Newsletter 22 November 2010

Latest Research Latest Discussions Latest Reviews

Investigation of foot plantar pressure: experimental and numerical analysis.  (Med Biol Eng Comput.)

The role of the first metarsocuneiform joint in juvenile hallux valgus.  (J Pediatr Orthop B.)

The effect of arch height on kinematic coupling during walking. (Clin Biomech (Bristol, Avon).)

Do changes in dynamic plantar pressure distribution, strength capacity and postural control after intra-articular calcaneal fracture correlate with clinical and radiological outcome?  (Injury.)

Use of the Gait Deviation Index for the assessment of gastrocnemius fascia lengthening in children with Cerebral Palsy.  (Res Dev Disabil.)

Comparative biomechanical effectiveness of over-the-counter devices for individuals with a flexible flatfoot secondary to forefoot varus.  (Clin J Sport Med.)

Tibial nerve block to promote plantar diabetic ulcer healing

I have been considering lately the option of a tibial nerve block with 0.5% Bupivicaine for prolonged hyperaemia to accelerate healing. Has anyone had experience with serial injections for this and whether it made a difference to ulcer healing rates.

Leg Length differences

Although I have many strategies for determining whether an apparent lld/hip level difference is functional or structural, then (barring the blindingly obvious) I find this simple strategy works well.

Lateral arch on orthosis: do or don't?

If you go back to the locking mechanism decribed by bosjen moller in 1979, a lot is written on how it suppose to works:
"Prerequisite for this locking of the joint is that the calcanean process fits closely into its recess, and that the dorsal border of the
calcaneus overlaps the cuboid and stops the pronation of the forefoot. These conditions were not found in the flat variety of the cuboid, probably indicating a less effective locking mechanism in these joints. It could not be determined from the specimens whether such joints were associated with flat feet."



 

"Foot and Ankle Injection Techniques" provides the student and practising podiatrist with all they need to understand when, how and what to inject. To support the clinician and student, the text covers: changes in legislation; the full range of injectable drugs available to the practitioner; and, essential information on nerve physiology, drug action, equipment, patient selection, injection techniques and many other topics.

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Useful Links Help Wanted Website of the Week

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South African Podiatry Association (SAPA)

Could someone tell me what my physiotherapist is saying here

5th metatarsal break - cast type

Grade 3 ankle sprain

Big Toe Fusion

Best treatment for small plantar fibroma?

What is Reasonable to expect from a Podiatric Surgeon?

Podiatry Portal