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2nd Edition of Treatment of Foot and Ankle Injury and Public Health

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A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601).

Deadline for manuscript submissions: closed (31 October 2023) | Viewed by 13215

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Dr. Jaeho Cho

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Guest Editor

Department of Orthopaedic Surgery, Chuncheon Sacred Heart Hospital, Hallym University, Chuncheon 24253, Republic of Korea
Interests: diabetic foot ulcer; incidence; prevalence; cost; national health insurance service data; ankle; syndesmosis injury; ligament; diagnosis
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Special Issue Information

Dear Colleagues,

Despite existing foot and ankle problems, this anatomical region has not received special attention in the past. Only during the last century have medicine and surgery begun to focus on foot and ankle problems. Currently, knowledge in this field is still rapidly expanding, based on anatomy-based research, mediation and interdisciplinary research in diabetic feet, and clinical research related to foot and ankle pathologies, as well as trauma. In addition, research about public health (e.g., the epidemiology of diseases and injuries) in this field is expanding. This means that multidisciplinary approaches to foot and ankle problems are still being improved by developing entirely new treatments as well as optimizing existing treatments. Interestingly, this progress can be seen in both conservative and surgical treatments and public health aspects such as prevention. We are pleased to announce the launch of the section edition of this Special Issue entitled “Treatment of Foot and Ankle Injury and Public Health”. This second release will still focus on all emerging research papers related to foot and ankle disorders or injuries based on anatomy, clinical studies, and epidemiological and preventive medicine related to public health. We look forward to inviting authors to submit reviews or original research articles that fit this scope.

Dr. Jaeho Cho
Guest Editor

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Keywords

Foot and ankle injury
Conservative treatment
Surgical treatment
Novel ideas and techniques
Fracture in foot and ankle
Diabetic foot
Foot pathologies
Anatomy
Epidemiology
Prevention

Published Papers (6 papers)

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Research

8 pages, 349 KiB

Open AccessArticle

Study of Windlass Mechanism in the Lower Limb Using Inertial Sensors

by María José Manfredi-Márquez, Sandra Priscila Tavara-Vidalón, Natalia Tavaruela-Carrión, María Ángeles Gómez Benítez, Lourdes María Fernandez-Seguín and Javier Ramos-Ortega

Int. J. Environ. Res. Public Health 2023, 20(4), 3220; https://doi.org/10.3390/ijerph20043220 - 12 Feb 2023

Viewed by 928

Abstract

Aims: This study aimed to quantify the degrees of movement that occur in the lower limb using a kinematic system after taking two measurements of 45° and 60° of extension at the first metatarsophalangeal joint (1st MTPJ) and to test the validity of this sensor system using radiography. Methodology: This was a quasi-experimental test-post-test study with a single intervention group (25 subjects). Four inertial sensors were placed on the proximal phalange of the first toe, dorsum of the foot, medial-lateral of the leg (level of tibia), and medial-lateral of the thigh (level of femur). The extension of the 1st MTPJ produced movements of supination in the foot and rotation at the level of leg and thigh. We studied this mechanism in three situations (relaxed, 45°, and 60°) both with the sensors and with X-rays. Results: With the kinematic system, there was an increase in the range of movement in each of the variables, with a value of p < 0.05. The relationship between the kinematic system and the radiography was tested using Spearman’s rho test, obtaining a correlation coefficient of 0.624 and a value of p < 0.05, and the Bland–Altman graph, with 90% of the cases within the tolerance limits. Conclusions: The extension of the 1st MTPJ generated kinematic changes associated with supination movement in the midfoot and external rotation on the tibia and femur level. Both measurement techniques were very similar in the way that they quantified the degrees of extension of the 1st MTPJ. If we extrapolate this result to the measurement technique used by the inertial sensors, we could affirm that the values recorded in the supination and external rotation movements were reliable. Full article

(This article belongs to the Special Issue 2nd Edition of Treatment of Foot and Ankle Injury and Public Health)

12 pages, 5803 KiB

Open AccessArticle

Relationship between Joint and Ligament Structures of the Subtalar Joint and Degeneration of the Subtalar Articular Facet

by Ryoya Togashi, Mutsuaki Edama, Mayuu Shagawa, Haruki Osanami, Hirotake Yokota, Ryo Hirabayashi, Chie Sekine, Tomonobu Ishigaki, Hiroshi Akuzawa, Yuki Yamada, Taku Toriumi and Ikuo Kageyama

Int. J. Environ. Res. Public Health 2023, 20(4), 3075; https://doi.org/10.3390/ijerph20043075 - 09 Feb 2023

Cited by 2 | Viewed by 2054

Abstract

This study aimed to clarify the relationship between the joint and ligament structures of the subtalar joint and degeneration of the subtalar articular facet. We examined 50 feet from 25 Japanese cadavers. The number of articular facets, joint congruence, and intersecting angles were measured for the joint structure of the subtalar joint, and the footprint areas of the ligament attachments of the cervical ligament, interosseous talocalcaneal ligament (ITCL), and anterior capsular ligament were measured for the ligament structure. Additionally, subtalar joint facets were classified into Degeneration (+) and (−) groups according to degeneration of the talus and calcaneus. No significant relationship was identified between the joint structure of the subtalar joint and degeneration of the subtalar articular facet. In contrast, footprint area of the ITCL was significantly higher in the Degeneration (+) group than in the Degeneration (−) group for the subtalar joint facet. These results suggest that the joint structure of the subtalar joint may not affect degeneration of the subtalar articular facet. Degeneration of the subtalar articular facet may be related to the size of the ITCL. Full article

(This article belongs to the Special Issue 2nd Edition of Treatment of Foot and Ankle Injury and Public Health)

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9 pages, 1072 KiB

Open AccessArticle

Relationship between Changes in Foot Arch and Sex Differences during the Menstrual Cycle

by Mutsuaki Edama, Tae Ohya, Sae Maruyama, Mayuu Shagawa, Chie Sekine, Ryo Hirabayashi, Hirotake Yokota, Tomonobu Ishigaki, Hiroshi Akuzawa, Ryoya Togashi, Yuki Yamada and Tomoya Takabayashi

Int. J. Environ. Res. Public Health 2023, 20(1), 509; https://doi.org/10.3390/ijerph20010509 - 28 Dec 2022

Cited by 2 | Viewed by 1773

Abstract

This study investigated the relationship between changes in foot characteristics and sex differences during the menstrual cycle in healthy male and female university students. We examined 10 female subjects and 14 male subjects. The menstrual cycle was divided into the three phases: the early follicular phase, ovulatory phase, and luteal phase via basal body temperature, an ovulation kit, and salivary estradiol and progesterone concentration measurements. Foot characteristics required for the calculation of the arch height index (AHI) were measured using a three-dimensional foot scanner under conditions of 10% and 50% weight-bearing loads. Arch height at 50% of foot length and truncated foot length were measured, and AHI was calculated by dividing arch height by truncated foot length. Arch height flexibility (AHF) was defined as the change in arch height from 10% weight-bearing load to 50% weight-bearing load. AHI was significantly lower in females than in males in the early follicular and ovulatory phases but did not differ significantly between males and females in each phase. AHF did not differ significantly between males and females in each phase. AHI and AHF showed no periodic fluctuation, suggesting that sex differences in AHF may be absent. Full article

(This article belongs to the Special Issue 2nd Edition of Treatment of Foot and Ankle Injury and Public Health)

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9 pages, 848 KiB

Open AccessArticle

The Short-Term Effect of Dynamic Tape versus the Low-Dye Taping Technique in Plantar Fasciitis: A Randomized Clinical Trial

by Aurora Castro-Méndez, Inmaculada C. Palomo-Toucedo, Manuel Pabón-Carrasco, Mercedes Ortiz-Romero and Lourdes Mª Fernández-Seguín

Int. J. Environ. Res. Public Health 2022, 19(24), 16536; https://doi.org/10.3390/ijerph192416536 - 09 Dec 2022

Cited by 2 | Viewed by 5332

Abstract

Background: Plantar fasciitis is a painful disorder that affects the plantar fascia of the foot, with a multifactorial aetiology. Dorsal flexion deficiency in the ankle is a risk factor for it. The provisional use of taping is described as part of conservative treatment. Dynamic Tape^® is a type of tape that, adhered to muscles, allows for potential elastic energy to accumulate and dissipate later, optimizing its function. Therefore, it can offer immediate benefits while the patient awaits definitive treatment depending on the cause. Objective: To verify the effectiveness of Dynamic Tape^® and the low-dye taping technique on pain intensity, ankle range of motion, and foot posture index. Method: A randomised, double-blind clinical trial was conducted. A total of 57 subjects from the Clinical Podiatry Area of the University of Seville (Spain), clinically diagnosed with plantar fasciitis, were randomized into two groups. For one week, in the gastrocnemius–Achilles–plantar system, one group was treated with Dynamic Tape^® and another group with low-dye taping. Pain, degrees of movement of dorsal flexion, and the foot posture index were measured in both groups before the intervention and one week after the intervention. A repeated-measures analysis of variance (ANOVA) was used to explore the differences between groups. Results: Significant differences in the decrease in pain intensity using Dynamic Tape^® were found when comparing the treatments (p = 0.015) and the foot posture index was more normal in low-dye taping (p < 0.001). In both cases, the treatment showed similar behaviour with respect to the dorsal flexion ankle movement. Conclusion: The effectiveness of Dynamic Tape^®, compared to that of the low-dye taping, has a major benefit with regard to pain intensity from fasciitis, although it does not produce changes in the ankle range of motion and foot posture index. Consequently, Dynamic Tape^® can be considered a taping technique with beneficial effects on pain intensity in the provisional approach to plantar fasciitis. Full article

(This article belongs to the Special Issue 2nd Edition of Treatment of Foot and Ankle Injury and Public Health)

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9 pages, 4219 KiB

Open AccessArticle

Anatomical Study of Sites and Surface Area of the Attachment Region of Tibial Posterior Tendon Attachment

by Inori Uchiyama, Mutsuaki Edama, Hirotake Yokota, Ryo Hirabayashi, Chie Sekine, Sae Maruyama, Mayuu Shagawa, Ryoya Togashi, Yuki Yamada and Ikuo Kageyama

Int. J. Environ. Res. Public Health 2022, 19(24), 16510; https://doi.org/10.3390/ijerph192416510 - 08 Dec 2022

Cited by 1 | Viewed by 1439

Abstract

Background: The purpose of this study was not only to examine the attachment site but also to quantify the effect of the tibialis posterior tendon (TPT) on each attachment site by examining the surface area of the attachment region. Methods: We examined 100 feet from 50 Japanese cadavers. The TPT attachment to the navicular bone (NB), medial cuneiform bone (MCB), and lateral cuneiform bone (LCB) were set as the main attachment sites (Type I). The attachment seen in Type I with the addition of one additional site of attachment was defined as Type II. Furthermore, surface area was measured using a three-dimensional scanner. Results: Attachment to the NB, MCB, and LCB was present in all specimens. The TPT attachment to the NB, MCB, and LCB comprised 75.1% of total attachment surface area. The ratio of the NB, MCB, and LCB in each type was about 90% in Types II and III, and 70–80% in Types IV–VII. Conclusion: The quantitative results demonstrated the NB, MCB, and LCB to be the main sites of TPT attachment, although individual differences in attachment sites exist, further developing the findings of previous studies. Full article

(This article belongs to the Special Issue 2nd Edition of Treatment of Foot and Ankle Injury and Public Health)

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11 pages, 1156 KiB

Open AccessArticle

Estimating Adult Stature Using Metatarsal Length in the Korean Population: A Cadaveric Study

by Jeong-Hyun Park, Mijeong Lee, Digud Kim, Hyung-Wook Kwon, Yu-Jin Choi, Kwang-Rak Park, Suyeon Park, Sa-Beom Park and Jaeho Cho

Int. J. Environ. Res. Public Health 2022, 19(22), 15124; https://doi.org/10.3390/ijerph192215124 - 16 Nov 2022

Cited by 1 | Viewed by 1184

Abstract

This study aims to propose a regression equation for estimating stature in the Korean population using metatarsal bones from cadavers and to validate the appropriateness of the Korean-specific equation by comparing it to equations from other populations. A total of 81 adult formalin-fixed cadavers (51 males and 30 females) were evaluated. The first and second metatarsal bones’ physiological and maximal lengths were measured, and the cadaveric stature of the subjects was determined as the distance from the vertex to the plantar face of the heel. In all measurements, the correlation coefficient between real stature and metatarsal length was statistically significant (p < 0.001). Additionally, both sexes showed a correlation between stature and metatarsal bone length. For unknown sex, M1 (first metatarsal maximal length) showed the strongest association between stature and metatarsal length. The following is the appropriate regression equation: 1172.4913 + 7.3275M1 (R = 0.703). The current equation demonstrated a statistically significant appropriateness for the Korean population when compared to equations for other populations (p < 0.001). In conclusion, we proposed a Korean-specific regression equation for estimating stature using metatarsal length, and this formula may be more appropriate and useful in forensic science for the Korean population. Full article

(This article belongs to the Special Issue 2nd Edition of Treatment of Foot and Ankle Injury and Public Health)

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2nd Edition of Treatment of Foot and Ankle Injury and Public Health

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