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A Predictive Model for Gastrocnemius Tightness in Forefoot Pain and Intractable Plantar Keratosis of the Second Rocker / Mar Torres Cobacho in Journal of the American Podiatric Medical Association, Vol. 111, 03 (Mai-juin 2021)
[article]
in Journal of the American Podiatric Medical Association > Vol. 111, 03 (Mai-juin 2021)
Titre : A Predictive Model for Gastrocnemius Tightness in Forefoot Pain and Intractable Plantar Keratosis of the Second Rocker Type de document : article de périodique Auteurs : Mar Torres Cobacho ; Jorge M. Barcia ; Valentın Freijo-Gutierrez ; Javier Ferrer-Torregrosa Année de publication : 2021 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]Diagnostic
[Thésaurus Mesh]Métatarsalgie
[Thésaurus Mesh]Muscles
[Thésaurus HELB]:Paramédical:kératose plantaire
[Thésaurus HELB]:Paramédical:molletMots-clés : kératose discrète gastrocnémiens Résumé : Background: Many people experience gastrocnemius tightness. Few studies demonstrate the relationship between gastrocnemius tightness and forefoot pathology. This study aimed to define the association between intractable plantar keratosis of the second rocker (IPK2) (also known as well-localized IPK or discrete keratosis) and metatarsalgia. Methods: The Silfverskio¨ld (ST) and lunge (LT) tests, used for measuring ankle dorsiflexion, were applied to diagnose gastrocnemius tightness. An instrument for measuring accurate performance and the force to be applied (1.7–2.0 kg of force to the ankle dorsiflexion) complemented the ST for clinical diagnosis and to obtain repeatedly reliable results (the authors apply force manually, which is difficult to quantify accurately). Results: Of 122 patients studied, 74 were used to devise a prediction model from a logistic regression analysis that determines the probability of presenting gastrocnemius tightness in each test (LT and ST) with the following variables: metatarsalgia, IPK2, and maximum static pressure (baropodometry). The IPK2 plays the principal role in predicting this pathology, with the highest Wald values (6.611 for LT and 5.063 for ST). Metatarsalgia induces a somewhat lower change (66.7% LT and 64.3% ST). The maximum pressure of the forefoot is equally significant (P ¼ .043 LT and P ¼ .025 ST), taking a , .05 as the significance level. Conclusions: The results of this validation report confirm that a model composed of metatarsalgia, IPK2, and maximum pressure in static acts as a predictive method for gastrocnemius tightness Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire A retrospective audit of lesion excision and rotation skin flap for the treatment of intractable plantar keratosis / Amir Saipoor in The Foot, 34 (Mars 2018)
[article]
in The Foot > 34 (Mars 2018) . - p. 23-27
Titre : A retrospective audit of lesion excision and rotation skin flap for the treatment of intractable plantar keratosis Type de document : bulletin - dossier Auteurs : Amir Saipoor ; [et al.] Année de publication : 2018 Article en page(s) : p. 23-27 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]Chirurgie générale
[Thésaurus Mesh]Douleur
[Thésaurus Mesh]Pied
[Thésaurus Mesh]Traumatismes du pied
[Thésaurus HELB]:Paramédical:kératose plantaireMots-clés : keratosis, plantar general surgery rotation skin flap foot injuries pain foot Résumé : Aim
The purpose of this study was to evaluate the treatment of plantar skin lesions by excision and rotation skin flap closure with reference to patient satisfaction; patient reported outcomes and complication rates.
Method
A retrospective audit of 54 consecutive patients who had undergone plantar lesion excision with rotation skin flap between May 2011 and November 2015 under the care of experienced consultant podiatric surgeons. A total of 36 patients were included in this study, 16 were lost to follow up, 2 patients were excluded due to non-related pathology. Outcomes were reviewed retrospectively via data extracted from PASCOM-10. This included the MOXFQ and also the PSQ-10 patient satisfaction questionnaire. Data extracted was analysed.
Results
The mean MOXFQ scores improved across the three domains. Walking/standing improved from 68.75 (SD: 17.62) pre-operative to 41.38 (SD: 32.94) post-operative. Pain improved from 63.47 (SD: 19.41) pre-operative to 36.53 (SD: 25.51) post-operative and social interaction improved from 53.88 (SD: 20.33) pre-operative to 29.13 (SD: 26.56) post-operative. Similarly, the PSQ-10 scores have shown positive outcomes where 88.9% out of the cohort felt that their aims of surgery had been met.
Conclusion
This audit has demonstrated that the Schrudde flap is an effective and alternative safe surgical procedure for the treatment of intractable plantar keratosis and viral warts.
En ligne : https://reader.elsevier.com/reader/sd/9986E778A1F2150B4063C24CB837FC5DAA1EC8614D [...] Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité F Périodique Erasme - périodiques Périodiques Disponible F Périodique Erasme - périodiques Périodiques Disponible