Background: Anatomical dissection of the second metatarsophalangeal (MTP) joint suggests that plantar plate is major stabilizing structure due to its central location and multiple important attachments. Many surgical procedures have been recommended when conservative treatment has failed, but some had limited clinical success. The aim our prospective study was show results obtained in a group patients with tears by direct repair through dorsal approach combined Weil metatarsal osteotomy...

Instability of the lesser metatarsophalangeal (MTP) joints is a common cause deformity and pain. The purpose this study was to prospectively evaluate surgical outcomes for different grades plantar plate tears propose treatment protocol.Sixty-eight patients (100 MTP joints) were enrolled graded according anatomical grade system tears. Based on classification, appropriate procedure chosen as follows: 0 I, thermal shrinkage with radiofrequency; II III, direct reinsertion plate; IV,...

The objective of our study was to assess the diagnostic performance and associations direct indirect MRI features metatarsophalangeal (MTP) joint that are thought be related tears plantar plate (PP) using surgical findings as reference standard.We retrospectively included 23 patients with symptomatic instability lesser MTP joints who had undergone preoperative 1.5-T assessment. examinations were independently assessed by two musculoskeletal radiologists. Using data standard, we calculated...

Background: Instability of the lesser metatarsophalangeal (MTP) joints has been widely reported and plantar plate insufficiency is a key part this pathologic process. The diagnosis made clinically but can be aided by imaging studies, particularly magnetic resonance (MRI); however, sensitivity accuracy method compared to direct visualization these lesions not yet established, nor interobserver MRI assessed for evaluation pathology. In study, our goals were identify in describing tears when...

To the present day, literature has only discussed how to treat extensive plantar plate and collateral ligament lesions, with gross joint subluxation obvious clinical instability. The treatment options for early stages of disease minor injuries subtle instabilities have not been described. main purpose this prospective study is evaluate efficacy combination arthroscopic radiofrequency shrinkage distal Weil osteotomy in metatarsophalangeal Prospective data (clinical, radiological, findings) 19...

Encontrar os melhores parâmetros clínicos para definir e classificar o grau das lesões da placa plantar. Foram classificados 68 pacientes (100 articulações metatarsofalângicas [MTF]) de acordo com a classificação anatômica artroscópica lesão plantar divididos em cinco grupos (0 IV). Seus registros médicos foram revisados se correlacionou incidência cada parâmetro no respectivo grupo. Os foram: uso saltos altos, esportes, dor aguda, edema local, sinal Mulder, alargamento do espaço...

OBJECTIVE. The purpose of this study was to determine whether the relative length protrusion second metatarsal, measured on MRI and weight-bearing foot radiography, predicts diagnosis metatarsophalangeal (MTP) joint plantar plate (PP) tear MRI. MATERIALS AND METHODS. We retrospectively evaluated 166 consecutive patients (211 feet). Patients had undergone radiography forefoot Using Coughlin method, two independent observers meta-tarsal findings were classified as normal PP, complete PP tear,...

The magnetic resonance imaging diagnostic criteria for a complete tear of metatarsophalangeal plantar plate are well-established. However, more subtle abnormalities can also occur and be source pain. objective this study is to determine the prevalence degenerative injuries in patients with metatarsalgia who underwent forefoot describe main found. hypothesis that mild capsular fibrosis will have high sensitivity but low specificity injuries.A retrospective cross-sectional was conducted 85...

Ankle sprains are frequent injuries among athletes and the general population, making them one of most prevalent sports-relatedinjuries. While lateral ankle ligament typically respond well to conservative treatment, a significant portion evolves intochronic instability, which may require surgical intervention. Recently, new anatomical insights regarding ankleligaments have emerged, enhancing advancement innovative diagnostic treatment approaches. The objective this articlewas discuss latest...

To find the best clinical parameters for defining and classifying degree of plantar plate injuries. Sixty-eight patients (100 metatarsophalangeal joints) were classified in accordance with Arthroscopic Anatomical Classification injuries divided into five groups (0 to IV). Their medical files reviewed incidence each parameter respective group was correlated. These were: use high heels, sports, acute pain, local edema, Mulder's sign, widening interdigital space, pain head corresponding...

Background: The objective of this study was to compare progressive collapsing foot deformity (PCFD) classifications performed using clinical and conventional radiographs (CR) with established weightbearing computed tomography (WBCT). Methods: This retrospective comparative evaluated 89 consecutive PCFD feet (84 patients). Three readers chart reviews CR evaluations, determining that were previously published. After a washout period, the sequence randomized, new classification executed WBCT...

Category: Hindfoot; Sports Introduction/Purpose: Zadek's procedure is a surgical option to treat insertional Achilles tendinopathy(IAT). This consists of closing wedge osteotomy the calcaneus with biomechanical consequences. Great modifications in hindfoot alignment can result poor functional outcomes for athletes. Additionally, some authors stated that Zadek good choice patients IAT associated cavovarus foot. study aims analyze and parameters related Haglund's syndrome after using virtual...

Resumo Objetivos: O objetivo do presente estudo é apresentar uma nova manobra para o tratamento dos entorse laterais tornozelo. Métodos: No incorporamos ao processo de reabilitação convencional 100 pacientes vítimas lateral aguda tornozelo técnica treino sensório-motor com seguimento 12 meses. desfecho primário foram novos episódios e os secundários incluíram: qualidade vida (avaliada pelo questionário Health Survey - SF-12), dor (Avaliada pela escala Visual analógica Dor EVA), função...

Introduction/Purpose: Evidence in the literature suggests negative effects of using High Heels (HH), becoming a challenge for clinicians and researchers since they are welcomed by women worldwide, mainly due to subjective power attractiveness given them. Although some people blame HH as one causes Hallux Valgus (HV), until now, there no studies that effectively prove cause-effect relationship between HV. The objectives this study are: (1) analyze whether increase heel height can lead HV (2)...

Introdução: as medidas radiográficas são utilizadas para indicar e programar procedimentos ortopédicos no antepé, bem como seguimento pós-operatório. Com isso, muitas vezes é necessário avaliar se houve alteração alinhamento sagital do primeiro metatarso (1M). O objetivo desse estudo foi analisar a confiabilidade inter intraobservador das angulares avaliação 1M. Secundariamente, o tipo anatômico pé interfere na medições. Métodos: foram todas aquelas encontradas literatura, tais como: ângulo...

The distal leg joint fractures are among the most common in humans across all age groups, and 50% of them require surgical treatment. Few studies discuss epidemiology costs this fracture global national literature.To evaluate annual incidence reimbursement value requiring treatment from 2008 to 2021.A retrospective study was conducted analyze complex structured data high volume variability (Big Data), publicly available on TabNet platform (DATASUS), via software with artificial intelligence....