The bones work in coordination with your muscles, tendons, and ligaments, as these components all operate flexibly and reliably for you when they are not inhibited by health issues. (orthopedicassociates.org)
Usually the sprain is only mild, but on occasion it may seriously injure the ligaments or tendons surrounding the ankle joint. (alaskapodiatry.com)
Other diagnostic tests include computerized tomography (CT Scan) to discover injuries of the bone, and magnetic resonance imaging (MRI) to isolate and diagnose specific soft tissue injuries (ligaments, tendons, and capsule). (alaskapodiatry.com)
Ankle2
Finally, there is the hindfoot which is the area of your heel and ankle. (orthopedicassociates.org)
The need for revision surgery in patients with a history of previous Charcot foot and/or ankle reconstruction includes recurrent ulceration, delayed osseous union with recurrent deformity not amenable to brace therapy, infection, and new Charcot neuroarthropathy process at a different anatomical level resulting in deformity not amenable to conservative treatments. (musculoskeletalkey.com)
There are several important preoperative considerations in revision reconstruction of the Charcot neuroarthropathy patient. (musculoskeletalkey.com)
Deformity4
however, the original description of using tendon transfer for the treatment of progressive flatfoot deformity is attributed to Goldner in 1974. (medscape.com)
Photographs from patient with adult-acquired flatfoot deformity show typical features of condition, demonstrated by abducted forefoot and valgus hindfoot. (medscape.com)
Clinical presentation and progression and severity of adult-acquired flatfoot deformity (AAFD) can be extremely variable, although common presenting symptoms include a visible pes planus deformity, inability or pain upon attempts to perform a single-leg heel rise, pain along the course of the posterior tibial tendon (PTT) and difficulty walking. (medscape.com)
Relative contraindications include insufficient bone stock for arthrodesis, severe dislocation or deformity, peripheral arterial disease, localized infection, elevated glycosylated hemoglobin, perioperative elevated blood glucose levels, poor skin quality or excessive scarring, ambulatory dysfunction, inability to maintain non-weight bearing during postoperative convalescence, and/or lack of family support. (musculoskeletalkey.com)
AAFD4
Insufficiency or dysfunction of the posterior tibial tendon (PTT) has historically been thought to be the most common cause of AAFD. (medscape.com)
[ 4 , 5 ] Because ligament pathology is nearly as common as PTT pathology, the authors favor AAFD as the term that most accurately describes this condition. (medscape.com)
[ 2 , 3 ] Because ligament pathology is nearly as common as PTT pathology, the authors favor the use of AAFD to accurately describe this condition. (medscape.com)
Most treatment strategies continue to focus on the posterior tibial tendon (PTT) as the weak link in AAFD. (medscape.com)
Clinical1
Although posterior tibial tendon (PTT) dysfunction is a common clinical entity, its true incidence or frequency is difficult to ascertain secondary to a variety of factors, such as missed diagnoses and coexisting disorders that can make the diagnosis perplexing. (medscape.com)
Injuries1
Several previous articles have discussed injuries and unwanted conditions of your feet. (orthopedicassociates.org)
Incidence2
Despite the significant incidence of this condition, there is still some debate regarding its pathophysiology. (medscape.com)
Despite the significant incidence of this condition, the pathophysiology is still debated. (medscape.com)
Stage1
The overall medical condition of the patient, the patient's expectations, and the stage of the disease determine the recommended treatment. (medscape.com)
Foot2
[ 14 ] A widely accepted classification system, proposed by Johnson in 1989 and modified by Myerson in 1997, clarified treatment recommendations on the basis of the severity of the PTT dysfunction and the adaptation of the foot to collapse of the medial longitudinal arch. (medscape.com)
But what can you do to reduce the chances of an unwanted foot condition? (orthopedicassociates.org)
Patients2
Results from a 1969 study by Kettelkamp and Alexander revealed that when patients demonstrated tendon rupture and surgical correction was delayed, a poor outcome with surgical exploration resulted. (medscape.com)
Diabetic Charcot neuroarthropathy patients experience a higher rate of complications than those with Charcot neuroarthropathy from other sources. (musculoskeletalkey.com)
Articles1
[ 8 ] This was followed by articles by Fowler and Williams, who each presented posterior tibial tendinitis as a syndrome, with the suggestion that surgical intervention may play a role in the treatment of this condition. (medscape.com)
Syndrome1
8] This was followed by articles by Fowler and Williams, who each presented posterior tibial tendinitis as a syndrome, with the suggestion that surgical intervention may play a role in the treatment of this condition. (medscape.com)
Severity2
15] A widely accepted classification system, proposed by Johnson in 1989 and modified by Myerson in 1997, clarified treatment recommendations on the basis of the severity of the PTT dysfunction and the adaptation of the foot to collapse of the medial longitudinal arch. (medscape.com)
X-ray examination of the foot will reveal the true severity of the patients condition. (alaskapodiatry.com)
Transfer2
If the hindfoot is flexible and a posterior release is not necessary, posterior tibial tendon transfer can be done as part of the initial procedure for severe anterior tibial weakness. (medscape.com)
The Jones procedure includes transfer of the extensor hallucis longus tendon to the first metatarsal head and arthrodesis of the interphalangeal (IP) joint of the great toe. (medscape.com)
Treatment1
When the hindfoot is flexible, early aggressive treatment with soft-tissue releases can delay the need for more extensive reconstructive procedures. (medscape.com)