Journal of Foot and Ankle Research
Schoolboy with 31 fingers and toes has surgery to remove his extra digits
From the UK Daily Mail:
Schoolboy with 31 fingers and toes has surgery to remove extra digits
A six-year-old boy with 15 fingers and 16 toes has undergone surgery to remove his extra digits.
The unnamed Chinese child had four fingers on one hand and three on the other fused together.
He now has ten fingers and ten toes following a six-and-a-half hour operation at a hospital in Shenyang, Liaoning, to remove the surplus 11 digits (more...)
Posted by Hylton Menz at 23:28 Comments (0)
JFAR now has a YouTube channel
The editors of JFAR recently created a YouTube channel which contains a collection of movie files from papers published in the journal, along with other relevant material. To subscribe to the channel, follow the links here.
Posted by Hylton Menz at 23:07 Comments (0)
Charcot osteoarthropathy: fulltext paper from Australian Family Physician
Vol 39, (3) 117-119
Charcot osteoarthropathy of the foot
Byron M Perrin BPod, MHlthSc, is lecturer, Department of Podiatry and Musculoskeletal Research Centre, La Trobe University, Victoria.
Marcus J Gardner BAppSc(Pod), is chief podiatrist, Bendigo Health, Victoria
Anwar Suhaimi MBBS, is a rehabilitation registrar, Bendigo Health, Victoria
David Murphy MBBS, FAFRM, is Clinical Director Rehabilitation, Bendigo Health, Victoria.
BACKGROUND One of the most devastating complications of diabetes is Charcot osteoarthropathy. It can lead to gross structural deformities of the foot and ankle, and subsequent skin ulceration and lower limb amputation from soft tissue or bony infection. However, it is often unrecognised, with deleterious consequences.
OBJECTIVE This article describes the case of a man with type 1 diabetes who presented with Charcot osteoarthropathy of both feet, with a 3 month delay in diagnosis between the two presentations.
DISCUSSION Treatment, patient comorbidities and risk management were similar for both feet, with a marked difference in outcome, demonstrating the importance of the timely diagnosis of Charcot osteoarthropathy.
Posted by Hylton Menz at 03:53 Comments (0)
Asymptomatic Achilles tendon pathology is associated with fat distribution
BMC Musculoskeletal Disorders 2010, 11:41doi:10.1186/1471-2474-11-41
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Published: |
2 March 2010 |
Abstract (provisional)
Background
Adiposity is a modifiable factor that has been implicated in tendinopathy. As tendon pain reduces physical activity levels and can lead to weight gain, associations between tendon pathology and adiposity must be studied in individuals without tendon pain. Therefore, the purpose of this study was to determine whether fat distribution was associated with asymptomatic Achilles tendon pathology.
Methods
The Achilles tendons of 298 individuals were categorised as normal or pathological using diagnostic ultrasound. Fat distribution was determined using anthropometry (waist circumference, waist hip ratio [WHR]) and dual-energy x-ray absorptiometry.
Results
Asymptomatic Achilles tendon pathology was more evident in men (13%) than women (5%) (p=0.007). Men with tendon pathology were older (50.9+/-10.4, 36.3+/-11.3, p<0.001), had greater WHR (0.926+/-0.091, 0.875+/-0.065, p=0.039), higher android/gynoid fat mass ratio (0.616+/-0.186, 0.519+/-0.142, p=0.014) and higher upper-body/lower body fat mass ratio (2.346+/-0.630, 2.022+/-0.467, p=0.013). Men older than 40 years with a waist circumference >83cm had the greatest prevalence of tendon pathology (33%, p<0.001). Women with tendon pathology were older (47.4+/-10.0, 36.0+/-10.3, p=0.008), had less total fat (17196+/-3173g, 21626+/-7882g, p=0.009), trunk fat (7367+/-1662g, 10087+/-4152g, p=0.003) and android fat (1117+/-324g, 1616+/-811g, p=0.005). They had lower central/peripheral fat mass ratios (0.711+/-0.321g, 0.922+/-0.194g, p=0.004) than women with normal tendons. Women with tendon pathology were more often menopausal (63%, 13%, p=0.002).
Conclusions
Men with Achilles tendon pathology were older and had a central fat distribution. Women with tendon pathology were older and had a peripheral fat distribution. An interaction between age and waist circumference was observed among men.
Posted by Hylton Menz at 02:40 Comments (0)