48 results match your criteria: "Intractable Plantar Keratosis"

Article Synopsis
  • Plantar keratomas are painful lesions on weight-bearing areas of the foot that often require ongoing treatment, impacting patients' quality of life.
  • A study reviewed 9 patients with intractable plantar keratomata who received microwave therapy, showing a significant reduction in pain levels as treatments progressed.
  • Results indicated a 90.4% mean decrease in pain over four treatments, with 71.4% of patients experiencing no pain by their final visit.
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The aim of the study was to determine the presence of human papillomavirus (HPV) in patients with intractable plantar keratosis (IPK) by comparing the histopathological findings of biopsies. A prospective, observational, and concordance study was carried out. Three different specimens were taken from each IPK.

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Article Synopsis
  • Hyperkeratosis is the thickening of the skin and includes conditions like calluses and corns, with corns being more localized lesions that can cause pain, leading to surgical treatment.
  • A review of existing literature was conducted to investigate data on surgical excision of plantar corns, narrowing down from over 1,000 articles to 15 relevant studies for analysis.
  • The findings highlighted two main themes related to surgical closure methods (primary vs. secondary intention) and the consideration of combining corn excision with other bony surgeries.
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Article Synopsis
  • - Hallux pain can stem from various conditions like hallux valgus, hallux limitus, gout, and issues at the interphalangeal joint, with less recognized pain sources including the os interphalangeus—a small bone that can be present in some people. - The os interphalangeus is found in the joint capsule of the interphalangeal joint and is usually separated from the flexor hallucis longus tendon by a bursa; its position can vary and may affect mechanics leading to pain from bursitis or tendon issues. - Diagnosis of os interphalangeus-related pain typically involves imaging methods like X-rays or MRI, especially when classic symptoms (like plantar keratosis) present without visible ossicles on standard
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Arthroscopic Sesamoidectomy for Hallux Sesamoid Disorders.

J Foot Ankle Surg

January 2022

Department of Orthopedic Surgery, Yashio Central General Hospital, Saitama, Japan. Electronic address:

In this retrospective case series, we aimed to study arthroscopic sesamoidectomy, including surgical methods, clinical outcomes, and complications. We retrospectively reviewed the medical records of patients with hallux sesamoid disorders who underwent arthroscopic sesamoidectomy from July 2015 to July 2017. The visual analog scale for rating pain, Japanese Society for Surgery of the Foot scale scores, number of days taken to return to normal daily living, number of months taken to return to playing sports, and complications were analyzed.

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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.

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Effectiveness of saline water and lidocaine injection treatment of intractable plantar keratoma: a randomised feasibility study.

J Foot Ankle Res

April 2021

Department of Physical Activity Sciences and Podiatric Medicine, Université du Québec à Trois-Rivières, 3351, boul. des Forges, C.P. 500, Trois-Rivières, G9A 5H7, Canada.

Background: An intractable plantar keratoma (IPK) is a conical thickening of the epidermis' stratum corneum and a common cause of foot pain which can have a significant, detrimental impact on the mobility, quality of life and independence of individuals. Conservative treatments are currently offered to patients with IPK, but they are unsatisfactory since they do not offer a sufficient or permanent reduction of symptoms. The purpose of this study was the evaluation of the feasibility, safety and effectiveness of innovative treatments for intractable plantar keratoma (IPK).

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Skin ulcers in Werner's syndrome often arise from hyperkeratotic lesions and trauma to pressure points such as the plantar region, and are more difficult to treat than wound healing in healthy individuals. Multiple factors contribute to the intractable skin ulcers in Werner's syndrome, including skin thinning, sclerosis, fatty tissue loss, impaired blood flow, calcification, and excessive pressure due to osteoarticular deformity. Treatment includes topical application of a keratolytic agent for keratosis around the ulcer.

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Zombie Cells, Composite Cells of Fungal-Human Keratinocytes of Plantar Hyperkeratosis-Like Lesions.

Mycopathologia

October 2019

Medicalbio Corporation, 33 Zique Road, Room 3239, Beijing, 100086, China.

Foot hyperkeratosis is common. They often coincide with fungal infections, are difficult to cure and relapse rates are high. In this case study, longstanding and intractable plantar hyperkeratotic lesions were investigated for potential causative agents by histological examinations, by using human cell culture medium to grow the infected skin tissue, by sequencing ribosomal DNA and whole genome.

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Background: Minimally invasive surgery has a shorter surgical time, and in this study we focus on minimally invasive distal metatarsal metaphyseal osteotomy (DMMO). The operation seems to be less complex but requires a high learning curve. We report on our first patients to underline the need for extensive training and great awareness for the risks in the early learning stages.

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A retrospective audit of lesion excision and rotation skin flap for the treatment of intractable plantar keratosis.

Foot (Edinb)

March 2018

Department of Podiatric Surgery, Nottinghamshire Healthcare NHS Foundation Trust, Park House Health and Social Care Centre, 61 Burton Road, Carlton, Nottinghamshire NG3 4DQ, United Kingdom.

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.

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Background: The management of plantar corns and callus has a low cost-benefit with reduced prioritisation in healthcare. The distinction between types of keratin lesions that forms corns and callus has attracted limited interest. Observation is imperative to improving diagnostic predictions and a number of studies point to some confusion as to how best to achieve this.

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Background: Intractable plantar keratoma is a common concern in the podiatric medical office. Different treatment options are available, ranging from trimming and padding to surgery. We sought to investigate the use of hyaluronic acid gel injections as a possible minimally invasive alternative in the treatment of intractable plantar keratomas.

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Pedobarography can quantify static and dynamic foot pressure. Despite an increase in the clinical use of pedobarography, the results and the clinical diagnosis do not always correlate, leading to confusion and misdiagnosis. The authors evaluated the potential of pedobarography to diagnose several diseases associated with abnormal pressure across the plantar surface.

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Inclusion cysts are benign lesions that appear as a consequence of traumatic inclusion of epidermal cells into the dermis. They can be painful if they appear under pressure areas, especially the metatarsal heads. We report a case of a 36-year-old woman with an intractable plantar keratosis lesion under the third metatarsal head of 3 years' duration.

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Background: The Weil osteotomy has been reported to be a clinically effective treatment of metatarsalgia and intractable plantar keratosis. The plantar inclination of the metatarsal influences the effect of the osteotomy but has never been studied in detail.

Methods: This study examined five fresh or fresh-frozen cadaver specimens.

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Pain at the first metatarsophalangeal (MTP) joint can result from inflammation, chondromalacia, flexor hallucis brevis tendinitis, osteochondritis dessecans, fracture of a sesamoid bone, avascular necrosis of sesamoids, inflamed bursae, intractable keratoses, infection, sesamoiditis, gout arthropathy, and rheumatoid arthritis. Congenital absence of a sesamoid bone is extremely rare. We present a 17-year-old male patient with pain at the plantar aspect of the right MTP joint associated with congenital absence of the medial sesamoid.

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Hypermobility of the first ray.

Foot Ankle Clin

September 2000

Foot and Ankle Service, Department of Orthopaedic Surgery, Union Memorial Hospital, Baltimore, Maryland, USA.

Hypermobility of the first ray is one of the causative components in common foot problems (such as hallux valgus) with a large intermetatarsal angle and metatarsus primus varus. Although not always associated with hallux valgus, hypermobility is a predisposing factor for this deformity, especially in conjunction with extrinsic factors, such as disruption of the plantar first metatarsal cuneiform ligament and tendon-muscle imbalance. Hypermobility is also frequently found in adolescents with hallux valgus, especially when associated with a large intermetatarsal angle.

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Article Synopsis
  • - The study assessed the effectiveness of transverse distal metatarsal osteotomies in treating persistent plantar callosities in patients without hammer toe deformities.
  • - Out of 25 treated callosities in 19 feet, 24 osteotomies healed primarily, while follow-up showed some developed new hammer toe deformities and additional callosities in other areas.
  • - The conclusion suggests that while the procedure is effective for callosity treatment, it may lead to new deformities and transfer lesions in the long run.
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The clinical results with pedobarographic analysis were assessed in 32 patients (59 metatarsals) who underwent a distal metatarsal shortening (Weil) osteotomy for either intractable plantar keratoses or chronically dislocated lesser metatarsal phalangeal joints. All patients had increased pressure under the involved metatarsal heads. Thirty three of the 59 metatarsophalangeal (MTP) joints were chronically dislocated.

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Twelve patients (12 feet) underwent salvage first metatarsalphalangeal (MTP) arthrodesis with structural, interposition autologous iliac crest bone graft (ICBG). Eight patients had a bony defect secondary to failed first MTP joint implant arthroplasties, two had avascular necrosis (AVN) after failed bunion surgery, one had a nonunion of an attempted arthrodesis for failed bunion surgery, and one had been treated for osteomyelitis after cheilectomy. Eleven of the cases had a single dorsal plate secured by screws and one case had two plates, one dorsal and one medial.

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The authors studied 40 V-osteotomies of the lesser metatarsal performed for chronic intractable plantar keratosis. They discuss the effectiveness of the V-osteotomy for this deformity as well as other findings such as whether or not fixation of the osteotomy yields a better result (i.e.

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Twenty patients (14 women and 6 men) (23 feet) had a single oblique osteotomy operation of the 2nd, 3rd, or 4th metatarsal without fixation during an 8-year period. The mean age was 46 years (range, 21-64 years). Each patient had a painful intractable plantar keratosis preoperatively.

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Chevron osteotomy of lesser metatarsals for intractable plantar callosities.

J Bone Joint Surg Br

May 1998

Department of Orthopaedics, Mayo Clinic and Mayo Foundation, Rochester, Minnesota 55905, USA.

We performed distal chevron osteotomy of the second, third, or fourth metatarsal for painful plantar callosities in 19 non-rheumatoid patients (16 women, 3 men; 21 feet); their mean age was 59 years (32 to 85). The mean follow-up was four years (2 to 7). The overall results were good in 16 feet, fair in two, and poor in three, with four patients still having painful plantar callosities.

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Disorders of the Lesser Metatarsophalangeal Joints.

J Am Acad Orthop Surg

May 1995

Boston Foot and Ankle Center, New England Baptist Hospital, Boston; Tufts Universtiy, Boston.

Pain in the region of the lesser metatarsophalangeal joints (often termed metatarsalgia) is a common complaint. It can be due to a variety of causes, and accurate diagnosis is essential for effective treatment. Understanding the anatomy and functions of the extrinsic and intrinsic musculature and the plantar plate, ligaments, and fat pad is important in evaluating metatarsophalangeal joint disorders.

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