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Achilles tendon rupture
Published in Maneesh Bhatia, Essentials of Foot and Ankle Surgery, 2021
Manuel Monteagudo, Pilar Martínez de Albornoz
Ultrasonography may be used if any diagnostic doubt exists after physical examination and may also be of aid in checking whether or not there is apposition of the tendon stumps. In turn, this may contribute to a decision as to whether or not nonoperative management is an option. Magnetic resonance imaging (MRI) reveals the disruption of the tendon, helps to evaluate the size of the distal stump in chronic ruptures, and the presence of fatty atrophy of the gastrocsoleus complex and/or flexor hallucis longus muscle (Figure 14.1).
Podiatric Medicine and the Painful Heel
Published in Mark V. Boswell, B. Eliot Cole, Weiner's Pain Management, 2005
The flexor hallucis longus muscle assists in plantar flexion of the great toe. During the push-off phase of gait, the muscle locks the proximal phalanx of the great toe and assists in ease of weight distribution. This muscle helps accelerate the forward motion of the tibia onto a weightbearing foot. When tendonitis occurs here, it is generally the result of a mechanical disturbance. Overuse is a common etiology. The patient will complain of discomfort in the sole of the foot.
Long-term effects on body functions, activity and participation of hemiplegic patients in equino varus foot deformity surgical correction followed by immediate rehabilitation. A prospective observational study
Published in Topics in Stroke Rehabilitation, 2019
Davide Mazzoli, Erika Giannotti, Chiara Rambelli, Paolo Zerbinati, Martina Galletti, Francesca Mascioli, Paolo Prati, Andrea Merlo
The choice of the surgical procedures to be performed on each patient was taken by a multi-disciplinary expert team (orthopedic surgeon, physiatrist and physiotherapist) and was tuned to the subject’s characteristics based upon both clinical evaluation and instrumental data (GA and dEMG). The surgery was performed by the same surgeon. Surgical procedures include: Achilles tendon lengthening (ATL); toe flexors release (TFR); split anterior tibialis transfer (SPLATT); anterior transfer of the flexor hallucis longus muscle (ATFHL); extensor hallucis longus transfer (EHLT) on the fourth metatarsal head; quadriceps aponeurotomy, and hamstring lengthening (lateral, medial or both). Details of surgical procedures performed on this sample are described in previous papers.8,11
Venous malformation as source of a tarsal tunnel syndrome: treat the source or the cause of the complaints? A case report
Published in Acta Chirurgica Belgica, 2018
H. Mufty, G. A. Matricali, S. Thomis
On physical examination, we have a normal weight patient (body mass index of 23.37). The presence of varicosis veins was seen on the right medial lower limb and foot (Figure 1). This was accompanied by discrete edema of the foot. No other skin changes were present. His lower extremities were well perfused with bilateral normal pulses. Clinical examination did not show sensory or motor deficits. However, a positive Tinel’s sign, evoking a needle sensation by slightly tapping the tibial nerve path, was noted. Venous duplex revealed a sufficient vena saphena magna bilateral without evidence of deep vein thrombosis. The varicosis veins in the right lower limb were partially thrombosed. New LMWH was administered and compressive stockings class two were prescribed. After two weeks, a positive evolution was noticed. Subsequently, magnetic resonance imaging (MRI) was performed, which illustrated an extensive venous malformation in the whole right lower limb. The largest component was seen anteromedian subcutaneously with a deeper connection towards the fibular artery and posterior tibial artery. There were both a muscular component, with ingrowth in the posterior tibial muscle, flexor hallucis longus muscle and flexor digitorum longus muscle, and osseous component with ingrowth in the tibial diaphyse.
Changes in radiographic findings and plantar pressure distribution following forefoot reconstructive surgery for patients with rheumatoid arthritis
Published in Modern Rheumatology, 2020
Hyunho Lee, Hajime Ishikawa, Tatsuaki Shibuya, Chinatsu Takai, Yumi Nomura, Daisuke Kobayashi, Asami Abe, Hiroshi Otani, Satoshi Ito, Kiyoshi Nakazono, Keinosuke Ryu, Takao Ishii, Shu Saito, Kaoru Abe, Akira Murasawa
Hypermobility of the first tarsometatarsal joint is considered to be an important factor in progression of hallux valgus deformity [23,24]. Faber et al. reported that the flexor hallucis longus muscle had an increasing effect on medial displacement of the first metatarsal [24]. This finding suggests that in the present study, the force of flexor hallucis muscle decreased one year after surgery in group Sw, and that the increasing effect on medial displacement of the first metatarsal decreased. As a result, M1/2 in group Sw was seen to be smaller one year after surgery, as shown in Table 3.