Flat foot Update #2: Focus on Intrinsic Foot Muscles First in Boys

Flat foot Update #2: Focus on Intrinsic Foot Muscles First in Boys

A small study of 25 boys (age 10-12y) with flexible flat foot (FF) sought to understand the impact of intrinsic- versus extrinsic-first corrective exercises on on muscle morphometry and navicular drop (ND). The boys underwent a 12-week exercise program that shifted focus midway. The results were significant. Leading with intrinsic exercises led to sustained improvement throughout the…

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Metal Hypersensitivity and Joint Implants

Metal Hypersensitivity and Joint Implants

Metal hypersensitivity (MH) is a controversial topic with limited evidence. It is more commonly observed in failed arthroplasties. The most common metal involved in MH is nickel. Orthopaedic implants contain nickel because of its ability to provide increased strength and durability. MH is a type IV hypersensitive reaction.

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Salto Talaris Fixed-Bearing Total Ankle Arthroplasty: 10-Yr Results

Salto Talaris Fixed-Bearing Total Ankle Arthroplasty: 10-Yr Results

In this longer-term follow-up of a limited cohort (48 patients/50 ankles, average age at index surgery: 64 years), Salto Talaris fixed-bearing total ankle arthroplasty demonstrated good long-term survival (Kaplan-Meier estimated survivorship was 84.2%) with relatively low rates of revision or other complications. Patient-reported outcome and range of motion measures revealed good stability.

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A Word About Injury After Concussion…

A Word About Injury After Concussion…

In 2022, a report in the International Journal of Sports Physical Therapy found that college athletes who suffered a concussion possessed a 58% greater risk of sustaining a lower extremity musculoskeletal injury than those who did not have a history of concussion (RR = 1.58[1.30, 1.93]). Now, a new study by Gardner et al reports that for college male football players the odds of upper extremity injury in the…

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Running in Minimal Shoes Vs Barefoot: Significant Difference

Running in Minimal Shoes Vs Barefoot: Significant Difference

Shoes affect the evolved biomechanics of the foot, potentially affecting running kinematics and kinetics that can in turn influence injury and performance. An important feature of conventional running shoes is heel height, whose effects on foot and ankle biomechanics remain understudied. Here, we investigate the effects of 6–26 mm increases in heel height on ankle dynamics in 8 rearfoot strike runners who ran…

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Microvascular Permeability in Diabetic Muscle

Microvascular Permeability in Diabetic Muscle

Microvascular permeability in diabetic muscle was investigated using our original 2-photon scanning laser microscopy method. Compared with controls, the leakage volume was increased in diabetic muscle, which was atrophic with smaller capillary diameter, endothelial cell thickening, and the appearance of more endothelial intercellular gaps or clefts, and large vesicles.

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Pulmonary Complications After Femur Fracture Repair in Patients ≥80 Years

Pulmonary Complications After Femur Fracture Repair in Patients ≥80 Years

As the population of those age 80+ increases, surgeries for femur fractures will rise as well. A new 2-year retrospective cohort study in 479 patients (mean age 86 years) looked at the incidence and risk factors for common postoperative pulmonary complications—pneumonia, atelectasis, pulmonary edema, pleural effusion, and venous thromboembolism (VTE), as well as respiratory failure and 9-day mortality form a single hospital.

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Assessing Gait Kinetics With IoT-Based Wireless System

Assessing Gait Kinetics With IoT-Based Wireless System

In a new study from Brazil, researchers developed an Internet-of-Things (IoT)-based gait analysis system employing insole pressure sensors to assess gait kinetics. The system integrates piezoresistive sensors within a left foot insole, with data acquisition managed using an ESP32 board that communicates via Wi-Fi through an MQTT IoT framework (MQTT is messaging protocol for machine-to-machine communication).

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Can a Common Definition Improve Surgical Wound Dehiscence Diagnosis?

Can a Common Definition Improve Surgical Wound Dehiscence Diagnosis?

Surgical wound dehiscence (SWD) can affect up to one-third of foot-related surgeries, making it a major complication and potential threat to patient outcomes. One key reason: delayed diagnosis, which has been attributed to varying definitions. In 2018, the World Union Wound Healing Societies (WUWHS) presented a consensus-based definition and classification for SWD in 2018 to address this issue, see Figure 1.

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Can Thermography Predict Diabetic Foot Ulcer Risk in Patients with Diabetes?

Can Thermography Predict Diabetic Foot Ulcer Risk in Patients with Diabetes?

Prevalence of diabetic foot ulcers (DFUs) in patients with diabetes mellitus (DM) is growing, and the use of thermography has sparked interest in this non-invasive diagnostic method for early DFU risk assessment and management. The systematic review, conducted by an international research team, sought to explore the use of thermography to predict DFU risk in patients with DM. The research question was…

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