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At least 973 records · Page 54Linked to original sources
PubMed1986

Digital arthroplasty.

Correction of digital deformities by an arthroplasty procedure is by far the most commonly used technique. However, the choice of procedure is complicated by contradictory methods described in many texts. The goal of surgery is to maintain as much function as possible, achieve a cosmetic result, and give the best prognosis for avoidance of recurrence.

Arthroplasty↗
PubMed1986

Digital arthrodesis.

Digital arthrodesis is a common surgical procedure but requires selection of the proper procedure and fixation device to achieve the desired result. This article presents the various methods which have been found effective in achieving an arthrodesis of the hallux and/or lesser toes. The various procedures and fixation devices are described in detail along with their advantages and disadvantages.

Arthrodesis↗
PubMed1988

Digital foot deformities in the arthritic patient.

Relieving pain and preventing deformity in the rheumatoid foot are best accomplished early in the disease course. Although the treatment of digital deformities may not differ significantly in the rheumatoid versus the nonrheumatoid patient, early and more aggressive management is most important in the rheumatoid patient. The digital deformities associated with inflammatory arthritis are progressive as long as the disease is active. Therefore, it becomes necessary to treat these patients both medically and mechanically to slow the progression of the digital deformities. In determining whether medical, surgical, or biomechanical treatment options are appropriate, the physician must examine multiple considerations. These include disease activity, presence or absence of symptoms, degree of deformity and resultant potential for complications, shoe intolerance, and level of activity. Changing attitudes have dictated that little benefit is gained from withholding treatment until the disease is so-called burnt out. It is in the patient's best interest to maintain function whenever possible to allow for increased productivity. The psychosocial ramifications of this approach are obvious.

Arthritis↗
PubMed1978

Experimental skeletal teratogenesis in the frog tadpole.

Severe deformities of the hind limb skeleton such as shortening, abnormal curvatures, terminal expansions, curled toes and joint dislocations were produced in frog tadpoles by the osteolathyrogenic principle. Gross-anatomical features of the deformed skeleton and of the respective nervous trunks were studied in specimens cleared according to WILLIAMS' technique. The findings support the previously suggested osteo-neural concept: Experimental skeletal deformities represent adaptations of the bone growth at the organ level to the inadequate extensive growth of the nervous trunks. The neural growth appears to be more severely affected by the teratogen than the bone growth proper.

Animals↗
PubMedDate not supplied

Interevaluator variability in the measurement of proximal articular set angle.

The proximal articular set angle (PASA) is used in the evaluation of hallux abducto valgus, as well as a criterial parameter for the selection or rejection of various hallux abducto valgus corrective procedures. The authors casually observed variability in the measurement of PASA in clinical situations, stimulating the development of the presented study to determine if, in fact, the measurement of PASA varies excessively from one physician to another. The results clearly indicate that the interevaluator measurement of PASA is excessive (p less than 0.001 in seven of eight x-ray series and p less than 0.01 in one of eight x-ray series). The authors discuss the clinical implications of the findings. Furthermore, the shortcomings of the study are discussed, specifically the inability to conclude about intraevaluator variability.

Analysis of Variance↗
PubMed1988

HLA-B27 associated dactylitis in children.

A number of conditions have been found to be associated with the HLA-B27 locus including ankylosing spondylitis, psoriatic spondylitis, Reiter's syndrome, juvenile arthritis, and others. An unusual clinical syndrome of "sausage-like" toe, or dactylitis, associated with an oligoarthritis involving the lower extremities has been reported in adults, as has HLA-B27 associated spondyloarthritis and enthesopathy in children. We describe 3 children with dactylitis of the toe who carry HLA-B27. Their course and treatment are presented, and the importance of establishing this diagnostic entity is discussed.

Adolescent↗
PubMed1986

Equine laminitis caused by distal displacement of the distal phalanx: 12 cases (1976-1985).

Clinical data from 12 cases of equine laminitis characterized by distal displacement of the distal phalanx (P3) were reviewed. Clinical features of horses that survived the syndrome were compared with the nonsurvivors to obtain prognostic indicators. Animals affected included 8 Quarter Horses, 2 Welsh ponies, 1 Thoroughbred, and 1 Arabian. Eight of the animals were females (67%), 2 were stallions, and 2 were geldings. The mean age of affected animals was 8.6 years (2 to 14 years), and the mean body weight was 442 kg. The survivors weighed less than the nonsurvivors (384 kg vs 473 kg, respectively), suggesting that body weight may be of prognostic value for horses affected with distal displacement of P3. Ten of the 12 animals (83%) were admitted because of a disorder other than laminitis, but subsequently developed laminitis during the treatment period. All affected animals had clinical evidence of endotoxemia and/or sepsis before the onset of laminitis. Cavitation or depression of the dorsal coronary band was detected in all animals and was the most reliable clinical indicator of distal displacement of P3. Five horses had fluid (blood or serum) ooze from their coronary bands and 2 of these sloughed one or more of their hooves. Necropsy findings of the 8 horses that were euthanatized included severe hemorrhagic, congested laminae and complete detachment of P3 from the hoof wall. Histologic examination of affected laminae revealed vascular thrombosis and multifocal areas of hemorrhage and necrosis. Radiography failed to reveal distal displacement of P3 in 8 animals, but the remaining 4 animals had an accentuation of the dorsal proximal hoof wall and cavitation of the coronary band visible on lateral radiographs.

Animals↗
PubMed1985

[Results of the appraisal of diagnostic criteria for podagra].

The authors describe the results of the appraisal of the podagra diagnostic criteria developed by the researchers of the USSR and Hungarian People's Republic at the Institute of Rheumatology, Academy of Medical Sciences of the USSR. Present the data obtained during the examination of 500 patients. According to the materials of both countries' researchers the accuracy of podagra recognition amounts to 99% in the group of podagra patients and to 94.6% in the group of patients afflicated with diseases similar to podagra.

Adult↗
PubMed1985

Digital arthrodesis.

This article briefly reviews the literature regarding digital arthrodesis. It presents an in-depth description of the techniques presently used for such procedures at the California College of Podiatric Medicine.

Arthrodesis↗