Journal of the American Podiatric Medical Association

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Open AccessCase Report

Wolf-Hirschhorn Syndrome. Review of the Literature and Three Case Studies

by Peter Thomson

J. Am. Podiatr. Med. Assoc. 1998, 88(4), 192-197; https://doi.org/10.7547/87507315-88-4-192 - 1 Apr 1998

Cited by 12 | Viewed by 96

Wolf-Hirschhorn syndrome is a rare chromosomal abnormality caused by loss of material from the distal aspect of the short arm of chromosome 4. Characteristics include marked prenatal and postnatal growth retardation with psychomotor delay, profound mental deficiency, distinctive facies, and midline defects. Features that may affect the lower limb include lordosis, scoliosis, hypotonia, talipes equinovarus, and lesser-toe anomalies. This article reviews the literature on this rare syndrome and presents three case studies. Full article

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Open AccessCase Report

Pediatric peroneal spastic flatfoot in the absence of coalition. A suggested protocol

by Laurence J. Lowy

J. Am. Podiatr. Med. Assoc. 1998, 88(4), 181-191; https://doi.org/10.7547/87507315-88-4-181 - 1 Apr 1998

Cited by 19 | Viewed by 57

Abstract

While most pediatric patients with peroneal spastic flatfoot demonstrate tarsal coalitions, not all do. The absence of coalition may present a diagnostic challenge and make appropriate treatment difficult. Past and present etiologic theories, diagnostic modalities, and treatments are outlined in this article. The common peroneal nerve block is of great value in the diagnosis and treatment of peroneal spastic flatfoot with or without coalition. With adjunctive treatments, increased motion and decreased symptomatology are often obtained. A protocol, applied to five cases described herein, is suggested. Full article

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Open AccessCase Report

Progressive subtalar joint dislocation and limb-length inequality. An unusual case

by Barbara Resseque and Russell G. Volpe

J. Am. Podiatr. Med. Assoc. 1998, 88(4), 176-180; https://doi.org/10.7547/87507315-88-4-176 - 1 Apr 1998

Cited by 2 | Viewed by 61

Abstract

Subtalar joint dislocation is a rare entity, accounting for only 1% of all traumatic dislocations. The authors report a case of an adolescent with gradual lateral subluxation of an anatomically abnormal subtalar joint with no history of trauma, an extremely rare presentation. The patient also had a congenitally short limb. The patient underwent Ilizarov leg lengthening along with multiple surgeries of the subtalar joint. The choice of the Ilizarov technique to lengthen the leg and realign the subtalar joint in this case is discussed. Full article

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Open AccessArticle

The F-Scan System with EDG Module for Gait Analysis in the Pediatric Patient

by Joseph D'Amico

J. Am. Podiatr. Med. Assoc. 1998, 88(4), 166-175; https://doi.org/10.7547/87507315-88-4-166 - 1 Apr 1998

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Abstract

The Electrodynogram® (EDG) system of foot-fall measurement has been in clinical use for more than 15 years. Recently the EDG was acquired by Tekscan, which manufactures the F-Scan® system of footpressure analysis. The new F-Scan system with EDG module retains all of the benefits of the F-Scan system while incorporating the valuable temporal and pressure data comparisons offered by the EDG. This merging of technologies has resulted in a system that is more suitable for application in the pediatric patient than either system alone. Full article

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Open AccessArticle

Measurement of Tibial Torsion

by Linda M. G. Lang and Russel G. Volpe

J. Am. Podiatr. Med. Assoc. 1998, 88(4), 160-165; https://doi.org/10.7547/87507315-88-4-160 - 1 Apr 1998

Cited by 30 | Viewed by 61

Abstract

The anatomic accuracy of noninvasive in vivo measurement of tibial torsion was investigated through a comparison of goniometer measurements with those made on computed tomographic images. Seven normal subjects (2 women and 5 men; 14 legs) who ranged in age from 26 to 73 years were studied. The findings indicated that there was good agreement between measurements made by the two methods on the same limb. However, structural inconsistencies were found that cast doubt on the validity of certain anatomic reference points traditionally used in vivo studies of tibial torsion. In particular, use of the tibial tuberosity as a proximal reference may not give a true measurement of tibial or tibiofibular torsion. Full article

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J. Am. Podiatr. Med. Assoc., Volume 88, Issue 4 (04 1998) – 5 articles , Pages 160-197

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