A Comparison of Nonweight-Bearing and Weight-Bearing Radiographs of the Foot

Shereff, Michael J.; DiGiovanni, Louis; Bejjani, F.J.; Hersh, Alexander; Kummer, Frederick J.

doi:10.1177/107110079001000604

Cited by 48 publications

(32 citation statements)

References 7 publications

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“…Alignment of the foot and ankle under weightbearing conditions is different from that in nonweightbearing conditions. 2,13 There is controversy regarding the significance of this difference, 29 but clinical disorders of the foot and ankle frequently occur with weightbearing. Several studies have reported the importance of evaluation under weightbearing conditions.…”

Section: Discussionmentioning

confidence: 99%

Three-Dimensional In Vivo Kinematics of the Subtalar Joint During Dorsi-Plantarflexion and Inversion–Eversion

et al. 2009

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Section: Discussionmentioning

confidence: 99%

Three-Dimensional In Vivo Kinematics of the Subtalar Joint During Dorsi-Plantarflexion and Inversion–Eversion

et al. 2009

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“…Alignment of the foot and ankle differs depending upon whether one is nonweight bearing or statically bearing weight [16]. As body mass increases, greater stress is placed on the ligamentous and muscular structures of the foot during weight bearing actions [9].…”

Section: Development Of the Footmentioning

confidence: 99%

Excessive Weight Bearing Compromises Foot Structure and Function Across the Lifespan

Steele

Riddiford‐Harland

Mickle

2014

The Mechanobiology of Obesity and Related Diseases

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The base of support for the musculoskeletal system during most physical activities is the feet. Feet are highly unique and flexible structures, which are required to perform extremely diverse functions, particularly during weightbearing tasks. Although feet that are structurally sound can usually perform tasks of daily living with ease, deviations from normal foot structure or alignment can compromise foot function and, in turn, cause discomfort or pain. Extensive research has confirmed that obesity negatively affects foot structure and function. Obese individuals have been found to have broader, thicker and flatter feet; generate significantly higher dynamic plantar pressures; and alter their foot mechanics during walking relative to their non-overweight counterparts. The need for overweight and obese individuals to bear excess body mass has also been associated with the development of musculoskeletal pain and discomfort in the feet, which can be severe enough to limit these individuals from participating in activities of daily living, work and recreation. As this can perpetuate the cycle of obesity, the compromised foot structure of obese individuals is deemed a major health issue. In this chapter, we review the effects of bearing excessive body mass on foot structure and function across a lifespan and, where possible, highlight the impact of this excessive weight bearing on the ability of individuals to perform activities of daily living. Based on the studies reviewed we recommend that evidence-based interventions be designed to reduce excess fat mass in overweight and obese individuals, focussing on non-weight bearing activities to relieve loading of their foot structures and, in turn, improve the quality of life of these individuals.

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“…Therefore, planning of the operation is performed in terms of the obliquity of the bone cut, the extent of the medial-lateral or dorsal-plantar dislocation of the metatarsal head and the correction of the DMAA [22][23][24].…”

Section: Preoperative Planningmentioning

confidence: 99%

The minimally invasive hallux valgus correction (S.E.R.I.)

Giannini¹,

Vannini²,

Faldini³

et al. 2007

Interact Surg

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Introduction: Distal metatarsal osteotomies have been described for surgical treatment of hallux valgus with good results. The aim of this study is to review the results of 299 consecutive hallux valgus cases treated by minimally invasive distal metatarsal osteotomy, S.E.R.I. (Simple, Effective, Rapid, Inexpensive).Materials and methods: 299 feet in 190 patients (109 bilateral), aged between 35 and 70 years (mean age: 53 years) affected by hallux valgus were studied. A 1 cm medial incision at the metatarsal neck, and a complete osteotomy, using an oscillating saw were performed. With the naked eye all characteristics of the deformity were corrected by displacement of the metatarsal head (HVA, IMA, DMAA, dorsal or plantar displacement). The osteotomy was stabilized by a 2 mm Kirschner wire. Immediate weight bearing was allowed with gauze bandage and Talus shoes for 4 weeks. All patients were checked at an average follow-up of 4 years.Results: All osteotomies healed no avascular necrosis of the metatarsal head or pseudoarthrosis of the osteotomy was observed. Mean preoperative AOFAS score was 43 and 88 at follow-up. The mean preoperative HVA was 33, while at follow-up it was 16 (P < 0.05), mean preoperative IMA was 13, while at follow-up it was 7 (P < 0.05), mean preoperative DMAA was 20, while at follow-up it was 8 (P < 0.05).Conclusion: S.E.R.I. osteotomy has been simple, effective, rapid and inexpensive in correcting hallux valgus deformity. Clinical and radiographic findings showed an adequate correction of the deformity.

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A Comparison of Nonweight-Bearing and Weight-Bearing Radiographs of the Foot

Cited by 48 publications

References 7 publications

Three-Dimensional In Vivo Kinematics of the Subtalar Joint During Dorsi-Plantarflexion and Inversion–Eversion

Three-Dimensional In Vivo Kinematics of the Subtalar Joint During Dorsi-Plantarflexion and Inversion–Eversion

Excessive Weight Bearing Compromises Foot Structure and Function Across the Lifespan

The minimally invasive hallux valgus correction (S.E.R.I.)

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