MRI vs SPECT-CT in Diagnosing Fracture-Related Talar Osteochondral Lesions

MRI vs SPECT-CT in Diagnosing Fracture-Related Talar Osteochondral Lesions

Ankle fractures are common, and although treatment is generally successful, up to 50% of patients experience long-term functional issues. One potential cause is the presence of hidden osteochondral talar lesions (OCTLs), which may not be easily detected with traditional imaging methods like MRI. While MRI is widely used, it often reveals OCTLs that are not related to symptoms, making clinical interpretation difficult.

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Optimizing Outcomes for Lisfranc Injuries

Optimizing Outcomes for Lisfranc Injuries

Lisfranc injuries, once described fracture-dislocations of the tarsometatarsal joints and considered rare, are now recognized to occur more frequently and in subtler forms due to advancements in imaging. These injuries vary significantly in severity and anatomical presentation. Early diagnosis is critical for favorable outcomes. Traditional anatomy-based classification systems have limited treatment utility

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Joint Preserving Surgery Yields Positive Outcomes in RA Forefoot Deformity

Joint Preserving Surgery Yields Positive Outcomes in RA Forefoot Deformity

A new retrospective study evaluated 74 feet in 57 rheumatoid arthritis patients with severe hallux valgus (HV) deformity (Larsen grade 3), comparing first metatarsophalangeal (MTP) joint arthrodesis (27 feet) and joint-preserving surgery (47 feet). Procedures were performed at Japan’s Kyushu University Hospital between 2008 and 2022. Clinical outcomes were assessed using the…

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Individuals with Charcot-Marie-Tooth Disease

Individuals with Charcot-Marie-Tooth Disease

Impaired balance and functional deficits are common in individuals with Charcot–Marie–Tooth disease (CMT). Many individuals with CMT use ankle foot orthoses (AFOs) to improve their balance and function. The aim of this study was to evaluate the fall frequency, perceived effect of AFOs on balance, and balance confidence of individuals with CMT who currently use AFOs.

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Effects of Footwear Design on Women with Plantar Heel Pain

Effects of Footwear Design on Women with Plantar Heel Pain

Footwear is often recommended in the management of plantar heel pain (PHP), theoretically to reduce tissue stress during standing and walking. However, limited data exist to guide footwear design and recommendations. The aim of this study was to investigate the effect of both shoe and shoe insert designs on in-shoe plantar pressures, vertical ground reaction force and underfoot comfort in individuals with PHP.

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Intra-articular Knee Injections and KOA

Intra-articular Knee Injections and KOA

At least 10% of all patients with knee osteoarthritis (OA) undergo treatment with injectable corticosteroids or hyaluronic acid (HA). Although both have been shown to help with symptomatic pain relief, their long-term effects on knee OA progression remain inconclusive. The overall aim of this study was to investigate the association between intra-articular knee injections, specifically with corticosteroids and…

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3D Printing Enables Dose-Response Approach to Foot Orthotic Therapy

3D Printing Enables Dose-Response Approach to Foot Orthotic Therapy

No matter which biomechanical principles we utilize to prescribe and produce custom foot orthoses for our patients, we all must admit that prescribing footwear interventions is not like prescribing medication – no one knows the right dose. How stiff should the shell be? How high should the arch be? How much rearfoot or forefoot posting is optimal for that specific patient? An experienced practitioner can make reasonable inferences and often produce a beneficial…

By Paul Langer, DPM

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CAGA 101: The 12 Dirty Truths of Foot Mechanics

CAGA 101: The 12 Dirty Truths of Foot Mechanics

Dirty Truth #4: Shock Absorption is Energy Loss–Understanding Loading in Gait Analysis
Perhaps the most surprising and unintuitive of all the dirty truths is number four, “Shock absorption via cushion is energy loss.” At first blush, cushion seems like a no-brainer benefit. When we delve into this idea a bit deeper, applying our structure, the forces acting on the lower limbs, and applying the physics that we talked about in the last three dirty truths, the truth of number four becomes clear.

By Jay Segel, DPM; Sally Crawford, MS

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Forefoot Adduction Strengthens the Abductor Hallucis in HV

Forefoot Adduction Strengthens the Abductor Hallucis in HV

Integrating targeted exercises focused on AH strengthening, both pre- and post-surgery, offers a comprehensive approach to HV management. The abductor hallucis (AH) is the most important muscle in the…

By Giacomo Farì, Laura Dell’Anna, Francesco Paolo Bianchi, Rachele Mancini, Enrica Chiaia Noya, Carlo De Serio, Riccardo Marvulli, Luisa De Palma, Danilo Donati, Roberto Tedeschi, Maurizio Ranieri, Marisa Megna, and Andrea Bernetti

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