Footprint and Radiographic Analysis of the Feet

Kanatlı, Ulunay; Yetkin, Haluk; Cila, Erdal

doi:10.1097/01241398-200103000-00018

Cited by 115 publications

(96 citation statements)

References 11 publications

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“…However, the vast majority uses it as a method of direct evaluation of this parameter in epidemiological studies, in the assessment of normal feet, determination of normality criteria and even in flat foot classifications. [1][2][3][4][6][7][8]11,12,[14][15][16] We also find in literature studies that employ other conjugate propedeutic methods to interpret the true meaning of plantar contours, ranging from radiographic measures 2,[17][18][19] to computerized scanning. 20 Therefore its use as a method for studying plantar support becomes undeniable.…”

Section: Introductionmentioning

confidence: 98%

“…[4][5][6] When unclear about the true interpretation of these data, we seek studies in literature that address these methods of analyzing plantar support in a scientific manner. [2][3][4][6][7][8][9][10][11][12][13][14][15] Some authors affirm that the plantar impression does not demonstrate the true condition of the medial longitudinal arch. However, the vast majority uses it as a method of direct evaluation of this parameter in epidemiological studies, in the assessment of normal feet, determination of normality criteria and even in flat foot classifications.…”

Section: Introductionmentioning

confidence: 99%

“…The narrowing of the middle region of the plantar impression provides a notion of how the longitudinal arch of the foot is forming and, when measured periodically, becomes a temporal record of the development of the plantar arch. 2,3 If we fail to observe isthmus formation, we conduct a very common propaedeutic test: the Jack test. The purpose of this maneuver consists of evaluating longitudinal arch formation when we perform passive hyperextension of the hallux.…”

Section: Introductionmentioning

confidence: 99%

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Estudo da impressão plantar obtida durante o teste de Jack em crianças

et al. 2011

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Objective: To assess the plantar impressions obtained in children during the Jack test, with the aim of quantifying and analyzing their variability in the critical period for plantar foot arch formation. Method: A hundred and twenty feet from 60 healthy White children, recruited in an outpatient pediatric clinic, were examined. Our sample included 35 boys and 25 girls, ranging from 2 to 5 years. The Jack test was simulated using a 45o wedge-shaped orthosis applied to the hallux. Bilateral plantar impressions were acquired in the alternate single-foot standing position using a pedigraph. Two plantar impressions were obtained for each foot, with and without the orthosis. The exams were analyzed using the Valenti and Volpon methods. Statistical tests were applied. Results: In all cases, both the Valenti and Volpon indexes decreased as the orthosis was applied. Furthermore, the difference between both indexes with and without the orthosis decreased with age. Conclusions: It is possible to quantify the Jack test using plantar impressions with the Volpon and Valenti methods. The variability observed in plantar shape tended to decrease after 4 years of age. Finally, the Jack test gradually lost its capability to change plantar impression with age, which reduces its accuracy as a parameter for a good prognosis in longitudinal medial arch formation. Level of Evidence: Level IV, observational descriptive study.

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Section: Introductionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Estudo da impressão plantar obtida durante o teste de Jack em crianças

et al. 2011

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“…Physical examination revealed that all except one patient (case 6, see Table 1) had flexible flatfoot. Static footprints were recorded on a Harris-Beath mat in the half body weight-bearing position (14). The arch index described by Staheli et al (15) was used to confirm the presence of flexible flatfoot.…”

Section: Methodsmentioning

confidence: 99%

Magnetic resonance imaging in adolescent symptomatic navicular tuberosity

et al. 2014

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“…Six feet had cavus. Calcaneo-fifth metatarsal angle (lat) [CFM (lat)] [6] and calcaneo-horizontal angle (lat) [CH (lat)] [6,11] were used as a radiological measure of cavus in this study.…”

Section: Midfoot Parametersmentioning

confidence: 99%

Stress radiography in the assessment of residual deformity in clubfoot following postero-medial soft tissue release

Sambandam

Gul

2006

International Orthopaedics (SICO

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X-ray is important in the assessment of clubfoot. Stress radiographs give more information than routine radiographs. Because of the inaccuracy of the positioning and the disadvantages of radiation, paediatric orthopaedic surgeons do not like and do not use X-ray examination. In this study we report a technique we use to obtain stress radiographs in paediatric patients with clubfoot using a custom-made radiolucent modular splint. This technique provides better assessment of the initial status and the result of treatment. Although this method has limitations it can help to compare different feet and treatment results with regard to axis and angle. We validated this splint by means of a prospective study in 11 patients with 21 feet having type 2 clubfoot who underwent (PMSTR) in our centre. Two sets of radiographs were taken, one with manual positioning and one with our splint. We found significant differences in the values of midfoot and forefoot radiological parameters between the two sets. We found that the correlation between the clinical and radiological assessment of residual deformity improved significantly for these values when a splint was used to obtain stress views. Hence we recommend routine use of a radiolucent splint for taking stress views to assess residual deformity in clubfoot.Résumé Les radiographies sont un élément important dans l'analyses des pieds bots, les radiographies dynamiques donnant plus d'informations que les radiographies standards.Cependant, les chirurgiens orthopédistes n'aiment pas utiliser les radiographies dynamiques, celles-ci entraînent une exposition plus importante aux rayons. Au cours de cette étude, nous rapportons une technique permettant d'obtenir ces clichés dynamiques en utilisant une attelle modulaire, transparente aux rayons X. Cette technique permet de faire une meilleure analyse des stades initiaux de la maladie et des résultats du traitement. Cependant,cette technique a égale-ment ses limites. Néanmoins, elle permet de comparer les résultats des différents pieds et des différents traitements en terme d'analyse des axes et d'analyse angulaire. Nous avons validé l'utilisation de cette attelle lors d'une étude prospective chez 11 patients présentant 21 pieds bots de type 2 qui ont bénéficié d'une PMSTR en notre centre. Des radios dynamiques ont été pratiquées, soit en utilisant l'attelle, soit en radio dynamique manuelle. Nous avons trouvé une différence significative dans les valeurs du médio-pied et de l'arrière-pied, lorsque les clichés dynamiques ont utilisé l'attelle en comparaison avec les examens dynamiques manuels. Nous avons également trouvé une meilleure corrélation entre les résultats cliniques et radiologiques de la déformation résiduelle lorsque l'on utilisait l'attelle. Aussi, recommandons-nous d'utiliser cette attelle radio-transparente, en routine habituelle, pour les clichés dynamiques a fin d'analyser les déformations résiduelles dans le pied bot.

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Footprint and Radiographic Analysis of the Feet

Cited by 115 publications

References 11 publications

Estudo da impressão plantar obtida durante o teste de Jack em crianças

Estudo da impressão plantar obtida durante o teste de Jack em crianças

Magnetic resonance imaging in adolescent symptomatic navicular tuberosity

Stress radiography in the assessment of residual deformity in clubfoot following postero-medial soft tissue release

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