ABSTRACT
BACKGROUND: The foot of a newborn is a structure that is under formation and is susceptible to presenting pathologic disorders from the moment of birth. Evidence of the prevalence of clinodactyly in newborns is scarce. Therefore, the objective of this study was to determine that prevalence and its interrelationship with gestational and neonatal factors. METHODS: In a sample of 305 newborns (147 boys and 158 girls), the commonest podiatric medical alterations with either a genetic or a postural component present at the moment of birth were explored physically. The prevalence found in the sample was then related to different anthropometric, gestational, and racial/ethnic parameters of the newborn. RESULTS: The sex of the newborn was unrelated to any podiatric medical pathology found. Clinodactyly was present in approximately 90% of the fifth toes studied. Breech or transverse fetal presentation and the width of the forefoot affected the appearance of clinodactyly of the fourth and fifth toes. The anthropometric differences between the feet of boys and girls were verified. CONCLUSIONS: The presence of clinodactyly of the fourth and fifth toes in newborns is a frequent clinical finding and should, therefore, be considered in the podopediatric examination. In the neonatal population studied, the pathologic disorders explored did not depend on sex. The prevalence of fourth and fifth toe clinodactyly was significantly influenced by breech or transverse presentation and by forefoot width, but not by the mother's race/ethnicity.
Subject(s)
Toes , Anthropometry , Cross-Sectional Studies , Female , Humans , Infant, Newborn , Male , Prevalence , Spain/epidemiologyABSTRACT
OBJECTIVE: In diabetics, foot deformities are risk factors that increase the risk of amputation as a result of developing ulcers. However, knowledge of the influence of plantar stiffness is still limited. The main objective was to describe connections between the degree of stiffness of the ankle, atypical amputation, and the Foot Posture Index (FPI). METHODS: 62 diabetic patients, 58 with type 2 and 4 with type 1 (average age 63.35 years) were included. Records of foot deformities were included; A range of motion test of the ankle joint was used to determine the degree of stiffness. An exploratory analysis of the association of foot position and the degree of rigidity was performed. RESULTS: The dorsal flexion range of the ankle was 9.6 ± 5.1 0, 13.8 ± 5.9 0 and 17.2 ± 6.5 0 and 20.5 ± 6.8 0 to 45, 67, 89 and 111 N respectively in the amputated feet., And 14 patients (22.58%) had a high level of pronation of IPF with an average value of 3.7 ± 2.629, CI (3.032.-4.367) in amputated feet compared to non-amputees. We use the device "Iowa ankle range of motion" (IAROM) to determine the differences in ankle stiffness. Proper IPF was associated with the presence of amputation and an increase in stiffness. CONCLUSIONS: There was an increase in the degree of limitation of movement of the ankle, as a greater force was applied. Comparing FPI between the groups, there was a higher frequency of prone feet in the group of amputees.
Subject(s)
Amputation, Surgical , Ankle Joint/physiopathology , Diabetes Mellitus, Type 1/physiopathology , Diabetes Mellitus, Type 2/physiopathology , Range of Motion, Articular/physiology , Aged , Anthropometry , Cross-Sectional Studies , Female , Foot/physiopathology , Humans , Male , Middle Aged , Posture/physiology , Reference Values , Statistics, NonparametricABSTRACT
SUMMARY In diabetics, foot deformities are risk factors that increase the risk of amputation as a result of developing ulcers. However, knowledge of the influence of plantar stiffness is still limited. The main objective was to describe connections between the degree of stiffness of the ankle, atypical amputation, and the Foot Posture Index (FPI). METHODS 62 diabetic patients, 58 with type 2 and 4 with type 1 (average age 63.35 years) were included. Records of foot deformities were included; A range of motion test of the ankle joint was used to determine the degree of stiffness. An exploratory analysis of the association of foot position and the degree of rigidity was performed. RESULTS The dorsal flexion range of the ankle was 9.6 ± 5.1 0, 13.8 ± 5.9 0 and 17.2 ± 6.5 0 and 20.5 ± 6.8 0 to 45, 67, 89 and 111 N respectively in the amputated feet., And 14 patients (22.58%) had a high level of pronation of IPF with an average value of 3.7 ± 2.629, CI (3.032.-4.367) in amputated feet compared to non-amputees. We use the device "Iowa ankle range of motion" (IAROM) to determine the differences in ankle stiffness. Proper IPF was associated with the presence of amputation and an increase in stiffness CONCLUSIONS There was an increase in the degree of limitation of movement of the ankle, as a greater force was applied. Comparing FPI between the groups, there was a higher frequency of prone feet in the group of amputees
RESUMO Nos diabéticos, as enfermidades nos pés são fatores de risco, que aumentam o risco de sofrerem uma amputação, como resultado do desenvolvimento de úlceras. Contudo, o conhecimento sobre a influência da rigidez plantar ainda é limitado. O objetivo principal foi descrever conexões entre o grau de rigidez do tornozelo, a amputação atípica e o Foot Posture Index (FPI). MÉTODOS 62 diabéticos, 58 com tipo 2; e 4 com tipo 1 (idade média de 63.35 anos). Incluindo o registro de deformidades do pé; teste de classificação do movimento da articulação do tornozelo, para determinar o grau de rigidez. Realizou-se uma análise exploratória da associação da posição do pé com o grau de rigidez. RESULTADO A classificação de flexão dorsal do tornozelo foi de 9.6 ± 5.1 0, 13.8 ± 5.9 0 e de 17.2 ± 6.5 0 e 20.5 ± 6.8 0 a 45, 67, 89 e 111 N respectivamente nos pés amputados, e 14 pacientes (22.58%) teve alto nível de pronação de FPI com um valor médio de 3.7 ±2.629, IC(3.032.-4.367) em pés amputados com relação aos não amputados. Utilizamos o dispositivo "Iowa ankle range of motion" (IAROM) para determinar as diferenças de rigidez do tornozelo. O FPI pronado foi associado à presença de amputação e um aumento da rigidez. CONCLUSÕES Aumento do grau de limitação do movimento do tornozelo; à medida que se aplicava uma força maior. Comparando FPI entre os grupos existentes maior frequência de pés pronados no grupo de amputados.
Subject(s)
Humans , Male , Female , Aged , Range of Motion, Articular/physiology , Diabetes Mellitus, Type 1/physiopathology , Diabetes Mellitus, Type 2/physiopathology , Amputation, Surgical , Ankle Joint/physiopathology , Posture/physiology , Reference Values , Anthropometry , Cross-Sectional Studies , Statistics, Nonparametric , Foot/physiopathology , Middle AgedSubject(s)
Skin/pathology , Vasoconstrictor Agents/adverse effects , Aged , Fingers , Humans , Male , Necrosis/chemically induced , ToesABSTRACT
Nowadays, despite improvements in safety rules and inspections in the metal industry, foundry workers are not free from burn accidents. Injuries caused by molten metals include burns secondary to molten iron, aluminium, zinc, copper, brass, bronze, manganese, lead and steel. Molten aluminium is one of the most common causative agents of burns (60%); however, only a few publications exist concerning injuries from molten aluminium. The main mechanisms of lesion from molten aluminium include direct contact of the molten metal with the skin or through safety apparel, or when the metal splash burns through the pants and rolls downward along the leg. Herein, we report three cases of deep dermal burns after 'soaking' the foot in liquid aluminium and its evolutive features. This paper aims to show our experience in the management of burns due to molten aluminium. We describe the current management principles and the key features of injury prevention.
Subject(s)
Aluminum , Burns/pathology , Foot Injuries/pathology , Metallurgy , Occupational Injuries/pathology , Shoes , Adult , Burns/prevention & control , Foot Injuries/prevention & control , Humans , Male , Occupational Injuries/prevention & control , Young AdultABSTRACT
No disponible
Subject(s)
Humans , Wounds and Injuries/therapy , Negative-Pressure Wound Therapy/methods , Wound Closure Techniques , Wound Healing/physiology , Wound Infection/prevention & controlABSTRACT
La presencia de nevus melanocíticos en pie resulta muy frecuente en la población caucásica, así como en la región subungueal en personas de raza negra. Por ello resulta importante para los profesionales involucrados saber diferenciar la benignidad o malignidad de la lesión, así como establecer las indicaciones quirúrgicas (AU)
The presence of melanocytic nevi in the foot is very common in the caucasian population and in subungual region in blacks. It is therefore important for the professionals involved to differentiate between benign or malignant lesion, and to therefore take proper surgical action (AU)
Subject(s)
Humans , Male , Female , Nevus/complications , Nevus/diagnosis , Nevus/surgery , Basal Cell Nevus Syndrome/diagnosis , Melanocytes/pathology , Nevus/physiopathology , Primary Health Care/methods , Primary Health CareABSTRACT
La infección por el virus de la inmunodeficiencia humana (VIH) ha aumentado la incidencia de pacientes con sarcoma dc Kaposi, de forma que la presencia del Kaposi junto con la demostración de la infección se considera criterio de SIDA. Previamente a la aparición del SIDA existía el sarcoma de Kaposi, afectando otras localizaciones diferentes y en un grupo poblacional diferente. Se presentan dos casos de pacientes no VIII con lesiones cutáneas de Sarcoma de Kaposi en su Variante clásica, con lesiones que afectan a los pies (AU)
Human immunodcficiencyvirus (HIV) infection has increased the incidence of patients with Kaposis sarcoma so patients with this disease associated to infection is considered AIDS. Previous to the discovery of this syndrome, Kaposis appears in patients on different locations and different population group. We present two cases of Kaposis syndrome in not HIV patients with lesions located in both feet (AU)
Subject(s)
Humans , Male , Aged , Sarcoma, Kaposi/metabolism , Sarcoma, Kaposi/pathology , Toes/abnormalities , HIV/metabolism , Arthritis, Rheumatoid/metabolism , Laser Therapy/methods , Sarcoma, Kaposi/complications , Sarcoma, Kaposi/diagnosis , Toes/pathology , HIV/genetics , Arthritis, Rheumatoid/pathology , Laser Therapy/instrumentationABSTRACT
Onychocryptosis is a pathologic condition of the nail apparatus in which the toenail damages the nail fold. It is a common condition provoking pain, inflammation, and functional limitation. It principally occurs in the hallux. Onychocryptosis is one of the most frequent complaints regarding the foot and accounts for many clinical consultations. The disorder has been classified in terms of the stages of the pathologic condition. In our practice, we discovered a clinical entity that was not previously classified in the literature. We classify onychocryptosis into stages I, IIa, IIb, III, and the new stage IV. A treatment plan is offered for each stage of this classification, with both general and specific indications given. In onychocryptosis treatment, it is important to select the surgical technique best suited to the patient's particular clinical situation.
Subject(s)
Nails, Ingrown/classification , Nails, Ingrown/therapy , Nails/pathology , Algorithms , Humans , Nails/surgery , Phenol/therapeutic useABSTRACT
Se presenta el caso de una paciente de 46 años deedad, que acude a consulta por presentar tumefaccióndolorosa en la zona interna del quinto dedo,cuarto espacio interdigital. La paciente refiere que hasido intervenida hace 3 meses de exostosis interdigital.La exploración revela crecimiento quístico, que requierede intervención quirúrgica para su extirpación.Se sospecha que pueda ser un quiste secundarioa la inclusión de material óseo que no fue correctamenteeliminado de la zona. El estudio anatomo-patológicorevela que es un quiste de inclusión epidérmico,resultado de la invasión de material epidérmicodentro de la dermis(AU)
The case of a 46 year-old patient is presented. Shepresents an interdigital swelling, in the medial sideof fifth toe. The exploration reveals cystic growththat requires a surgical intervention for itsextirpation. It is suspected that it can be a secondarycyst to the inclusion of bony material that was notcorrectly eliminated of the area. The anatomicpathologicalstudy reveals that it is an inclusionepidermic cyst, results of the invasion of epidermiccells inside the dermis(AU)
Subject(s)
Humans , Female , Middle Aged , Toes/injuries , Exostoses/surgery , Epidermal Cyst/etiology , Postoperative ComplicationsABSTRACT
El fileteado consiste en la utilización de las partesblandas de un dedo avocado a la amputación, paraobtener un beneficio. Tras la retirada de las partesóseas, articulares y tendinosas, las porciones cutáneasy su vascularización se preservan para realizarfunciones de cobertura de defectos próximos. Presentamosdos casos clínicos en los que este recursoquirúrgico se ha empleado para el rescate de undedo con importantes lesiones isquémicas y paracobertura de una úlcera plantar(AU)
Fillet flaps are tissues of amputated fingers used toget an advantage. After removing the bone, jointsand tendons, the rest of the tissues with its vascularaxis are used to cover some other defects. Twoclinical cases, where this technique is used for rescueof an ischemic finger and for plantar coverage, arepresented(AU)
Subject(s)
Humans , Male , Adult , Middle Aged , Amputation, Surgical/methods , Surgical Flaps , Toes/surgery , Ischemia/surgeryABSTRACT
The recuperation of severely damaged limbs is a more frequent everyday occurrence. The process to reattach a limb is a team project, one in which each second is crucial for success. A professional nursing attitude can play an important role in order to obtain a brilliant result when dealing with patients having this need.
Subject(s)
Amputation, Traumatic/surgery , Replantation/methods , Humans , Postoperative CareABSTRACT
Las ictiosis son un grupo de enfermedades con una elevada prevalencia en nuestro medio. Se caracterizan por la aparición de "escamas" en la piel. Dada su alta frecuencia de presentación, no es inhabitual que podamos atender a estos pacientes en nuestras consultas. Este artículo pretende profundizar en el conocimiento de este grupo de enfermedades y descubrirnos aspectos de las mismas que puedan ser de utilidad para el tratamiento de nuestros pacientes (AU)
Subject(s)
Male , Humans , Ichthyosis/diagnosis , Ichthyosis/classification , Genetic Diseases, Inborn/diagnosisABSTRACT
La recuperación de miembros gravemente dañados es un hecho cada día más frecuente. El proceso de reimplante es una labor de equipo, en la que cada segundo cuenta. La actitud del profesional de enfermería puede jugar un importante rol en la obtención de un resultado brillante para este tipo de pacientes (AU)
