-
Acta Orthopaedica Et Traumatologica... 2009Rotational deformities are common lower extremity abnormalities in children with cerebral palsy, which include intoeing and outtoeing. Intoeing is caused by one of the... (Review)
Review
Rotational deformities are common lower extremity abnormalities in children with cerebral palsy, which include intoeing and outtoeing. Intoeing is caused by one of the three types of deformity: increased femoral anteversion, internal tibial torsion, and metatarsus varus, while out-toeing, the less common form, is caused by femoral retroversion and external tibial torsion. An accurate diagnosis should be made with careful physical and radiographic examination.
Topics: Cerebral Palsy; Child; Child, Preschool; Foot Deformities, Congenital; Humans; Infant; Lower Extremity Deformities, Congenital
PubMed: 19448350
DOI: 10.3944/AOTT.2009.106 -
Europa Medicophysica Dec 2004The aim of this study was to evaluate the effectiveness of early or delayed orthotic treatment of congenital metatarsus varus and evaluate the efficacy of static vs...
AIM
The aim of this study was to evaluate the effectiveness of early or delayed orthotic treatment of congenital metatarsus varus and evaluate the efficacy of static vs dynamic anti-varus orthosis.
METHODS
Twenty-five children (14 males, 11 females), of 81.3 days of age (range 1-189) (41 feet affected) were selected among 88 patients referred to our rehabilitation department for foot deformity. Children were assigned to 1 of 2 groups (dynamic or static orthosis) according to a simple randomization scheme. Patients were evaluated at diagnosis (T1), at the end of treatment (T2) and at a follow-up performed at least 2 years after the end of treatment (T3). Primary outcome was measured using the Bleck scale. The IOWA functional rating system questionnaire was performed at follow up evaluation.
RESULTS
The Bleck scale showed that both static and dynamic orthoses were effective and that the best results were achieved with early treatment. The IOWA questionnaire showed that no child had residual deformities that interfered with daily activities. Nonetheless, the dynamic orthosis group had better scores in 4 sub-items related to parental satisfaction, foot function, heel position, and foot passive motion.
CONCLUSIONS
Both static and dynamic orthoses are useful for correction of congenital metatarsus varus. Optimal results are achieved with early treatment.
PubMed: 16175153
DOI: No ID Found -
Acta Orthopaedica Et Traumatologica... 2002We evaluated the short-term results of a combination of distal soft tissue procedure and a modification of proximal crescentic osteotomy, namely, proximal oblique...
OBJECTIVES
We evaluated the short-term results of a combination of distal soft tissue procedure and a modification of proximal crescentic osteotomy, namely, proximal oblique crescentic osteotomy (POCO) in moderate to severe hallux valgus.
METHODS
Twenty-five male patients (mean age 21 years; range 19 to 26 years) with moderate to severe hallux valgus and incongruent joint were treated by the distal soft tissue procedure and POCO. Objective evaluations included the hallux valgus angle, the intermetatarsal angle, shortening of the first metatarsal bone, and angulation at the osteotomy site on weight-bearing anteroposterior and lateral radiographs of the foot obtained before surgery and for final examinations. Subjective evaluation was made with the use of a patient questionnaire whose overall scores ranged from 6 (completely satisfied) to 18 (completely dissatisfied). The mean follow-up period was 44 weeks (range 28 to 52 weeks).
RESULTS
The mean corrections in the hallux valgus angle and the intermetatarsal angle were 22.1 degrees and 10.8 degrees, respectively. Shortening of the first metatarsal bone (mean 3 mm) occurred in five patients and dorsiflexion deformity of the metatarsal head in one patient, which did not lead to transfer metatarsalgia. Nine patients expressed complete satisfaction (36%), followed by seven and six patients with scores of 7 and 8, respectively. The least satisfaction score was 12 in one patient.
CONCLUSION
The results suggest that metatarsus primus varus, which is the main deformity in moderate to severe hallux valgus, can be corrected by POCO. This technique may be preferable in terms of ease and a low complication rate.
Topics: Adult; Bone Screws; Hallux Valgus; Humans; Ligaments, Articular; Male; Metatarsal Bones; Osteotomy; Patient Satisfaction; Radiography; Range of Motion, Articular; Severity of Illness Index; Surveys and Questionnaires; Tendons; Treatment Outcome
PubMed: 12594349
DOI: No ID Found -
Canadian Family Physician Medecin de... Sep 1990The primary care physician plays a critical role in reassuring parents about their child's orthopedic development in the lower extremity. Paramount to this reassurance...
The primary care physician plays a critical role in reassuring parents about their child's orthopedic development in the lower extremity. Paramount to this reassurance is the ability to understand the normal and natural history of lower extremity development. Family physicians should be able to diagnose and treat metatarsus varus, internal and external tibial torsion, femoral anteversion and femoral retroversion, bow legs, knock knees, and flat feet. The chief complaint often turns out to be only a variation of normal physiological growth and development.
PubMed: 21233928
DOI: No ID Found -
Bulletin of the New York Academy of... Nov 1987
Topics: Child; Foot Deformities, Congenital; Humans; Male; Metatarsus
PubMed: 3446298
DOI: No ID Found -
Journal of the Royal Society of Medicine Feb 1983A retrospective survey was carried out to assess the results in the middle aged and elderly of an operation for hallux valgus which combined a basal osteotomy of the...
A retrospective survey was carried out to assess the results in the middle aged and elderly of an operation for hallux valgus which combined a basal osteotomy of the first metatarsal with a Keller's procedure. Mean follow up in 34 patients (54 feet) was 3.2 years. The correction of both the hallux valgus and the varus angle of the first metatarsal was found to be satisfactory. The advantages and disadvantages of the operation are discussed.
Topics: Adult; Aged; Arthroplasty; Consumer Behavior; Female; Hallux; Hallux Valgus; Humans; Metatarsus; Middle Aged; Osteotomy; Postoperative Complications; Radiography; Retrospective Studies
PubMed: 6827510
DOI: 10.1177/014107688307600206 -
Journal of Medical Genetics Oct 1982The Edinburgh Register of the Newborn 1964-1968 and the Edinburgh Scoliosis Clinic 1964-1971 have been used to establish the population frequency in the city of the...
Aetiology and interrelationship of some common skeletal deformities. (Talipes equinovarus and calcaneovalgus, metatarsus varus, congenital dislocation of the hip, and infantile idiopathic scoliosis).
The Edinburgh Register of the Newborn 1964-1968 and the Edinburgh Scoliosis Clinic 1964-1971 have been used to establish the population frequency in the city of the idiopathic forms of talipes equinovarus and calcaneovalgus, metatarsus varus, congenital dislocation of the hip, and infantile scoliosis. A survey of 165 patients now aged 7 to 11 years showed an aetiological relationship, but with differing environmental factors. These factors were established by comparison with the Edinburgh Register control group of 692 normal infants born over the same period, giving a unique opportunity to obtain more accurate antenatal data than has previously been possible. The principal associations were: talipes equinovarus with antepartum haemorrhage and maternal hypertension; metatarsus varus with twin pregnancies; congenital dislocation of the hip with first born children, older than average fathers, breech presentation, a significant lack of menstrual problems in the mother, and maternal upper respiratory infection during pregnancy; infantile idiopathic scoliosis with breech presentation, prematurity, and the onset of the curve in the winter months. No significant association with raised intrauterine pressure (hydramnios or oligohydramnios) was found among these simple idiopathic deformities. It is concluded that the multifactorial genetic background in likely to be similar in all, but that the additional environmental element is variable.
Topics: Adult; Birth Order; Breech Presentation; Clubfoot; Environment; Female; Hip Dislocation, Congenital; Humans; Infant, Newborn; Male; Metatarsus; Paternal Age; Pregnancy; Pregnancy Complications, Cardiovascular; Pregnancy Complications, Infectious; Pregnancy, Multiple; Registries; Scoliosis; Scotland; Seasons
PubMed: 7143383
DOI: 10.1136/jmg.19.5.321 -
Canadian Medical Association Journal Oct 1964Major foot deformities were analyzed using standardized radiographic drawings of the foot in weight-bearing. Specific criteria and a classification of foot deformities...
Major foot deformities were analyzed using standardized radiographic drawings of the foot in weight-bearing. Specific criteria and a classification of foot deformities by radiographic analysis are presented, utilizing "lining systems" related to the main bones of the hindfoot.The radiographic appearance of the foot is described and analyzed, as are the principal deformities such as varus and valgus heel and forefoot. The prefixes "talipes" and "pes" have been used to signify congenital and acquired deformities, respectively.Specific foot deformities, including talipes equinovarus (clubfoot), pes planovalgus (flatfoot), pes cavus, and metatarsus varus, are analyzed. This method can also be applied in the radiological analysis of any foot deformity.By using this technique, a brief, concise and simplified analysis of foot deformities is available to the student, general practitioner, and specialist.
Topics: Calcaneus; Clubfoot; Flatfoot; Foot; Foot Deformities; Foot Deformities, Acquired; Foot Deformities, Congenital; Foot Diseases; Humans; Metatarsal Bones; Metatarsus; Radiography
PubMed: 14217246
DOI: No ID Found -
California Medicine Oct 1956The operation of Hawkins, Mitchell and Hedrick for the correction of metatarsus primus varus, bunion, and hallux valgus provides an eminently satisfactory solution both...
The operation of Hawkins, Mitchell and Hedrick for the correction of metatarsus primus varus, bunion, and hallux valgus provides an eminently satisfactory solution both functionally and cosmetically. The procedure is applicable to any degree of deformity. Gratifying results were obtained in 43 operations on 25 patients.
Topics: Digestive System Abnormalities; Hallux; Hallux Valgus; Humans; Intestinal Volvulus; Metatarsal Bones; Osteotomy
PubMed: 13364665
DOI: No ID Found -
California Medicine Nov 1948
PubMed: 18731571
DOI: No ID Found