Following surgery or injury to a lower extremity, a patient may have a persistent limp in spite of an uneventful recovery and normal findings on physical examination. It may be difficult for the patient to overcome this habitual limp. Such a limp can be successfully corrected by instructing the patient to walk with both knees stiff and to step down on the heel first. This resembles a military goose-step except that it is done gently and resembles normal gait. This method has been used successfully by the author with at least 600 patients during the past 15 years. It should not be taught to elderly patients with poor balance.
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J Orthop Case Rep
December 2021
Department of Pediatric Orthopedic, Hospital Regional de Alta Especialidad del Bajio, León, Mexico.
Introduction: Perthes disease radiography can mask other diseases. Properly observing the X-ray and changes in other joints helps to discard Perthes-like conditions. Association with changes in other systems, as well as the pathological history and even the examination of family members can help diagnose early attenuated cases of rare diseases.
View Article and Find Full Text PDFClin Biomech (Bristol)
March 2020
Interdisciplinary Consortium on Advanced Motion Performance (iCAMP), Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, USA; Division of Vascular Surgery and Endovascular Therapy, Baylor College of Medicine, Houston, TX, USA. Electronic address:
Background: Unilateral offloading footwear prescribed to patients with diabetic foot ulcers elevates one limb relative to the other, which may lead to limp and abnormal gait. This study investigated whether the unilateral foot ulcer and offloading combination negatively impacts gait function beyond diabetic peripheral neuropathy.
Methods: Eighty-six participants were recruited in 3 groups: 12 with diabetic peripheral neuropathy and unilateral foot ulcers wearing offloading footwear (offloading group, age = 55.
J Occup Med Toxicol
March 2017
Institute of Occupational Medicine, Social Medicine and Environmental Medicine, Goethe-University Frankfurt/Main, Theodor-Stern-Kai 7, Building 9A, Frankfurt/Main, 60590 Germany.
Background: Musical performance-associated musculoskeletal disorders (MSD) are a common health problem among professional musicians. Considering the manifold consequences arising for the musicians, they can be seen as a threat for their professional activity. String players are the most affected group of musicians in this matter.
View Article and Find Full Text PDFCase Rep Orthop
April 2014
Groupe Hospitalier Universitaire La Pitié Salpêtrière, AP-HP, 75013 Paris, France.
Habitual patellar dislocations are rare in adults. Treatment is difficult, and often associated with significant morbidity. A 30-year-old man, construction worker, presented a habitual patellofemoral dislocation which was caused by direct trauma to the knee as a child.
View Article and Find Full Text PDFEpilepsy Behav
August 2006
Department of Neurology, University of South Florida, Tampa, FL 33606, USA.
Objective: The goal of this study was to estimate the frequency of psychogenic pseudosyncope in patients with "syncope of unknown origin." Twenty to thirty percent of patients referred to epilepsy centers for refractory seizures have psychogenic seizures. With syncope, about 20-30% of the cases remain unexplained after a complete evaluation, but, unlike in seizures, a psychogenic etiology is not usually investigated.
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