RESUMO
BACKGROUND: To investigate the prevalence of posterior tibial tendon dysfunction (PTTD) in women over the age of 40. METHODS: A validated survey was posted to a random sample of 1000 women (over 40 years) from a GP group practice in Hertfordshire, England. Survey positive women were telephoned and when indicated, a detailed examination was performed. RESULTS: There were 582 usable responses. The majority indicated they had minor forefoot or no problems. Telephone contact was made with 116 women and of those 79 required examination. The diagnosis of symptomatic flatfeet was made in 9 patients, 7 patients had stage I PTTD, 12 patients had stage II PTTD and 9 patients had an adult acquired flatfoot deformity. CONCLUSIONS: This is the first report of the prevalence of stage I and II PTTD in women (over 40 years). The prevalence is 3.3% and all patients were undiagnosed despite characteristic and prolonged symptoms.
Assuntos
Disfunção do Tendão Tibial Posterior/epidemiologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Inglaterra/epidemiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Disfunção do Tendão Tibial Posterior/diagnóstico , Prevalência , Inquéritos e QuestionáriosRESUMO
A patient presented with a painful flatfoot deformity, which developed after the onset of a drop-foot secondary to a herniated lumbar disk. On examination, the only functioning muscles were her gastrocnemius-soleus complex and her intrinsic toe flexors. Her affected foot had taken the classic deformity seen with tibialis posterior dysfunction--a valgus heel, midfoot collapse and an abducted forefoot. Peroneus brevis was not functioning and therefore could not be implicated as part of the etiology of this patient's acquired flatfoot deformity. The mechanism in which the ground reaction force produces the foot deformity in a tibialis posterior insufficient foot will be presented.
Assuntos
Deformidades Adquiridas do Pé/reabilitação , Transtornos Neurológicos da Marcha/reabilitação , Laminectomia/efeitos adversos , Músculo Esquelético/fisiopatologia , Eletromiografia , Feminino , Seguimentos , Deformidades Adquiridas do Pé/etiologia , Marcha/fisiologia , Transtornos Neurológicos da Marcha/diagnóstico , Humanos , Deslocamento do Disco Intervertebral/cirurgia , Laminectomia/métodos , Pessoa de Meia-Idade , Aparelhos Ortopédicos , Recuperação de Função Fisiológica , Resultado do TratamentoRESUMO
Avulsion of the extensor carpi radialis brevis at wrist level is rare. We present a case of an avulsion fracture involving the extensor carpi radialis brevis insertion at the base of the middle finger metacarpal.
