1/3. Posterior tibial tendon rupture in athletic people.We present our findings in six athletic patients with a ruptured or partially ruptured posterior tibial tendon. pain in the midarch region, difficulty pushing off while running, and a pronated flattened longitudinal arch are the usual symptoms and physical findings of this injury. Surgical treatment, including reattachment of the ruptured posterior tibial tendon, is effective in restoring some but not all normal function. Nor will surgery restore the flattened longitudinal arch.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
2/3. Combined technique for surgical correction of pediatric severe flexible flatfoot.Ten patients with 12 symptomatic severe flatfeet were treated with a combined surgical technique. patients 10 years or older were treated with Evan's calcaneal osteotomy, Young tenosuspension, and tendo achillis lengthening. patients under age 10 were treated with modified Young tenosuspension, talonavicular desmoplasty and subtalar arthroereisis. Eight of the 10 patients had marked relief in pain and fatigue and were able to perform all physical activities. Radiographic criteria showed improvement for all patients in all categories.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
3/3. Examination and management of a patient with tarsal coalition.The purpose of this case report is to illustrate how the literature can be used to guide clinical decisions related to a relatively uncommon pathological condition of the foot. This case report describes the approach used to examine and treat a 14-year-old boy referred by a physician for physical therapy with a diagnosis of peroneal spastic flatfoot (PSFF). Peroneal spastic flatfoot is a syndrome typically characterized by limited tarsal joint motion, a clonus response of the evertors, and a pes planus deformity. The patient reported having a limp for several years, but he said he was pain-free until he had an inversion injury of his foot. Because the physical therapists had not seen a patient with a diagnosis of PSFF, they reviewed the literature related to PSFF. They describe how their review enhanced their understanding of PSFF and how PSFF is related to the diagnosis of tarsal coalition, a pathological condition eventually identified in this child. Following 5 unsuccessful physical therapy sessions, they referred the patient to another physician who diagnosed a talocalcaneal coalition, a type of tarsal coalition.- - - - - - - - - - ranking = 3keywords = physical (Clic here for more details about this article) |