Classifications in Brief: Johnson and Strom Classification of Adult-acquired Flatfoot Deformity

Abousayed, Mostafa M.; Tartaglione, Jason P.; Rosenbaum, Andrew J.; DiPreta, John A.

doi:10.1007/s11999-015-4581-6

Cited by 41 publications

(31 citation statements)

References 25 publications

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“…Symptoms of pain, swelling, malalignment, and gait dysfunction develop and progress as tendon degeneration advances. Tendon degeneration occurs along a continuum from synovial and peritendinous inflammation, to tendinosis, to partial tearing, to complete tearing; these stages often overlap within the same tendon (5,37). A degenerated tendon may be elongated and dysfunctional without an actual tear (5,38).…”

Section: Ptt Abnormalitiesmentioning

confidence: 99%

“…All commonly used staging systems are based on the seminal work by Johnson and Strom (80), who described three stages of dysfunction. The widely used Myerson staging system is an expanded modification of this original system and describes four stages of disease, various substages, and treatment recommendations (5,37,67,80) (Table 3). As with all categorization systems, there can be difficulty in differentiating between adjacent stages, because the underlying abnormality develops along a continuum (4).…”

Section: Staging and Treatment Of Aafdmentioning

confidence: 99%

“…In stage I AAFD, symptoms include posteromedial ankle pain, tenderness along the course of the PTT, and decreased endurance. Swelling may be prominent in patients with tenosynovitis, but tendon length is normal, and the alignment and function of the foot are preserved (37). Treatment is generally conservative, consisting of nonsteroidal anti-inflammatory medications, local corticosteroid and/or anesthetic injections, and physical therapy (16).…”

Section: Stage Imentioning

confidence: 99%

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Adult Acquired Flatfoot Deformity: Anatomy, Biomechanics, Staging, and Imaging Findings

Flores¹,

Gómez²,

Hernando³

et al. 2019

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■ Describe the anatomy and function of each of the principal stabilizers of the medial arch and how their dysfunction leads to AAFD. ■ Assess foot malalignment with standard radiographic metrics and recognize imaging findings that indicate damage to the supporting structures of the foot. ■ Explain the principles of clinical staging of AAFD and the most commonly used treatment options for each stage.

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Section: Ptt Abnormalitiesmentioning

confidence: 99%

Section: Staging and Treatment Of Aafdmentioning

confidence: 99%

Section: Stage Imentioning

confidence: 99%

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Adult Acquired Flatfoot Deformity: Anatomy, Biomechanics, Staging, and Imaging Findings

Flores¹,

Gómez²,

Hernando³

et al. 2019

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128

106

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“…While no restrictions were made regarding the stage of condition, these results apply to only stage I and II TPT as no data was available for stage III or IV (when foot deformity. Without quantifiable methods for staging the condition, 205 delineation between stages must be interpreted with caution.…”

Section: Discussionmentioning

confidence: 99%

“…While all papers reported eligibility criteria relating to stage I or II TPT (100% on the quality appraisal), assessment of stage was based on classification systems that have not been validated. 205 Clinical differentiation between stage II and III TPT has been based on the widely accepted notion that stage II is a flexible deformity, whereas in stage III the deformity is fixed. 48 The problem with this is that the method used to determine flexibility of the deformity is not reported.…”

Section: Discussionmentioning

confidence: 99%

Exploring the clinical presentation of tibialis posterior tendinopathy

Ross¹

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Foot pain is a common musculoskeletal complaint, that is associated with significant functional limitations and is often accompanied by systemic co-morbidities. Pain on the medial aspect of the foot and ankle between the medial malleolus and navicular is often diagnosed as dysfunction of the tibialis posterior tendon. Tibialis posterior tendinopathy (TPT) is considered to constitute the early stages of a condition that progresses to an acquired flatfoot deformity. Surgical intervention is recommended when conservative approaches are unsuccessful, with invasive and costly procedures recommended when significant deformity and dysfunction are present. Effective management in the early stages when tendon signs and symptoms predominate is desirable in order to prevent or delay progression of the condition. The overarching objective of this thesis was to inform the future development of targeted interventions for TPT. Specific thesis aims were to systematically synthesise current evidence in relation to terminology, clinical presentation and management of TPT (Part A) and to address current gaps in the literature in relation to diagnosis, and to explore the presentation of TPT using the ICF framework (Part B). iv Publications included in this thesis Ross MH, Smith MD, Vicenzino B. Reported selection criteria for adult acquired flatfoot deformity and posterior tibial tendon dysfunction: Are they one and the same? A systematic review. PLoS One. 2017;12(12):e0187201. Ross MH, Smith MD, Vicenzino B. Self-reported social and activity restrictions accompany local postural and strength impairments in posterior tibial tendon dysfunction: a systematic review. v Submitted manuscripts included in this thesis Ross MH, Smith MD, Durbridge, G, Vicenzino B. The diagnostic accuracy of clinical tests to diagnose ultrasound-confirmed tibialis posterior tendinopathy in patients presenting with medial foot/ankle pain. Submitted to BJSM. vi Other publications during candidature (as at May 2019) Peer-Reviewed PapersRoss MH, Setchell J. People who identify as LGBTIQ+ can experience assumptions, discomfort, some discrimination, and a lack of knowledge while attending physiotherapy: a survey.Plinsinga ML, Ross MH, Coombes BK, et al. Physical findings differ between individuals with greater trochanteric pain syndrome and healthy controls: A systematic review with meta-analysis.

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Medial Ankle/Plantar Foot Tendons

Navlani

Giammittorio

2021

Tendinopathy

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Classifications in Brief: Johnson and Strom Classification of Adult-acquired Flatfoot Deformity

Cited by 41 publications

References 25 publications

Adult Acquired Flatfoot Deformity: Anatomy, Biomechanics, Staging, and Imaging Findings

Adult Acquired Flatfoot Deformity: Anatomy, Biomechanics, Staging, and Imaging Findings

Exploring the clinical presentation of tibialis posterior tendinopathy

Medial Ankle/Plantar Foot Tendons

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