicit 2-point discrimination threshold changes in the bilateral genitals. Cortical and subcortical mechanisms have been proposed to account for the findings. One explanation involves the intracortical interaction between 2 adjacent representations. Another possible explanation is that the information content of a specific body part is broadly distributed across the S1. Moreover, exploring the links between human behaviors and changes in the cerebral cortex is of significant importance.
Collapse
Affiliation(s)
- Xuesong Liang
- Group for Acupuncture Research, Department of Acupuncture, the Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, 510120, China
- Department of Acupuncture, Shenzhen Bao'an Traditional Chinese Medicine Hospital, Shenzhen, 518133, China
| | - Jiahui Lin
- Group for Acupuncture Research, Department of Acupuncture, the Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, 510120, China
| | - Peng Zhou
- Department of Acupuncture, Shenzhen Bao'an Traditional Chinese Medicine Hospital, Shenzhen, 518133, China
| | - Wenbin Fu
- Group for Acupuncture Research, Department of Acupuncture, the Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, 510120, China
| | - Nenggui Xu
- Group for Acupuncture Research, Department of Acupuncture, the Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, 510120, China
- South China Research Center for Acupuncture and Moxibustion, Guangzhou University of Chinese Medicine, Guangzhou, 510006, China
| | - Jianhua Liu
- Group for Acupuncture Research, Department of Acupuncture, the Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, 510120, China
- South China Research Center for Acupuncture and Moxibustion, Guangzhou University of Chinese Medicine, Guangzhou, 510006, China
| |
Collapse
|
21
|
Lee S, Lee HN, Cho Y, Park SJ, Shin SH. Injection Sclerotherapy for Chronic Superficial Venous Insufficiency with Involuntary Movement of Toes. Cardiovasc Intervent Radiol 2024; 47:139-141. [PMID: 37978061 DOI: 10.1007/s00270-023-03601-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/16/2023] [Accepted: 10/17/2023] [Indexed: 11/19/2023]
Affiliation(s)
- Sangjoon Lee
- Vascular Center, The Eutteum Orthopedic Surgery Hospital, Paju, 10896, Republic of Korea
| | - Hyoung Nam Lee
- Department of Radiology, Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, 31151, Republic of Korea
| | - Youngjong Cho
- Department of Radiology, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, 25440, Republic of Korea.
| | - Sung-Joon Park
- Department of Radiology, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, 15355, Republic of Korea
| | - Seung Ho Shin
- Vascular Center, The Eutteum Orthopedic Surgery Hospital, Paju, 10896, Republic of Korea
| |
Collapse
|
22
|
Avalos MA, Rosenblatt NJ. Can minimum toe clearance predict community-based trips by older adults? Gait Posture 2024; 107:189-193. [PMID: 37852886 PMCID: PMC10842081 DOI: 10.1016/j.gaitpost.2023.09.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/04/2023] [Revised: 09/20/2023] [Accepted: 09/28/2023] [Indexed: 10/20/2023]
Abstract
BACKGROUND Tripping is the leading cause of falls by older adults. While tripping theoretically occurs when minimum toe clearance (MTC) is insufficient to avoid an unseen obstacle, the relationship between MTC and community-based trips is unknown. RESEARCH QUESTION To what extent do MTC and its variability predict the number of community-based trips during gait by older adults? METHOD 51 older adults with normal or obese body mass index walked across an 8 m walkway. For each step, we identified MTC as the local minimum of the vertical trajectory of a toe marker during the swing phase. We calculated the across-steps mean, median, interquartile range, and standard deviation for MTC, and skewness and kurtosis of the distribution of all MTC values for an individual. Every two weeks for one year, participants reported on community-based trips. A series of negative binomial regressions were used to predict the number of trips over obstacles (with or without a fall) based on MTC measures. RESULTS 28 participants experienced at least one trip, with 14 experiencing two or more. In the absence of any covariates, only kurtosis and skewness significantly predicted the incidence rate of trips. However, neither remained significant after accounting for fall history. The model that included kurtosis and fall history predicted trips better than one with fall history alone, with the incidence rate of trips decreasing by 35% for every unit increase in kurtosis (incidence rate ratio of 0.64 with 95% confidence interval: 0.38 - 1.08; p = 0.09) SIGNIFICANCE: While MTC has the potential to provide insight into older adults more likely to trip over obstacles in the community, assessing MTC during level-ground walking within a lab environment may lack ecological validity to strongly describe the risk of community-based trips above and beyond fall history.
Collapse
Affiliation(s)
- Marco A Avalos
- Dr. William M. Scholl Colleg of Podiatric Medicine's Center for Lower Extremity Ambulatory Research (CLEAR), Rosalind Franklin Univerisity of Medicine and Science, 3333 Greenbay Road, North Chicago, IL 60604, USA.
| | - Noah J Rosenblatt
- Dr. William M. Scholl Colleg of Podiatric Medicine's Center for Lower Extremity Ambulatory Research (CLEAR), Rosalind Franklin Univerisity of Medicine and Science, 3333 Greenbay Road, North Chicago, IL 60604, USA.
| |
Collapse
|
23
|
Nemoto H, Nakayama T, Seki Y, Hanai U, Imagawa K, Tsunoda Y, Komaba C, Kono T, Akamatsu T. Long-term results of nail correction with double wires for pincer nail deformity: A retrospective cohort study. J Plast Reconstr Aesthet Surg 2024; 88:487-492. [PMID: 38101262 DOI: 10.1016/j.bjps.2023.11.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2023] [Revised: 10/16/2023] [Accepted: 11/15/2023] [Indexed: 12/17/2023]
Abstract
There is no consensus on the best treatment for pincer nail deformity. We developed a novel procedure that uses double wires to treat pincer nail deformity on the great toe. This study aimed to describe this technique for pincer nail deformity treatment and present the long-term findings/observations. After injecting a local anesthetic, a mini router was used to make holes on both sides of the nail plate edge, and the wire was inserted in two places, one proximal and the other distal to the great toenail. The wire was removed when it moved to the tip of the great toe as the nail grew. Patients who underwent this method were evaluated retrospectively from 2014 to 2020. Patients with less than 24 months of follow-up were excluded. If pain occurred again, it was deemed as a recurrence. A total of 27 patients (36 toes, mean age: 69.5 years) were evaluated. In all cases, the pain disappeared 1 week after the procedure. In the correction period (mean 2.7 months), six toes had complications (nail break, four toes and nail hold pain, two toes), while recurrence occurred in four toes within 2 years. Curvature (nail tip height/width of nail tip × 100%) improved significantly up to 1-year post-procedure (37.7 ± 14.4%, p < 0.05) as compared to pre-correction (53.8 ± 24.7%). The procedure time was short (approximately 10 minutes), and the treatment was completed with a single procedure. In addition, the recurrence rate was low.
Collapse
Affiliation(s)
- Hitoshi Nemoto
- Department of Plastic Surgery, Tokai University School of Medicine, Isehara, Kanagawa, Japan; Department of Plastic Surgery, Yoh Memorial Hospital, Chiba, Chiba, Japan.
| | - Takahiro Nakayama
- Nakayama Plastic Surgery and Dermatology Clinic, Numazu, Shizuoka, Japan
| | - Yukio Seki
- Department of Plastic and Reconstructive Surgery, Cancer Institute Hospital of the Japanese Foundation for Cancer Research, Koto-ku, Tokyo, Japan
| | - Ushio Hanai
- Department of Plastic Surgery, Tokai University School of Medicine, Isehara, Kanagawa, Japan
| | - Kotaro Imagawa
- Department of Plastic Surgery, Tokai University School of Medicine, Isehara, Kanagawa, Japan
| | - Yotaro Tsunoda
- Department of Plastic Surgery, Tokai University School of Medicine, Isehara, Kanagawa, Japan
| | - Chieko Komaba
- Department of Plastic Surgery, Tokai University School of Medicine, Isehara, Kanagawa, Japan
| | - Taro Kono
- Department of Plastic Surgery, Tokai University School of Medicine, Isehara, Kanagawa, Japan
| | - Tadashi Akamatsu
- Department of Plastic Surgery, Tokai University School of Medicine, Isehara, Kanagawa, Japan
| |
Collapse
|
24
|
Nagamoto H, Okunuki T, Takahashi S, Wakamiya K, Liu Z, Maemichi T, Katsutani H, Yamada Y, Takahashi H, Tanaka H, Aizawa T, Kumai T. Are floating toes associated with lifestyle in children? A cross-sectional study. J Foot Ankle Res 2023; 16:90. [PMID: 38087348 PMCID: PMC10717254 DOI: 10.1186/s13047-023-00685-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/16/2023] [Accepted: 11/14/2023] [Indexed: 12/18/2023] Open
Abstract
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. Lifestyle was evaluated by using a questionnaire and chosen whether the main lifestyle was Japanese or Western, if the bedding was futons or beds, and if the toilet was Japanese style (a squat toilet) or Western style. Floating toes were defined as toes that were not in contact with the mat. Ankle dorsiflexion in the knee-flexed and knee-extended positions was measured in a weight-bearing position. The relationship between the floating toes and lifestyles, and the comparison of ankle dorsiflexion range of motion between the lifestyles were statistically analyzed. RESULTS Players living in a Western style showed a significantly higher prevalence of floating toes on both feet compared with the players living in a Japanese style (throwing side; 39% vs. 19%, p = 0.04, and non-throwing side; 43% vs. 19%, p = 0.01). Players living in a Western style with beds showed a significantly smaller range of motion on both sides of ankle dorsiflexion in the knee-flexed position compared with those who were not (throwing side; 37.2 ± 5.7° vs. 39.0 ± 6.6°, p = 0.04, and non-throwing side; 36.8 ± 5.8° vs. 38.6 ± 6.1°, p = 0.04). CONCLUSION Children mainly living in a Western lifestyle showed a significantly higher prevalence of floating toes on both feet compared to those mainly living in a Japanese lifestyle. The prevalence of floating toes may be related to lifestyles among children. TRIAL REGISTRATION The study was approved by the institutional review board of the Waseda University Graduate School of Sport Sciences (IRB number 2021-185).
Collapse
Affiliation(s)
- Hideaki Nagamoto
- Graduate School of Sport Sciences, Waseda University, 2-579-15 Mikajima, Tokorozawa, Saitama, 359-1192, Japan.
- Department of Orthopaedic Surgery, Tohoku University, Sendai, Miyagi, Japan.
- Department of Rehabilitation, Faculty of Medical Science and Welfare, Tohoku Bunka Gakuen University, Sendai, Miyagi, Japan.
- Specified Non-Profit Organization, Network for Sports Medicine and Science, Sendai, Miyagi, Japan.
| | - Takumi Okunuki
- Japan Society for the Promotion of Sciences, Tokyo, Japan
- Institute of Life Innovation Studies, Toyo University, Tokyo, Japan
| | - Shimpei Takahashi
- Specified Non-Profit Organization, Network for Sports Medicine and Science, Sendai, Miyagi, Japan
- Department of Physical Medicine and Rehabilitation, Tohoku University Graduate School, Sendai, Miyagi, Japan
| | - Kazuki Wakamiya
- Graduate School of Sport Sciences, Waseda University, 2-579-15 Mikajima, Tokorozawa, Saitama, 359-1192, Japan
| | - Zijian Liu
- Graduate School of Sport Sciences, Waseda University, 2-579-15 Mikajima, Tokorozawa, Saitama, 359-1192, Japan
| | - Toshihiro Maemichi
- Institute of Life Innovation Studies, Toyo University, Tokyo, Japan
- Faculty of Sport Sciences, Waseda University, Tokorozawa, Saitama, Japan
| | - Hirofumi Katsutani
- Graduate School of Sport Sciences, Waseda University, 2-579-15 Mikajima, Tokorozawa, Saitama, 359-1192, Japan
| | - Yoshiyasu Yamada
- Department of Rehabilitation, Faculty of Medical Science and Welfare, Tohoku Bunka Gakuen University, Sendai, Miyagi, Japan
- Specified Non-Profit Organization, Network for Sports Medicine and Science, Sendai, Miyagi, Japan
| | - Hiroyuki Takahashi
- Specified Non-Profit Organization, Network for Sports Medicine and Science, Sendai, Miyagi, Japan
- Department of Orthopaedic Surgery, Kesen-Numa City Hospital, Kesen-Numa, Miyagi, Japan
| | - Hirofumi Tanaka
- Graduate School of Sport Sciences, Waseda University, 2-579-15 Mikajima, Tokorozawa, Saitama, 359-1192, Japan
| | - Toshimi Aizawa
- Department of Orthopaedic Surgery, Tohoku University, Sendai, Miyagi, Japan
| | - Tsukasa Kumai
- Faculty of Sport Sciences, Waseda University, Tokorozawa, Saitama, Japan
| |
Collapse
|
25
|
Takamasu E, Miyoshi Y. Separating toes due to intermetatarsal bursitis in rheumatoid arthritis. CMAJ 2023; 195:E1661-E1662. [PMID: 38081628 PMCID: PMC10718270 DOI: 10.1503/cmaj.231253] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2023] Open
Affiliation(s)
- Eisuke Takamasu
- Department of Rheumatic Diseases, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan.
| | - Yuji Miyoshi
- Department of Rheumatic Diseases, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan
| |
Collapse
|
26
|
Hirota K, Watanabe K, Negishi K, Miyamoto H, Taniguchi T, Teramoto A. Evaluation of the activities of the intrinsic and extrinsic muscles of the foot during toe flexion with or without interphalangeal joint flexion using ultrasound shear wave elastography. Foot (Edinb) 2023; 57:101945. [PMID: 37898055 DOI: 10.1016/j.foot.2022.101945] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/30/2021] [Revised: 09/17/2022] [Accepted: 10/04/2022] [Indexed: 10/30/2023]
Abstract
The intrinsic muscles of the foot are important to maintain the arch of the foot and to participate in sports activities. Using ultrasound shear wave elastography, we investigated the effect of different toe flexion methods on the activity of the intrinsic and extrinsic muscles of the foot. The study included 15 healthy adults who performed toe flexion under 2 conditions: with interphalangeal (IP) joint flexion and without IP joint flexion. The applied load during flexion was 500 g. Muscle stiffness was measured in the abductor hallucis, flexor hallucis brevis, flexor digitorum brevis, quadratus plantae, flexor hallucis longus, and flexor digitorum longus muscles using ultrasound shear wave elastography. Muscle stiffness was statistically compared with IP flexion and without IP flexion (P < 0.05). The stiffness of the abductor hallucis (P < 0.0005), flexor hallucis brevis (P = 0.022), and flexor digitorum brevis muscles (P < 0.0005) was significantly greater without IP flexion than with IP flexion. In contrast, the muscle stiffness of the flexor hallucis longus (P = 0.001) and the flexor digitorum longus (P = 0.004) was significantly greater during with IP flexion than without IP flexion. This study shows that the abductor hallucis, flexor hallucis brevis, flexor digitorum brevis muscles are more active during toe flexion without IP flexion. These results suggest that the toe flexion method is important for more effective training of the intrinsic muscles of the foot.
Collapse
Affiliation(s)
- Kento Hirota
- Graduate School of Health Science, Sapporo Medical University, Sapporo, Japan.
| | - Kota Watanabe
- Second Division of Physical Therapy, School of Health Sciences, Sapporo Medical University, Sapporo, Japan
| | - Keisuke Negishi
- Graduate School of Health Science, Sapporo Medical University, Sapporo, Japan
| | - Hiroki Miyamoto
- Department of Physical Therapy, Sendai Seiyo Gakuin College, Sendai, Japan
| | - Tatsuya Taniguchi
- Department of Rehabilitation, Sapporo Tokushukai Hospital, Sapporo, Japan
| | - Atsushi Teramoto
- Department of Orthopaedic Surgery, School of Medicine, Sapporo Medical University, Sapporo, Japan
| |
Collapse
|
27
|
Demircioğlu D, Durmaz EÖ. Aquatic/aquagenic Dermatoses: The Thin Line Between Pool Palms and Aquagenic Syringeal Acrokeratoderma. Acta Dermatovenerol Croat 2023; 31:140-143. [PMID: 38439723] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 03/06/2024]
Abstract
Pool palms and pool toes are friction or pressure-induced aquatic dermatoses resulting from extensive and repetitive rubbing of fingers, palms, soles, and toes against the rough anti-slippery surfaces or edges of pools. Aquagenic syringeal acrokeratoderma is a sporadic, episodic, and acquired disorder of palmar skin linked to water exposure. Herein we describe a case of aquatic/aquagenic dermatosis that presented clinical and diagnostic difficulties. Differentiating between pool palms and aquagenic syringeal acrokeratoderma is a challenge, and we believe that both disorders lie on a spectrum of watersport dermatoses.
Collapse
Affiliation(s)
| | - Emel Öztürk Durmaz
- Emel Öztürk Durmaz, MD, Acıbadem Maslak Hospital, Büyükdere Caddesi 40, Maslak 34457;
| |
Collapse
|
28
|
Koyama A. Case 5. Toe stump wound in arterial disease. J Wound Care 2023; 32:S16-S17. [PMID: 38175765 DOI: 10.12968/jowc.2023.32.sup12a.s16] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2024]
Affiliation(s)
- Akio Koyama
- Vascular Surgeon, Ichinomiya Municipal Hospital, Aichi, Japan
| |
Collapse
|
29
|
Shepherd I, Lindley MR, Logan O, Mears A, Pain MTG, King M. The effect of body position and mass centre velocity at toe off on the start performance of elite swimmers and how this differs between gender. Sports Biomech 2023; 22:1659-1668. [PMID: 34008475 DOI: 10.1080/14763141.2021.1919750] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/30/2020] [Accepted: 04/14/2021] [Indexed: 10/21/2022]
Abstract
The start in swimming is a crucial phase of a race, where improvements in performance can be made. Twenty-four elite swimmers race pace starts were recorded from five above and below water 50 Hz video cameras. Body position at toe off was calculated from the recordings and consisted of the two-dimensional mass centre position at toe off, and the arm, trunk, front leg and rear leg angles.Horizontal, vertical and resultant velocity of the mass centre at toe off, time to 5 m, 10 m and 15 m were also determined. Whilst time to 5 m (starting performance) differed by 0.17 s between genders, body position at toe off showed no significant differences. The difference in start performance was mainly due to a difference in horizontal velocity at toe off. The relationship between arm angle and start performance warrants further investigation as there was a range of techniques adopted but no clear link to performance. The trunk angle at toe off was correlated to starting performance for both males and females. This study demonstrates that the body position at toe off is no different between genders but is a critical determinant of starting performance for both males and females.
Collapse
Affiliation(s)
- Imogen Shepherd
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK
| | - Martin R Lindley
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK
| | | | - Aimee Mears
- School of Mechanical, Electrical and Manufacturing Engineering, Loughborough University, Loughborough, UK
| | - Matthew T G Pain
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK
| | - Mark King
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK
| |
Collapse
|
30
|
Ranya Raghavendra P, Goyal M, Bhatkar G, Haribalakrishna AA. Toe macrodactyly in an extreme preterm neonate. BMJ Case Rep 2023; 16:e258507. [PMID: 38011963 PMCID: PMC10685914 DOI: 10.1136/bcr-2023-258507] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2023] Open
Affiliation(s)
| | - Medha Goyal
- Neonatology, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India
- Paediatrics (Neonatology), McMaster University, Hamilton, Ontario, Canada
| | - Ganesh Bhatkar
- Neonatology, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India
| | | |
Collapse
|
31
|
Hutchison L, D'Souza N, Grayson J, Hiller C, Kobayashi S, Simic M. Toe-in and toe-out gait retraining interventions to reduce proxy measures of medial knee joint load in people with medial knee osteoarthritis: Protocol for a randomised placebo-controlled trial. Contemp Clin Trials 2023; 134:107355. [PMID: 37797936 DOI: 10.1016/j.cct.2023.107355] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2023] [Revised: 09/10/2023] [Accepted: 10/01/2023] [Indexed: 10/07/2023]
Abstract
OBJECTIVE Our primary aim is to determine the effect of a six-week toe-in, toe-out and active placebo gait retraining program on proxy measures of medial knee joint load and varus thrust in people with medial knee osteoarthritis. Our secondary aim is to determine the intervention effects on patient reported outcomes and physical function and determine if changes are maintained at three-months follow-up. METHODS We will conduct a three-arm randomised placebo-controlled trial. Ninety participants with medial knee osteoarthritis will be randomised and stratified via varus thrust status (presence/absence) to: toe-in, toe-out or placebo gait retraining (an intervention that does not change proxy measures of medial knee joint load). The intervention involves weekly clinician-supervised sessions with biofeedback, knee osteoarthritis education, motor learning and behaviour change principles, and daily gait retraining practice. Primary outcomes are proxy measures of medial knee joint load: knee adduction moment (early- and late-stance peaks and impulse), and varus thrust (presence/absence). Secondary outcomes include pain, physical function, medication and health care utilisation, quality of life, work ability, treatment blinding, intervention credibility and other biomechanical outcomes. Assessment timepoints are at baseline, six weeks (post intensive training), and three-months following the six-week intervention. CONCLUSION Our trial will determine whether toe-in or toe-out gait retraining is most effective at reducing proxy measures of medial knee joint load and varus thrust in people with medial knee osteoarthritis. This study will also evaluate if toe-in or toe-out gait retraining interventions are superior at improving pain, physical function and quality of life compared to placebo. CLINICAL TRIAL REGISTRATION This clinical trial protocol is registered with the Australian New Zealand Clinical Trials Registry (ACTRN12621000414819).
Collapse
Affiliation(s)
- Laura Hutchison
- Sydney Musculoskeletal Health, Faculty of Medicine and Health, The University of Sydney, Australia.
| | - Nicole D'Souza
- Sydney Musculoskeletal Health, Faculty of Medicine and Health, The University of Sydney, Australia
| | - Jane Grayson
- Sydney Musculoskeletal Health, Faculty of Medicine and Health, The University of Sydney, Australia
| | - Claire Hiller
- Sydney Musculoskeletal Health, Faculty of Medicine and Health, The University of Sydney, Australia
| | - Sarah Kobayashi
- Sydney Musculoskeletal Health, Faculty of Medicine and Health, The University of Sydney, Australia; School of Allied Health, Faculty of Health Sciences, Australian Catholic University, Australia
| | - Milena Simic
- Sydney Musculoskeletal Health, Faculty of Medicine and Health, The University of Sydney, Australia
| |
Collapse
|
32
|
Affiliation(s)
- Julianne M Falotico
- Department of Dermatology, Renaissance School of Medicine at Stony Brook University, Stony Brook, New York, USA
| | - Cynthia M Magro
- Department of Pathology and Laboratory Medicine, Weill Cornell Medicine, New York, USA
| | - Shari R Lipner
- Departments of Dermatology, Weill Cornell Medicine, New York, USA
| |
Collapse
|
33
|
López-Moral M, García-Madrid M, Molines-Barroso RJ, García-Álvarez Y, Tardáguila-García A, Lázaro-Martínez JL. Analyses of transcutaneous oxygen pressure values stratified for foot angiosomes to predict diabetic foot ulcer healing. J Tissue Viability 2023; 32:480-486. [PMID: 37838592 DOI: 10.1016/j.jtv.2023.10.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2023] [Revised: 09/28/2023] [Accepted: 10/08/2023] [Indexed: 10/16/2023]
Abstract
AIMS Previous research suggested that diabetic foot ulcer (DFU) location could affect transcutaneous oxygen pressure (TcPO2) values following the angiosome concept. Up to our knowledge no studies have yet analyzed if the location of a diabetic foot ulcer can be a confounding factor that modifies TcPO2 values. The primary aim of this study was to compare the potential healing prognosis of TcPO2 differentiated for diabetic foot ulcers in different angiosome locations. METHODS a 2-years observational cohort prospective study was performed in 81 patients with diabetic foot ulcers. Transcutaneous oxygen pressure measurements were performed at baseline by placing the electrode on two different angiosomes: dorsal zone of the foot (dorsalis pedis angiosome) and between the navicular bone and the tibial malleolus (posterior tibial angiosome). The main outcome was establishing the effectiveness of TcPO2 measurements (dorsalis pedis angiosome and posterior tibial angiosome) for predicting DFU healing. RESULTS Transcutaneous oxygen pressure probe placed in the dorsum of the foot (dorsalis pedis angiosome) yielded a sensitivity (S) of 95 % and specificity (SP) of 73 %, and an area under the curve (AUC) of 0.902 (p < 0.001 [0.84-0.96]) for ulcers located in the forefoot and toes; while TcPO2 placed in the posterior tibial angiosome yielded an S of 100 % and SP of 85 % and an AUC of 0.894 (p < 0.001 [0-822-0.966]) for DFU located in the midfoot and heel. CONCLUSION This study suggests that angiosome-guided TcPO2 contributes to a prognosis of successful foot ulcer healing.
Collapse
Affiliation(s)
- Mateo López-Moral
- Diabetic Foot Unit, Clínica Universitaria de Podología, Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Instituto de Investigación Sanitaria Del Hospital Clínico San Carlos (IdISSC), 28040, Madrid, Spain.
| | - Marta García-Madrid
- Diabetic Foot Unit, Clínica Universitaria de Podología, Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Instituto de Investigación Sanitaria Del Hospital Clínico San Carlos (IdISSC), 28040, Madrid, Spain.
| | - Raúl J Molines-Barroso
- Diabetic Foot Unit, Clínica Universitaria de Podología, Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Instituto de Investigación Sanitaria Del Hospital Clínico San Carlos (IdISSC), 28040, Madrid, Spain.
| | - Yolanda García-Álvarez
- Diabetic Foot Unit, Clínica Universitaria de Podología, Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Instituto de Investigación Sanitaria Del Hospital Clínico San Carlos (IdISSC), 28040, Madrid, Spain.
| | - Aroa Tardáguila-García
- Diabetic Foot Unit, Clínica Universitaria de Podología, Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Instituto de Investigación Sanitaria Del Hospital Clínico San Carlos (IdISSC), 28040, Madrid, Spain.
| | - José Luis Lázaro-Martínez
- Diabetic Foot Unit, Clínica Universitaria de Podología, Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Instituto de Investigación Sanitaria Del Hospital Clínico San Carlos (IdISSC), 28040, Madrid, Spain.
| |
Collapse
|
34
|
Jain H, Mittal A, Didel S, Kumar P, Singh K. Use of prostaglandin and cyclophosphamide for pediatric lupus with digital gangrene: Back to safety before hitting the axe! Lupus 2023; 32:1572-1578. [PMID: 37876266 DOI: 10.1177/09612033231208850] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2023]
Abstract
Digital gangrene is a rare presenting feature of childhood lupus and only a reported incidence of 1.3%. We describe two cases of pediatric onset systemic lupus erythematosus (SLE), both 16 years old, presenting with digital gangrene and the successful salvage of the digits after using intravenous cyclophosphamide for immunosuppression and use of intravenous prostaglandin E1 infusions for limb reperfusion. Both of the patients responded exceptionally to the infusions with resolution of gangrene and near-total preservation of the functionality of toes.
Collapse
Affiliation(s)
- Hritvik Jain
- Intern, Department of Pediatrics, All India Institute of Medical Sciences, Jodhpur, India
| | - Aliza Mittal
- Department of Pediatrics, All India Institute of Medical Sciences Jodhpur, Jodhpur, India
| | - Siyaram Didel
- Department of Pediatrics, All India Institute of Medical Sciences Jodhpur, Jodhpur, India
| | - Prawin Kumar
- Department of Pediatrics, All India Institute of Medical Sciences Jodhpur, Jodhpur, India
| | - Kuldeep Singh
- Department of Pediatrics, All India Institute of Medical Sciences Jodhpur, Jodhpur, India
| |
Collapse
|
35
|
Wen C, Yan Y, Wu W, Li J, Hou B, Cui W, Huang Y, Li K, Long X, Nong H. Height detection of crop divider toes of sugarcane harvester based on Kalman adaptive adjustment. Sci Rep 2023; 13:16817. [PMID: 37798399 PMCID: PMC10556070 DOI: 10.1038/s41598-023-43952-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2023] [Accepted: 09/30/2023] [Indexed: 10/07/2023] Open
Abstract
Crop divider toes are an essential device of sugarcane harvester. Moving forward against the ground is a critical way to improve the harvesting rate of lodged sugarcane. Height detection is the basis for precise control of crop divider toes moving forward against the ground. Due to the current problem of operating difficulties in manually adjusting the height of crop divider, a height detection system based on a millimeter wave radar sensor was designed to detect the height of crop divider toes from the ground. This paper proposed a height detection method of crop divider toes for sugarcane harvester based on Kalman adaptive adjustment. The data measured by the sensor was pretreated to determine whether the height had changed. Reset the Kalman filter and adjust the parameters when changes occur to improve the filter response speed and ranging accuracy. To adapt to the scenario of quickly adjusting the height of crop divider during the traveling process of sugarcane harvester. A one-way ANOVA test and a two-way ANOVA test were conducted on a simulated test platform. The results of the one-way ANOVA test showed that both forward speed and vegetation cover thickness had a significant effect on height detection accuracy. The results of the two-way ANOVA test showed that the interaction of forward speed and vegetation cover thickness did not have a significant effect on ranging accuracy. It was verified through experiments that both the ranging accuracy and the response speed of height change were significantly improved after the processing of the method in this paper. The mean square error after processing was lower than 2.5 cm. The feasibility of the height detection system was verified by field trials. The results of this study will provide a reference for the design of automatic elevation of crop divider.
Collapse
Affiliation(s)
- Chunming Wen
- Guangxi Key Laboratory of Intelligent Unmanned System and Intelligent Equipment, Nanning, China.
- Guangxi Key Laboratory of Hybrid Computation and IC Design Analysis, Nanning, China.
- College of Electronic Information, Guangxi Minzu University, Nanning, China.
| | - Yunzhi Yan
- College of Electronic Information, Guangxi Minzu University, Nanning, China
| | - Wanling Wu
- College of Electronic Information, Guangxi Minzu University, Nanning, China
| | - Jianheng Li
- College of Electronic Information, Guangxi Minzu University, Nanning, China
| | - Bingxu Hou
- College of Electronic Information, Guangxi Minzu University, Nanning, China
| | - Wenxuan Cui
- College of Electronic Information, Guangxi Minzu University, Nanning, China
| | - Youzong Huang
- State Key Laboratory for Conservation and Utilization of Subtropical Agro-bioresources, Nanning, China
| | - Kaihua Li
- Guangxi Key Laboratory of Intelligent Unmanned System and Intelligent Equipment, Nanning, China
- College of Electronic Information, Guangxi Minzu University, Nanning, China
| | - Xiaozhu Long
- Nanning Taiyin Technology Co., Ltd, Nanning, China
| | - Hongliang Nong
- Guangxi Agricultural Machinery Research Institute, Nanning, China
| |
Collapse
|
36
|
Tanaka K, Sekiguchi Y, Honda K, Izumi SI. Effects of Wearing Slippers While Obstacle Crossing in Healthy Young Adults: Strategy for Toe Clearance Enhancement and Prevention of Slipper Loss. Motor Control 2023; 27:765-781. [PMID: 37172951 DOI: 10.1123/mc.2022-0069] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2022] [Revised: 03/16/2023] [Accepted: 03/17/2023] [Indexed: 05/15/2023]
Abstract
Wearing loose footwear, such as slippers, poses a risk factor for tripping. Previous studies have examined obstacle crossing to find strategies to avoid tripping. However, the effect of wearing slippers on the likelihood of tripping remains unclear. Therefore, this study aimed to determine whether wearing slippers while level walking and obstacle crossing affects kinematic characteristics and muscle activity. Sixteen healthy, young adults performed two tasks (a) while wearing slippers and (b) while barefoot: (1) level walking and (2) crossing a 10-cm obstacle. Toe clearance, joint angles, muscle activity, and cocontraction were measured for both the leading and trailing lower limbs. In the slipper-wearing condition, knee flexion and hip flexion angles were significantly increased in the swing phase for the leading limb (p < .001 and p < .001, respectively) and trailing limb (p < .001 and p = .004, respectively) compared with the barefoot condition. Tibialis anterior activity (p = .01) and muscle cocontraction of the tibialis anterior and the medial head of the gastrocnemius (p = .047) were significantly increased in the swing phase of the trailing limb for the slipper-wearing condition compared with the barefoot condition in the obstacle crossing task. Wearing slippers increased knee and hip flexion angles, and muscle cocontraction of the tibialis anterior and medial head of gastrocnemius increased during obstacle crossing. The results revealed that obstacle crossing while wearing slippers would require foot fixation adjustment in addition to increased knee and hip flexion to avoid toe collision.
Collapse
Affiliation(s)
- Kento Tanaka
- Department of Physical Medicine and Rehabilitation, Tohoku University Graduate School of Medicine, Sendai,Japan
| | - Yusuke Sekiguchi
- Department of Physical Medicine and Rehabilitation, Tohoku University Graduate School of Medicine, Sendai,Japan
| | - Keita Honda
- Department of Physical Medicine and Rehabilitation, Tohoku University Graduate School of Medicine, Sendai,Japan
| | - Shin-Ichi Izumi
- Department of Physical Medicine and Rehabilitation, Tohoku University Graduate School of Medicine, Sendai,Japan
- Graduate School of Biomedical Engineering, Tohoku University, Sendai,Japan
| |
Collapse
|
37
|
Veigas TA, Pinto E, Godinho M, Caixeiro L, Zenha H, Atilano P, Teixeira J. Severe Soft Tissue Loss on Dorsum of the Foot with Irreparable Hallucis Extensors: An Orthoplastic Reconstruction Case Report. JBJS Case Connect 2023; 13:01709767-202312000-00052. [PMID: 38134289 DOI: 10.2106/jbjs.cc.23.00333] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2023]
Abstract
CASE A motorcycle accident resulted in severe soft tissue loss on the foot's dorsum with irreparable hallucis extensors, with exposure of the first metatarsal and hallux. An arthrodesis of the hallux interphalangeal joint, a transfer of the second toe's extensor digitorum longus, and an anterolateral thigh free flap were performed simultaneously. The patient obtained a fair result and could wear regular shoes. DISCUSSION This is the first report describing this orthoplastic reconstructive option in these complex injuries. It replenished both hallux extensor tendons and soft tissue coverage losses without severely compromising the foot's contour, recreating anatomy and function.
Collapse
Affiliation(s)
| | - Eduardo Pinto
- Centro Hospitalar de Entre o Douro e Vouga, Santa Maria Da Feira, Portugal
| | - Manuel Godinho
- Centro Hospitalar de Entre o Douro e Vouga, Santa Maria Da Feira, Portugal
| | - Leonor Caixeiro
- Centro Hospitalar Vila Nova de Gaia e Espinho, Vila Nova De Gaia, Portugal
| | - Horácio Zenha
- Centro Hospitalar Vila Nova de Gaia e Espinho, Vila Nova De Gaia, Portugal
| | - Pedro Atilano
- Centro Hospitalar de Entre o Douro e Vouga, Santa Maria Da Feira, Portugal
| | - João Teixeira
- Centro Hospitalar de Entre o Douro e Vouga, Santa Maria Da Feira, Portugal
| |
Collapse
|
38
|
Chaima K, Emna B, Fatma H, Khadija S, Sonia B, Abderrahman M, Tahya B, Hamida T. A longstanding tumor with toe deformity. Int J Rheum Dis 2023; 26:2110-2113. [PMID: 37287432 DOI: 10.1111/1756-185x.14770] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2022] [Revised: 05/10/2023] [Accepted: 05/23/2023] [Indexed: 06/09/2023]
Affiliation(s)
- Kouki Chaima
- Department of Dermatology, Hospital of Hedi Chaker, Sfax, Tunisia
| | - Bahloul Emna
- Department of Dermatology, Hospital of Hedi Chaker, Sfax, Tunisia
| | - Hammami Fatma
- Department of Dermatology, Hospital of Hedi Chaker, Sfax, Tunisia
| | - Sellami Khadija
- Department of Dermatology, Hospital of Hedi Chaker, Sfax, Tunisia
| | - Boudaya Sonia
- Department of Dermatology, Hospital of Hedi Chaker, Sfax, Tunisia
| | | | - Boudawara Tahya
- Anatomopathology Department, Hospital of Habib Bourguiba, Sfax, Tunisia
| | - Turki Hamida
- Department of Dermatology, Hospital of Hedi Chaker, Sfax, Tunisia
| |
Collapse
|
39
|
Hochmayr C, Kiechl-Kohlendorfer U, Griesmaier E. COVID toes, newborn blue toes, and prepartum SARS-CoV-2 infection - Authors' reply. Lancet 2023; 402:1132. [PMID: 37777333 DOI: 10.1016/s0140-6736(23)01748-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/15/2023] [Accepted: 08/18/2023] [Indexed: 10/02/2023]
Affiliation(s)
- Christoph Hochmayr
- Department of Paediatrics II (Neonatology), Medical University of Innsbruck, Innsbruck 6020, Austria
| | | | - Elke Griesmaier
- Department of Paediatrics II (Neonatology), Medical University of Innsbruck, Innsbruck 6020, Austria.
| |
Collapse
|
40
|
Zhou YB, Xu ZG. COVID toes, newborn blue toes, and prepartum SARS-CoV-2 infection. Lancet 2023; 402:1131-1132. [PMID: 37777330 DOI: 10.1016/s0140-6736(23)01749-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/20/2023] [Accepted: 08/18/2023] [Indexed: 10/02/2023]
Affiliation(s)
- Ya Bin Zhou
- Department of Dermatology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing 10045, China
| | - Zi Gang Xu
- Department of Dermatology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing 10045, China.
| |
Collapse
|
41
|
Attias M, Bonnefoy-Mazure A, De Coulon G, Cheze L, Armand S. Toe-walking and its impact on first and second rocker in gait patterns with different degrees of artificially emulated soleus and gastrocnemius contracture. Gait Posture 2023; 105:104-109. [PMID: 37523808 DOI: 10.1016/j.gaitpost.2023.07.285] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/17/2022] [Revised: 06/06/2023] [Accepted: 07/26/2023] [Indexed: 08/02/2023]
Abstract
BACKGROUND Toe-walking is one of the most common gait deviations (due to soleus and/or gastrocnemius muscle contractures), compromising the first (heel rocker) and second (ankle rocker) of the foot during walking. The aim of this study is to evaluate the effect of emulated artificially gastrocnemius and soleus contractures on the first and second rocker during walking. METHOD An exoskeleton was built to emulate contractures of the bilateral gastrocnemius and soleus muscles. Ten healthy participants were recruited to walk under the following conditions: without emulated contractures or with bilateral emulated contractures at 0°,10°, 20° and 30° of plantarflexion of the soleus or gastrocnemius in order to create an artificial restriction of dorsiflexion ankle movement. A linear regression from the ankle plantar-dorsiflexion angle pattern was performed on 0-5 % of the gait cycle (first rocker) and on 12-31 % of the gait cycle (second rocker) to compute the slope of the curve. The proportion of participants with the presence of the first and second rocker was then computed. A Statistical Parametric Mapping (SPM) analysis assessed the kinematic variations among different degrees of emulated contractures. FINDINGS The first and second rockers are completely absent from 10° of plantarflexion emulated contracture. The data indicate there was a non-linear shift of the gait pattern of the ankle kinematics and an important shift toward plantarflexion values with the loss of the rockers. INTERPRETATION This study suggests that toe-walking in the experimental simulation situation is not necessarily due to a high emulated contracture level and can occur with a small emulated contracture by an adaptation choice. This study may improve interpretation of clinical gait analysis and shows that the link between the level of gastrocnemius/soleus emulated contracture and progression of toe-walking (increased plantarflexion during gait) is not linear.
Collapse
Affiliation(s)
- M Attias
- Kinesiology Laboratory, Geneva University Hospitals and Geneva University, Switzerland; Geneva School of Health Sciences, HES-SO University of Applied Sciences and Arts of Western Switzerland, Geneva, Switzerland.
| | - A Bonnefoy-Mazure
- Kinesiology Laboratory, Geneva University Hospitals and Geneva University, Switzerland
| | - G De Coulon
- Pediatric Orthopaedic Service, Department of Child and Adolescent, Geneva University Hospitals and Geneva University, Geneva, Switzerland
| | - L Cheze
- Univ Lyon, Univ Gustave Eiffel, Univ Claude Bernard Lyon 1, LBMC UMR T 9406, F 69622 Lyon, France
| | - S Armand
- Kinesiology Laboratory, Geneva University Hospitals and Geneva University, Switzerland
| |
Collapse
|
42
|
Wollina U. Post-SARS-CoV-2 vaccination COVID toes and fingers : Two case reports and a short literature review. Wien Med Wochenschr 2023; 173:267-269. [PMID: 35737254 PMCID: PMC9219377 DOI: 10.1007/s10354-022-00944-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2022] [Accepted: 05/25/2022] [Indexed: 11/27/2022]
Affiliation(s)
- Uwe Wollina
- Department of Dermatology and Allergology, Städtisches Klinikum Dresden, Friedrichstr. 41, 01067, Dresden, Germany.
| |
Collapse
|
43
|
Guerrero-Blázquez A, Díaz-Arribas MJ, Ríos-León M, López-Bustos-de-Las-Heras R, Cano-de-la-Cuerda R, Plaza-Manzano G, Delgado-de-la-Serna P, Martín-Casas P. Psychometric Properties and Clinical Usefulness of the Spanish Version of the Toe Walking Tool. J Am Podiatr Med Assoc 2023; 113:21-092. [PMID: 37934592 DOI: 10.7547/21-092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/09/2023]
Abstract
BACKGROUND The Toe Walking Tool (TWT) was developed in Australia as a valid and reliable screening tool for children who toe-walk. However, psychometric properties of the Spanish version of the TWT have not been studied. The aim of this study was to assess psychometric properties and clinical usefulness of the Spanish version of the TWT. METHODS A cross-sectional study was conducted. Twelve children were assessed with the TWT. Intrarater and interrater reliability and agreement were calculated using the intraclass correlation coefficient (ICC) and the Fleiss kappa method for multiple raters. Internal consistency and construct validity were assessed with the Kuder-Richardson formula 20 coefficient and known-group methods, respectively. Sensitivity and specificity were analyzed using the receiver operating characteristic curve. The Content Validity Index was calculated to determine clinical usefulness. RESULTS An excellent intrarater (ICC = 1) and interrater reliability (ICC = 0.8), moderate interrater agreement (Fleiss kappa, 0.6), strong internal consistency (Kuder-Richardson formula 20 coefficient, 0.86), and very good construct validity were found. Sensitivity and specificity results were appropriate (area under the curve, 0.845). The Content Validity Index was 0.906, suggesting high usefulness. CONCLUSIONS The Spanish version of the TWT was found to be a valid, reliable and useful screening tool for children who toe-walk, providing evidence for its recommendation.
Collapse
Affiliation(s)
| | - María José Díaz-Arribas
- †Departamento de Radiología, Rehabilitación y Fisioterapia, Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Madrid, Spain. Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Madrid, Spain
| | | | | | - Roberto Cano-de-la-Cuerda
- ‖Departamento de Fisioterapia, Terapia Ocupacional, Rehabilitación y Medicina Física, Facultad de Ciencias de la Salud, Universidad Rey Juan Carlos, Madrid, Spain
| | - Gustavo Plaza-Manzano
- †Departamento de Radiología, Rehabilitación y Fisioterapia, Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Madrid, Spain. Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Madrid, Spain
| | | | - Patricia Martín-Casas
- †Departamento de Radiología, Rehabilitación y Fisioterapia, Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Madrid, Spain. Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Madrid, Spain
| |
Collapse
|
44
|
Mungmunpuntipantip R, Wiwanitkit V. Post-SARS-CoV-2 vaccination COVID toes and fingers correspondence. Wien Med Wochenschr 2023; 173:270. [PMID: 36346540 PMCID: PMC9641679 DOI: 10.1007/s10354-022-00971-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2022] [Accepted: 09/01/2022] [Indexed: 11/11/2022]
Affiliation(s)
| | - Viroj Wiwanitkit
- Joseph Ayobaalola University, Ikeji-Arakeji, Nigeria
- Dr DY Patil University, Pune, India
- Faculty of Medicine, University of Nis, Nis, Serbia
| |
Collapse
|
45
|
Wollina U. Response to R. Mungmumpuntipanip and V. Wiwantikit : Correspondence to "Post-SARS-CoV-2 vaccination COVID toes and fingers". Wien Med Wochenschr 2023; 173:271. [PMID: 36207559 PMCID: PMC9542449 DOI: 10.1007/s10354-022-00973-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2022] [Accepted: 09/08/2022] [Indexed: 12/05/2022]
Affiliation(s)
- Uwe Wollina
- Department of Dermatology and Allergology, Städtisches Klinikum Dresden, Academic Teaching Hospital, Friedrichstraße 41, 01067, Dresden, Germany.
| |
Collapse
|
46
|
Divyalakshmi C, Dhanta A, Bhatia R, Hazarika N, Subbaih V. The Voice of the Lost Toe: Pseudo-Ainhum Beyond Skin. Skinmed 2023; 21:208-210. [PMID: 37634110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/28/2023]
Abstract
An 11-year-old boy presented with serial autoamputations of the right 4th and 5th toes during the past 6 years. This was associated with sensory loss on the right leg and development of constriction bands around the right 2nd and 3rd digits for the past 5 months. For a year, the patient had been treated with paucibacillary, multi-drug therapy (PB-MDT) with a presumptive diagnosis of leprosy. He was born from a nonconsanguinous marriage and the birth was uneventful. The developmental milestones were normal, and no family history of any congenital anomalies was reported.
Collapse
Affiliation(s)
- Chandrasekaran Divyalakshmi
- Department of Dermatology, Venereology and Leprosy, All India Institute of Medical Sciences, Rishikesh, Rishikesh, Uttrakhand, India
| | - Aditi Dhanta
- Department of Dermatology, Venereology and Leprosy, All India Institute of Medical Sciences, Rishikesh, Rishikesh, Uttrakhand, India;
| | - Riti Bhatia
- Department of Dermatology, Venereology and Leprosy, All India Institute of Medical Sciences, Rishikesh, Rishikesh, Uttrakhand, India
| | - Neirita Hazarika
- Department of Dermatology, Venereology and Leprosy, All India Institute of Medical Sciences, Rishikesh, Rishikesh, Uttrakhand, India
| | - Venkata Subbaih
- Department of Dermatology, Venereology and Leprosy, All India Institute of Medical Sciences, Rishikesh, Rishikesh, Uttrakhand, India
| |
Collapse
|
47
|
Nasir AZ, Burmeister RS. Primary cutaneous marginal zone lymphoma presenting with secondary chilblains of the toes. BMJ Case Rep 2023; 16:e255894. [PMID: 37640411 PMCID: PMC10462931 DOI: 10.1136/bcr-2023-255894] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/31/2023] Open
Abstract
Cutaneous lymphoproliferative disorders include cutaneous manifestations of systemic B-cell or T-cell lymphoma and primary cutaneous lymphomas. Primary cutaneous B-cell lymphomas are subcategorised into four groups: primary cutaneous marginal zone lymphoma (PCMZL), primary cutaneous follicle centre lymphoma, primary cutaneous diffuse large B-cell lymphoma, leg-type and EBV-positive mucocutaneous tumour. Each of these cutaneous lymphoproliferative disorders has unique clinical and pathological features necessitating biopsy and staging to establish proper treatment. We present a case of PCMZL manifesting as secondary chilblains of the toes that was diagnosed with punch skin biopsy. The patient's chilblains resolved with rituximab. This case underscores the importance of considering PCMZL and other cutaneous lymphoproliferative disorders in patients with dermatological manifestations and wounds refractory to first-line treatment.
Collapse
Affiliation(s)
- Ali Zagham Nasir
- Internal Medicine Residency, Trinity Health Saint Mary's - Grand Rapids, Grand Rapids, Michigan, USA
| | - Ryan Scott Burmeister
- Internal Medicine Residency, Trinity Health Saint Mary's - Grand Rapids, Grand Rapids, Michigan, USA
| |
Collapse
|
48
|
Kononova S, Kashparov M, Xue W, Bobkova N, Leonov S, Zagorodny N. Gut Microbiome Dysbiosis as a Potential Risk Factor for Idiopathic Toe-Walking in Children: A Review. Int J Mol Sci 2023; 24:13204. [PMID: 37686011 PMCID: PMC10488280 DOI: 10.3390/ijms241713204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2023] [Revised: 08/22/2023] [Accepted: 08/23/2023] [Indexed: 09/10/2023] Open
Abstract
Idiopathic toe walking (ITW) occurs in about 5% of children. Orthopedic treatment of ITW is complicated by the lack of a known etiology. Only half of the conservative and surgical methods of treatment give a stable positive result of normalizing gait. Available data indicate that the disease is heterogeneous and multifactorial. Recently, some children with ITW have been found to have genetic variants of mutations that can lead to the development of toe walking. At the same time, some children show sensorimotor impairment, but these studies are very limited. Sensorimotor dysfunction could potentially arise from an imbalanced production of neurotransmitters that play a crucial role in motor control. Using the data obtained in the studies of several pathologies manifested by the association of sensory-motor dysfunction and intestinal dysbiosis, we attempt to substantiate the notion that malfunction of neurotransmitter production is caused by the imbalance of gut microbiota metabolites as a result of dysbiosis. This review delves into the exciting possibility of a connection between variations in the microbiome and ITW. The purpose of this review is to establish a strong theoretical foundation and highlight the benefits of further exploring the possible connection between alterations in the microbiome and TW for further studies of ITW etiology.
Collapse
Affiliation(s)
- Svetlana Kononova
- Institute of Protein Research, Russian Academy of Sciences, 142290 Pushchino, Russia
| | - Mikhail Kashparov
- Department of Traumatology and Orthopedics, Peoples’ Friendship University of Russia, 117198 Moscow, Russia; (M.K.); (N.Z.)
- Scientific and Practical Center for Child Psychoneurology, 119602 Moscow, Russia
| | - Wenyu Xue
- School of Biological and Medical Physics, Moscow Institute of Physics and Technology, 141700 Dolgoprudny, Russia; (W.X.); (S.L.)
| | - Natalia Bobkova
- Institute of Cell Biophysics, Russian Academy of Sciences, 142290 Pushchino, Russia;
| | - Sergey Leonov
- School of Biological and Medical Physics, Moscow Institute of Physics and Technology, 141700 Dolgoprudny, Russia; (W.X.); (S.L.)
- Institute of Cell Biophysics, Russian Academy of Sciences, 142290 Pushchino, Russia;
| | - Nikolaj Zagorodny
- Department of Traumatology and Orthopedics, Peoples’ Friendship University of Russia, 117198 Moscow, Russia; (M.K.); (N.Z.)
- N.N. Priorov Central Research Institute of Traumatology and Orthopedics, 127299 Moscow, Russia
| |
Collapse
|
49
|
Yang L, Shi WD, Zhang JZ, Zhao JW. [Use a leaflet flap of foot to severed multi-finger with segmental injury]. Zhongguo Gu Shang 2023; 36:708-13. [PMID: 37605907 DOI: 10.12200/j.issn.1003-0034.2023.08.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 08/23/2023]
Abstract
OBJECTIVE To explore asurgical methods for replantation of severed finger. METHODS From January 2018 to November 2022, 8 amputated-finger patients were performed surgical reconstructions by using polyfoliate free flaps with the first dorsal metatarsal artery, including 7 males and 1 female, aged from 20 to 55 years old, and defect areas ranged from (1.0 to 2.0) cm×(3.0 to 4.5) cm. Finger pulp sensation, shape and other relevant parameters were assessed following the upper extremity functional evaluation standard, which was put forward by Hand Surgery Branch of Chinese Medical Association. And maryland foot functional score was used to evaluate foot function. RESULTS Amputated fingers and flaps of all the 8 patients were survived. All patients were followed up for 4 to 20 months, their finger color and temperature tured to normal, with good wear-resistance and cold-resistance. According to Hand Surgery Branch of Chinese Medical Association, functional score ranged 61 to 92;4 patients got excellent result and 4 good. Maryland foot functional score ranged from 93 to 100;and 8 patients got excellent result. CONCLUSION It is feasible to repair severed fingers with soft tissue defects using polyfoliate free flaps that driven by the flippers of the first and second toes of the foot. This method ccould bridge blood vessels, increase soft tissue volume of the injured finger, and avoid finger shortening, with high patient satisfaction.
Collapse
Affiliation(s)
- Lin Yang
- Microsurgery, Senior Department of Orthopaedics, the Fourth Medical Center of PLA General Hospital, Beijing 100048, China
| | - Wei-Dong Shi
- Microsurgery, Senior Department of Orthopaedics, the Fourth Medical Center of PLA General Hospital, Beijing 100048, China
| | - Jian-Zheng Zhang
- Microsurgery, Senior Department of Orthopaedics, the Fourth Medical Center of PLA General Hospital, Beijing 100048, China
| | - Jian-Wen Zhao
- Microsurgery, Senior Department of Orthopaedics, the Fourth Medical Center of PLA General Hospital, Beijing 100048, China
| |
Collapse
|
50
|
Filippi L, Frantellizzi V, De Vincentis G, Schillaci O. The new bone WB-SPECT/CT: hybrid, from head-to-toe and digital! Is it worth the effort? Expert Rev Med Devices 2023; 20:791-795. [PMID: 37623913 DOI: 10.1080/17434440.2023.2252743] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2023] [Revised: 08/18/2023] [Accepted: 08/24/2023] [Indexed: 08/26/2023]
Abstract
INTRODUCTION A bone scan (BS) plays a pivotal role in many oncological and non-oncological conditions. The planar BS is characterized by high sensitivity but low specificity. With respect to planar imaging, the implementation of single-photon emission computed tomography (SPECT) has allowed increased image contrast and more accurate tracer localization. AREAS COVERED Recent technological innovations in the field of BS are treated, with a particular focus on multi-field-of-view devices allowing to cover the entire scan length with a 3D acquisition (WB-SPECT/CT). In addition, the applications of cadmium zinc telluride/CzT detectors capable of converting gamma photons directly into electrical impulses (i.e. 'digital SPECT') are discussed. EXPERT OPINION Initial clinical experiences indicate that WB-SPECT/CT is characterized by higher sensitivity, diagnostic accuracy, and increased confidence in image interpretation with respect to the 'old-fashioned' BS (planar images with or without a single field-of-view SPECT). Furthermore, CzT-based detectors, thanks to their superior sensitivity, might be helpful to implement fast acquisition protocols. Further studies are needed to better define the clinical impact of bone CzT WB-SPECT/CT on patients' management and outcome, as well as its cost-benefit ratio.
Collapse
Affiliation(s)
- Luca Filippi
- Department of Nuclear Medicine, Santa Maria Goretti Hospital, Latina, Italy
| | - Viviana Frantellizzi
- Department of Radiological Sciences, Oncology and Anatomo-Pathology, Sapienza University of Rome, Rome, Italy
| | - Giuseppe De Vincentis
- Department of Radiological Sciences, Oncology and Anatomo-Pathology, Sapienza University of Rome, Rome, Italy
| | - Orazio Schillaci
- Department of Biomedicine and Prevention, University Tor Vergata, Rome, Italy
| |
Collapse
|