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Sonographic anatomy and technique to image the plantar digital nerves and aid identification of a Morton's neuroma.

Ultrasound

May 2024

College of Clinical Sciences, School of Health, Medical and Applied Sciences, Central Queensland University, Brisbane, QLD, Australia; Department of Medical Imaging, Royal Brisbane and Women's Hospital, Herston, QLD, Australia.

Article Synopsis
  • The forefoot has a tricky structure, and using ultrasound (a special imaging technique) to see the nerves and diagnose conditions like Morton's neuroma can be tough.
  • This paper explains how to properly use ultrasound to look at the muscles, tendons, and nerves in the forefoot, helping with better diagnosis.
  • By understanding the anatomy and how it looks on ultrasound, doctors can better identify problems in the forefoot and decide how to treat patients.
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Article Synopsis
  • Haglund exostosis-related heel pain can be treated with dorsal closing wedge calcaneal osteotomy (DCWCO), which has shown promising clinical outcomes in recent studies.
  • A study involving 15 patients measured ankle muscle strength and gait function before and a year after surgery, finding minor differences in strength between limbs and improving gait dynamics.
  • Post-surgery, patients reported a 48% improvement in foot function, with 80% feeling significantly benefited by the procedure, suggesting effective long-term results from the surgery.
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A review of the injuries caused by occupational footwear.

Occup Med (Lond)

May 2024

Department of Sociology, Social Work, and Public Health, University of Huelva, 21007 Huelva, Spain.

Background: Occupational footwear is intended to provide protection against the risks associated with work activities. The choice of footwear is complex due to the welfare, health and safety conditions of workers.

Aims: To identify the injuries and problems caused by occupational footwear through a systematic review of the existing literature.

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The Heel Complex: Anatomy, Imaging, Pathologic Conditions, and Treatment.

Radiographics

April 2024

From the Department of Radiology, Radiation Oncology, and Medical Physics, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada (D.V.F., A.D.); Department of Medical Imaging, The Ottawa Hospital, 501 Smyth Road, Ottawa, ON, Canada K1H 8L6 (D.V.F.); Ottawa Hospital Research Institute, Ottawa, Ontario, Canada (D.V.F.); Division of Musculoskeletal Radiology, Laboratorio Delboni Auriemo, DASA, São Paulo, Brazil (P.K.G.); and Division of Musculoskeletal Imaging and Intervention, Department of Radiology, University of California San Diego Medical Center, San Diego, Calif (B.K.H.).

Article Synopsis
  • Heel pain can stem from issues with the Achilles tendon, calcaneus (heel bone), or plantar fascia, with Achilles tendon conditions ranging from inflammation and degeneration to potential tears.* ! -
  • Common calcaneus injuries include fractures, particularly intra-articular ones, and conditions like Haglund syndrome, which may require orthotics or surgery for correction.* ! -
  • Plantar fasciitis is the leading cause of heel pain, often treatable through conservative methods, but severe cases may necessitate surgical interventions like plantar fasciotomy.* !
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Aim: In rheumatoid arthritis (RA), forefoot bursitis is prevalent, with limited studies comparing ultrasonography (US) and Magnetic Resonance Imaging (MRI). This study aims to evaluate these bursae, providing a comparative analysis of US and MRI, and explore associations with demographic, disease-related factors, pain, clinical examination, and baropodometryin RA patients.

Material And Methods: Participants with RA were recruited from the day-hospital clinic.

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