Posterior heel pain is common and disabling. Most cases respond to nonoperative treatment. The literature is confusing about the treatment rationale because many papers treat a variety of pathologies in the same way on an empirical basis. The authors critically review the literature with special reference to surgical treatment. The key to successful management of posterior heel pain is a proper understanding of the anatomy and pathological processes. Only then can appropriate treatment be recommended and proper advice about recovery times be offered to patients.
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http://dx.doi.org/10.1016/j.fcl.2007.07.005 | DOI Listing |
Med Biol Eng Comput
January 2025
School of Medical Engineering, Department of Cardiology of The First Affiliated Hospital of Xinxiang Medical University, Xinxiang Medical University, Xinxiang, 453003, Henan, China.
The research aims to investigate the mechanical response of footfalls at different velocities to understand the mechanism of heel injury and provide a scientific basis for the prevention and treatment of heel fractures. A three-dimensional solid model of foot drop was constructed using anatomical structures segmented from medical CT scans, including bone, cartilage, ligaments, plantar fascia, and soft tissues, and the impact velocities of the foot were set to be 2 m/s, 4 m/s, 6 m/s, 8 m/s, and 10 m/s. Explicit kinetic analysis methods were used to investigate the mechanical response of the foot landing with different speeds to explore the damage mechanism of heel bone at different impact velocities.
View Article and Find Full Text PDFCureus
November 2024
Orthopedics and Traumatology, Chettinad Hospital and Research Institute, Chennai, IND.
Background Haglund's syndrome, a common cause of pain in the posterior heel that consists of painful swelling of the local soft tissues and prominence of the posterosuperior calcaneal projection, presents significant challenges in treatment, particularly when conservative management fails. This study evaluates the functional outcomes following oblique partial excision of the posterosuperior portion (calcaneal tuberosity osteotomy) of the calcaneus for Haglund's syndrome. Methods A cohort of 30 patients, aged 18 years and older, with persistent heel pain unresponsive to conservative treatments, underwent partial osteotomy using a medial or lateral approach.
View Article and Find Full Text PDFHNO
December 2024
Department of Otorhinolaryngology, Head and Neck Surgery, Martin Luther University Halle-Wittenberg, University Hospital Halle (Saale), Ernst-Grube-Str. 40, 06120, Halle (Saale), Germany.
This article describes the surgical treatment of superior semicircular canal dehiscence syndrome (SCDS) by isolating the dehiscence using transmastoid two-point canal plugging while preserving the high-frequency vestibulo-ocular reflex (VOR) of the affected semicircular canal. The superior semicircular canal is opened via a transmastoid approach anterior (as far from the ampulla as possible) and posterior to the dehiscence and then plugged with connective tissue and bone dust. In two clinical exemplary cases, vestibular testing showed that the VOR measured by video head impulse (vHIT) test was preserved (patient 1: gain preoperative 0.
View Article and Find Full Text PDFFront Endocrinol (Lausanne)
December 2024
Department of Orthopedics, The First People's Hospital of Yunnan Province, The Affiliated Hospital of Kunming University of Science and Technology, Xishan District, Kunming Yunnan, China.
Purpose: This study aimed to compare the distribution of plantar pressure and anterior-posterior (AP) or medial-lateral (ML) shear forces in healthy younger (HY) people, healthy older (HO) people, and diabetic patients, both in static standing and during gait.
Materials And Methods: A total of 20 HY adults, 16 HO adults and 15 diabetic patients were included. The static mechanical distribution measurements included: static horizontal, AP slope plane, and left/right slope standing.
Cureus
November 2024
Orthopedic Surgery, Prince Sultan Military Medical City, Riyadh, SAU.
Toe walking is described by the incapacity to achieve heel strike during the stance phase of the gait cycle. When a child presents with toe walking beyond three years of age, a thorough evaluation is crucial. We report a case of a seven-year-old female presented with painless toe walking that started two years prior to presentation.
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