Newsletter 19 September 2011
Latest Research Latest Discussions Latest Reviews

Total ankle replacement with use of a new three-component implant.  (J Bone Joint Surg Am.)

The effects of enhanced plantar sensory feedback and foot orthoses on midfoot kinematics and lower leg neuromuscular activation.  (Gait Posture.)

Factors associated with acute gout attacks in normouricaemic gout patients receiving allopurinol  (Scand J Rheumatol.)

The effect of plantar flexor muscle fatigue on postural control.  (J Electromyogr Kinesiol.)

Management of congenital talipes equinovarus using the Ponseti method  (J Bone Joint Surg Br.)

A pilot study on the effects of a polyherbal formulation cream on diabetic foot ulcers.  (Indian J Med Res.)

Osteoprotegerin gene polymorphism in diabetic Charcot neuroarthropathy.  (Diabet Med.)

Results of total ankle arthroplasty.  (J Bone Joint Surg Am.)

The effect of taping, quadriceps strengthening and stretching prescribed separately or combined on patellofemoral pain.  (Physiother Res Int.)

Guidelines for the management of the foot health problems associated with rheumatoid arthritis.  (Musculoskeletal Care.)

Posterier Tibial Tendon insertion pain?

It is uncommon, but not rare, to have an inversion sprain lead to insertional tendinopathy of the posterior tibial tendon on the navicular tuberosity. I treat these patients with anti-pronation orthosis, icing, modified rest generally with good success. My theory of the mechanism of injury is that, during the inversion ankle sprain, the navicular tuberosity and PT tendon insertion are compressed violently against the medial osseous structures of the talus/ankle which causes the injury and pain.

In-Shoe force measuring

Does anyone here use in shoe force measuring to assess patients? I am specifically interested in the Tekscan F-scan in-shoe system- is this considered to have an accuracy appropriate for research purposes? Limitations of the system? Anyone have the wireless system?

Evaluating Plantar Fascia Strain in Hyperpronating Cadaveric Feet Following an Extra-osseous Talotarsal Stabilization Procedure

Abnormal talotarsal joint mechanics leading to hyperpronation is implicated as one of the most common causes of plantar fasciopathy. In patients with hyperpronating feet, the plantar fascia experiences excessive tensile forces during static and dynamic weight bearing activities because of excessive medial longitudinal arch depression.

The Barefoot Running Injury Epidemic

Over the last 18 months to two years I've encountered only four individuals who have told me they have either run barefoot or in minimalist shoes. One female, tried barefoot running over short distance at the beach and developed a calf strain; one male had made his own minimalist shoes in an attempt to overcome his achilles tendonopathy on the advice of a "running guru" without success and had added his wifes orthoses to his minimalist shoes which had helped relieve the symptoms and wanted a pair of orthoses of his own; one had run barefoot on the treadmill and has now given up running due to repeated injury; another female tried barefoot running on the beach and presented with a calf strain.

 




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