Effect of a forefoot off-loading postoperative shoe on muscle activity, posture, and static balance.

Background: We investigated whether a forefoot off-loading postoperative shoe (FOPS) alters standing posture, ankle muscle activity, and static postural sway and whether any effects are altered by wearing a shoe raise on the contralateral side.

Methods: Posture, ankle muscle activity, and postural sway were compared in 14 healthy participants wearing either a FOPS or a control shoe with or without a contralateral shoe raise. Participants were tested under different sensory and support surface conditions.

Bilateral distal tibial stress fractures in a military recruit.

Stress fractures are common injuries in athletes and military recruits. They result from repetitive microtrauma, which over time exceeds the bone's intrinsic ability to repair itself. The site of occurrence is most commonly the weight-bearing lower limb.

Importance of close surveillance for Charcot arthropathy in diabetic patients presenting to the emergency department with low-energy foot injuries.

Close monitoring, regular review and early referral of diabetic patients with midfoot injuries is of paramount importance to identify and limit progression and complications of Charcot foot. The case history is presented of a 46-year-old diabetic patient who presented to the emergency department following a low-energy midfoot sprain which was treated conservatively and the patient was discharged from follow-up. She rapidly developed midfoot disruption and associated Charcot-type arthropathy requiring surgical reconstruction.