ABSTRACT
ABSTRACT BACKGROUND: The revised foot function index (FFI-R) is used to evaluate the functionality of patients with conditions that affect the feet. The objective here was to produce the Brazilian Portuguese version of this index. DESIGN AND SETTING: Translation and validation study conducted at the Federal University of São Paulo, Brazil. METHODS: The translation and cultural adaptation process involved translation by two independent translators, analysis by an expert committee, back translation into the original language, analysis by the expert committee again and a pretest. The Portuguese-language version was administered to 35 individuals with plantar fasciitis and metatarsalgia to determine their level of understanding of the assessment tool. RESULTS: Changes were made to the terms and expressions of some original items to achieve cultural equivalence. Terms not understood by more than 10% of the sample were altered based on the suggestions of the patients themselves. CONCLUSION: The translation and cultural adaptation of the FFI-R for the Portuguese language were completed and the Brazilian version was obtained.
Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Young Adult , Translations , Cross-Cultural Comparison , Surveys and Questionnaires , Fasciitis, Plantar/diagnosis , Metatarsalgia/diagnosis , Brazil , Cultural Characteristics , Diagnostic Self Evaluation , FootABSTRACT
Introducción: Se propone la osteotomía distal oblicuacontrolada con osteosíntesis de los radios menores del pie en el tratamiento de la metatarsalgia central sintomática debida a alteraciones en la fórmula metatarsiana. Se enumeran sucintamente los problemas que ocurren con la osteotomía de Weil. Se discute la utilidad de las variantes técnicas para controlar el llamado efecto Weil y los dedos flotantes.Materiales y métodos: Se evaluó a 19 pacientes (21 procedimientos de uno o más o todos los radios centrales), puntualizando los efectos no deseados por sobre los beneficios. Se ponderaron parámetros objetivos y subjetivos de acuerdo con el puntaje AOFAS y se establecieron cinco grupos de categorización según esos parámetros. Resultados: Óptimo: 6 pies; bueno: 6 pies; aceptable: 5 pies; regular: 7 pies; malo-pésimo: 1 pie.Conclusiones: Ningún procedimiento hasta la fecha estáexento de problemas; tampoco la osteotomía de Weil.Aún así, constituye el recurso más confiable que disponemos. El efecto Weil y los dedos flotantes se deben a una ejecución técnica deficiente y a un programa de rehabilitación mal planificado. La rigidez articular es inevitable en un abordaje articular sobre deformidades estructuradas antiguas. Los puntajes más bajos dependen del factor humano (elección o ejecución inadecuada).
Subject(s)
Middle Aged , Foot Deformities, Acquired , Metatarsal Bones/surgery , Metatarsalgia/surgery , Osteotomy/methods , Metatarsalgia/diagnosis , Osteotomy/adverse effects , Severity of Illness Index , Treatment OutcomeABSTRACT
Várias lesões podem causar metatarsalgia, cujas manifestações clínicas podem ser inespecíficas. As imagens de ressonância magnética, associadas a outros métodos de imagem e dados clínicos, freqüentemente podem contribuir na detecção dessas lesões e possibilitar que um diagnóstico relativamente preciso seja considerado. Nosso objetivo é descrever e ilustrar, por meio de imagens de ressonância magnética, as principais doenças que causam metatarsalgia.
Several lesions may cause metatarsalgia whose clinical manifestations may be non-specific. Magnetic resonance imaging associated with other imaging methods and clinical data frequently can contribute to detection of these lesions, allowing a reasonably precise diagnosis to be considered. Our purpose is to describe and illustrate, by means of magnetic resonance imaging, main diseases causing metatarsalgia.