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At 1-year follow-up the patient has regained dorsiflexion of the hallux and is back to activities such as snow skiing without pain.

Ruptures of the EHL tendon with first metatarsophalangeal joint capsule defects have not been reported in the literature. Herein, a novel approach was used to reestablish physiologic function to the EHL tendon and provide sufficient coverage of the first metatarsophalangeal joint.

Ruptures of the EHL tendon with first metatarsophalangeal joint capsule defects have not been reported in the literature. Herein, a novel approach was used to reestablish physiologic function to the EHL tendon and provide sufficient coverage of the first metatarsophalangeal joint.Tenosynovial giant cell tumor is the common term used to describe a group of soft-tissue tumors that share a common etiologic link. These tumors are relatively infrequent in the foot and ankle, and occasionally they may be the cause of destruction of the adjacent bone structures. We report the imaging appearance and pathologic findings of two patients with localized tenosynovial giant cell tumor of the forefoot. Both of these patients underwent surgical gross total resection. However, one of the patients experienced a recurrence. Their clinical, radiologic, and pathologic features, with their treatment protocol, are summarized retrospectively, and related literature is reviewed in an attempt to enhance the understanding of these tumor lesions. Clinicians should perform a careful preoperative and postoperative examination and complete tumor surgical resection with the aim of reducing local recurrence.

No detailed comparative studies have been performed regarding plantar pressure changes between proximal dome and distal chevron osteotomies. This study aimed to compare radiographic and plantar pressure changes after distal chevron and proximal dome osteotomies and to investigate the effect of radiographic and plantar pressure changes on clinical outcomes.

This study included 26 and 22 patients who underwent distal chevron and proximal dome osteotomies, respectively. Visual analog scale (VAS) and American Orthopaedic Foot & Ankle Society (AOFAS) forefoot scores were used to evaluate pain and functional outcomes. Hallux valgus angle, intermetatarsal angle, talar-first metatarsal angle, and calcaneal inclination angle were measured in the evaluation of radiographic outcomes. Preoperative and postoperative plantar pressure changes were evaluated.

There were no statistically significant differences between the two groups in age, body mass index, or AOFAS forefoot and VAS scores. In the proximal dome group, the pressure measurement showed significant lateralization of the maximal anterior pressure point in the forefoot (P < .001). In addition, the postoperative calcaneal inclination angle was significantly lower (P = .004) and the talar-first metatarsal angle was significantly higher (P < .001) in the proximal dome group. Postoperative transfer metatarsalgia was observed in one patient (3.8%) in the distal chevron group and five (22.7%) in the proximal dome group (P < .05).

Proximal dome osteotomy led to more lateralization of the maximum anterior pressure point, decreased calcaneal inclination angle and first metatarsal elevation, and related higher transfer metatarsalgia.

Proximal dome osteotomy led to more lateralization of the maximum anterior pressure point, decreased calcaneal inclination angle and first metatarsal elevation, and related higher transfer metatarsalgia.

Shoes, with their biomechanical features, affect the human body and function as clothing that protects the foot. This study aimed to investigate the effects of Masai Barefoot Technology (MBT) shoes on gait in healthy, young individuals compared with bare feet and classic stable shoes.

The study was conducted in 67 healthy females aged 18 to 30 years. All volunteers walked barefoot, in Oxford shoes, and in MBT shoes and were evaluated in the same session. Kinematic gait analyses were performed. The three performances were compared using repeated-measures analysis of variance to study the variance in the groups themselves, and the Friedman and Wilcoxon paired two-sample tests were used for the intragroup comparisons.

We found that the single support time and the swing phase ratio increased during walking in MBT shoes compared with walking in stable shoes, whereas the double support ratio, stride length, cadence, gait speed, loading response ratio, and preswing phase ratio decreased. However, it was found that the step and stride length, step width, and gait speed increased and the preswing phase extended during walking in stable shoes compared with walking barefoot.

These results support the hypothesis that MBT shoes facilitate foot cycles as they reduce the loading response and the preswing and stance phase ratios.

These results support the hypothesis that MBT shoes facilitate foot cycles as they reduce the loading response and the preswing and stance phase ratios.Following partial bone resection for osteomyelitis, continued osteomyelitis in the remaining bone is common and problematic. Shortcomings in available surgical techniques to combat this also contribute to this problem. Presented are two case studies using a solution to this problem with a different type of bone void filler as a carrier vehicle for delivering antibiotics into the remaining infected bone to eradicate any residual bacteria in the remaining bone.Intramuscular lipoma is a rare subset of a more common soft-tissue tumor, lipoma. selleck The etiology is unknown. It is a rare soft-tissue tumor with an overall incidence of less than 1% of all lipomas. Magnetic resonance imaging tends to be the imaging modality of choice, used for surgical preparation. Widely accepted treatment involves local excision. The author presents a case study involving a patient with an abnormally large, recurrent intramuscular lipoma of the left hallux, surgically excised and confirmed by pathology reports. iscussion includes a review of intramuscular lipoma. A review of the literature revealed only two previous reports.

The effects of shoes and foot type on balance are unclear. We aimed to investigate the differences between static and dynamic balance among three foot types and the changes in postural balance while wearing typical athletic shoes.

Based on the Foot Posture Index, the feet of 39 participants were classified as pronated, neutral, or supinated by a physiatrist. Static and dynamic balance function were assessed by center of gravity (COG) sway velocity with eyes open and eyes closed and a modified Star Excursion Balance Test in a random order with participants either barefoot or wearing shoes.

The COG sway velocity was significantly higher in the supinated foot group than in the neutral foot group (barefoot eyes open, P = .004, eyes closed, P = .001). Normalized composite reach distance (NCRD) was significantly lower in the pronated and supinated foot groups (barefoot P = .039, P = .008; shoes P = .018, P = .018). In all three foot type groups, COG sway velocity was significantly decreased (P < .05) and NCRD was significantly increased (P < .