RESUMOEstimulados pelo crescente interesse, pelos fatores intrínsecos na gênese da deformidade do hálux valgo, os autores estudaram os ângulos articulares distal do primeiro metatársico (AADM), articular proximal (AAPFP) e articular distal da falange proximal do hálux (AADFP). Para isso, avaliaram as radiografias na incidência AP em ortostase de 70 indivíduos brasileiros adultos e normais (140 pés), com idades variando de 18 a 55 anos (média 29 anos), distribuídos entre 40 indivíduos do sexo feminino (57,1%) e 30 do masculino (42,9%). A análise estatística a que se submeteram os dados indicaram como limites superiores da normalidade para a população estudada os valores de 8 graus para o AADN, 8 graus para o AAPFP e 10 graus para o AADFP. INTRODUÇÃOO sucesso cirúrgico da correção do hálux valgo depende de uma série de fatores que, quando avaliados em conjunto, permite ao ortopedista determinar qual o método ideal para o caso em questão. Não deve existir um tratamento padrão para a patologia, mas sim, através do somatório de valores clínicos e radiográficos corretamente analisados, a inclusão do paciente em algoritmo que seleciona a melhor indicação. Work carried outSexo masculino AADM -Comparação DxE-p = 0,105 AAPFP -Comparação DxE-p = 0,269 AADFP -Comparação DxE-p = 0,384 Sexo femininoAADM -Comparação DxE-p = 0,374 AAPFP -Comparação DxE-p = 0,268 AADFP -Comparação DxE-p = 0,513 AADM Masculino x feminino -D -p = 0,388 Masculino x feminino -E -p = 0,079 AAPFP Masculino x feminino -D -p = 0,452 Masculino x feminino -E -p = 0,391 AADFP Masculino x feminino -D -p = 0,146 Masculino x feminino -E -p-= 0,238 Agrupando M+F, D+E AADM -média 4,9 (DP=3,1) graus AAPFP -média 5,3 (DP=2,7) graus AADFP -média 6,2 (DP=3,8) graus Table 3 -Statistical analysisMales AADM -Comparasion DxE-p = 0,105 AAPFP -Comparasion DxE-p = 0,269 AADFP -Comparasion DxE-p = 0,384Females AADM -Comparasion DxE-p = 0,374 AAPFP -Comparasion DxE-p = 0,268 AADFP -Comparasion DxE-p = 0,513 DMAA Male x female -D -p = 0,388 Male x female -E -p = 0,079 PFPAA Male x female -D -p = 0,452 Male x female -E -p = 0,391 PFDAA Male x female -D -p = 0,146 Male x female -E -p-= 0,238 Grouping M+F, D+E AADM -average 4,9 (DP=3,1) degrees AAPFP -average 5,3 (DP=2,7) degrees AADFP -average 6,2 (DP=3,8) degrees

No abstract

Objective This paper has the purpose to analyze prospectively the treatment results in patients with chronic plantar fasciitis resistant to conservative treatment who underwent extracorporeal shock wave therapy (ESWT). Methods We evaluated 30 patients (36 feet); 16 (53.3%) patients were male and 14 (47.7%) female with mean age of 48.7 y.o., varying from 33 to 78 y.o.; 16 (53.3%) present the problem on the left side, 14 (46.7%) on the right ones and 6 (20%) bilateral; the symptomatology varied from 6 to 60 months, with the average of 13.58 months. These patients were submitted to a weekly ESWT session for 4 consecutive weeks. We measured the plantar fascia thickness millimeters with ultrasound and we applied American Orthopaedic Foot and Ankle Society (AOFAS) scale for ankle and hindfoot, and Roles & Maudsley scales in pre ESWT, after one, three and six months after and decrease in the plantar fascia thickness by the ultrasound ( p = 0.011) along the different moments studied. Results We observed improvement of the evaluated criteria ( p < 0.001) and plantar fascia thickness by ultrasound ( p = 0.011) at different time points studied. Conclusion The ESWT can be considered an important tool in the primary or adjuvant treatment of the chronic plantar fasciitis when associated with conventional therapies. This methodology is safe, non-invasive and provides precocious rehabilitation and return to regular activities considering the results of the statistical analysis. This resource provides decrease in the thickness of the plantar fascia.

No abstract

Objective: To evaluate the results of arthroscopic treatment of various subtalar joint pathologies. Methods: Retrospective study of patients undergoing arthroscopy of the subtalar joint from 2005 to 2013, totaling 10 cases over a mean follow-up of 27.1 months, in which the American Orthopedic Foot and Ankle Society (AOFAS) scale and pain visual analogue scale (VAS) scores before and after surgery were compared. Results: The preoperative AOFAS scores ranged from 35 to 74, with a mean score of 50.1 points, and the postoperative scores ranged from 82 to 100 points, with a mean score of 90.8 points. When comparing the scores, we observed an average gain of 40.1 points. The mean VAS score for the initial pain assessment was 6.5 points, and the mean postoperative score was 1.4 points. Conclusion: Arthroscopic treatment of the reported subtalar pathologies led to encouraging results, with a significant reduction of pain and improvement of functional status. Level of Evidence IV; Therapeutic Studies; Case Series.