The Experts below are selected from a list of 57 Experts worldwide ranked by ideXlab platform
A A Henderson - One of the best experts on this subject based on the ideXlab platform.
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distal phalangectomy for Mallet Toe
Orthopaedic Proceedings, 2003Co-Authors: S Raja, J L Barrie, A A HendersonAbstract:Introduction Mallet Toe is a flexion deformity of the distal interphalangeal joint of the lesser Toe. It causes pain and callosity in the Toe tip and the dorsum of the distal interphalangeal joint. Campbell refers to the “terminal Syme’s amputation” for this condition but the results of this have not previously been reported. Material and Methods This is a retrospective review of 35 Toes in 22 patients that underwent distal phalangectomy. Sixteen patients were aged over 70. Patients were interviewed by an independent observer regarding the pain relief, cosmetic acceptability and satisfaction with the procedure and were examined for callosity, stump tenderness, sensitivity and neuroma. Results All patients were satisfied including pain relief and cosmetic acceptability at an average follow up of 4.6 years. One patient had mild wound infection. One patient had asymptomatic nail growth. No stump tenderness, sensitivity or neuroma was noted. Discussion and Conclusion Coughlin reported a satisfaction rate of 89% and 86% following successful fusion and excision arthroplasty respectively. In this series all patients were satisfied. We feel that distal phalangectomy is an option in a selected group of elderly patients where pain relief and functional outcome is the priority.
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distal phalangectomy for Mallet Toe
Foot and Ankle Surgery, 2003Co-Authors: S Raja, J L Barrie, A A HendersonAbstract:Abstract We retrospectively reviewed 24 patients with 37 Mallet Toes from two centres who had undergone distal phalangectomy. The mean follow up was 3.8 years. Patients were reviewed by an independent assessor with regard to pain relief, cosmetic acceptability and overall satisfaction. All patients had satisfactory pain relief but one patient felt that the Toe stump was cosmetically acceptable. The overall satisfaction rate was 97%; 3% of patients were satisfied with reservation.
M.f. Gargan - One of the best experts on this subject based on the ideXlab platform.
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curly Toe hammer Toe claw Toe and Mallet Toe are they good descriptive terms of the associated deformities of the lesser Toes
European Journal of Orthopaedic Surgery and Traumatology, 2005Co-Authors: M J Barakat, R Buckingham, M.f. GarganAbstract:Curly Toe, hammer Toe, claw Toe and Mallet Toe are all terms that describe specific deformities of the lesser Toes (Boc and Martone in J Food Ankle Surg 34(2):220–222, 1995; Bignel in Lancet 342(8865):235, 1993; Mizel and Yodlowski in J Am Acad Orthop Surg 3(3):166–173, 1995; Coughlin in Instr Course Lect in Instr Course Lect 52:421–444, 2003; Coughlin in Foot Ankle Int 16(3):109–116, 1995). Several definitions have been used to describe each one of the deformities. We aim to quantify any variation of understanding of these terms and determine whether the deformities would be better described in terms of their position. Questionnaires were circulated by hand among 24 orthopaedic consultants and 33 registrars in 5 major teaching hospitals. The participants were asked to draw a schematic diagram of each of the deformities. There was a 90% consultant and 85% registrar return of forms. There was a 17% variation (Kappa=0.66) in consultant replies to curly Toe as compared to a 30% variation in registrar replies (Kappa=0.4). There was also a 12% variation (Kappa=0.76) in consultant replies to hammer Toe as compared to a registrar reply variation of 24% (Kappa=0.52). There was an 8% variation (Kappa=0.84) in consultant replies to claw Toe, with a registrar variation of 18% (Kappa=0.64). With regards to Mallet Toe, there was no consultant variation (Kappa=1), but there was a registrar variation of 8% (Kappa=0.82). There was marked variation in the description of these terms among consultants and more so among registrars where several kappa scores where below the acceptable level of variation of 0.8 (Carletta in Comput linguistics 22(2):1–6, 1996). We therefore advocate the use of orthopaedic objective terminology to describe these deformities of the lesser Toes.
S Raja - One of the best experts on this subject based on the ideXlab platform.
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distal phalangectomy for Mallet Toe
Orthopaedic Proceedings, 2003Co-Authors: S Raja, J L Barrie, A A HendersonAbstract:Introduction Mallet Toe is a flexion deformity of the distal interphalangeal joint of the lesser Toe. It causes pain and callosity in the Toe tip and the dorsum of the distal interphalangeal joint. Campbell refers to the “terminal Syme’s amputation” for this condition but the results of this have not previously been reported. Material and Methods This is a retrospective review of 35 Toes in 22 patients that underwent distal phalangectomy. Sixteen patients were aged over 70. Patients were interviewed by an independent observer regarding the pain relief, cosmetic acceptability and satisfaction with the procedure and were examined for callosity, stump tenderness, sensitivity and neuroma. Results All patients were satisfied including pain relief and cosmetic acceptability at an average follow up of 4.6 years. One patient had mild wound infection. One patient had asymptomatic nail growth. No stump tenderness, sensitivity or neuroma was noted. Discussion and Conclusion Coughlin reported a satisfaction rate of 89% and 86% following successful fusion and excision arthroplasty respectively. In this series all patients were satisfied. We feel that distal phalangectomy is an option in a selected group of elderly patients where pain relief and functional outcome is the priority.
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distal phalangectomy for Mallet Toe
Foot and Ankle Surgery, 2003Co-Authors: S Raja, J L Barrie, A A HendersonAbstract:Abstract We retrospectively reviewed 24 patients with 37 Mallet Toes from two centres who had undergone distal phalangectomy. The mean follow up was 3.8 years. Patients were reviewed by an independent assessor with regard to pain relief, cosmetic acceptability and overall satisfaction. All patients had satisfactory pain relief but one patient felt that the Toe stump was cosmetically acceptable. The overall satisfaction rate was 97%; 3% of patients were satisfied with reservation.
M J Barakat - One of the best experts on this subject based on the ideXlab platform.
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curly Toe hammer Toe claw Toe and Mallet Toe are they good descriptive terms of the associated deformities of the lesser Toes
European Journal of Orthopaedic Surgery and Traumatology, 2005Co-Authors: M J Barakat, R Buckingham, M.f. GarganAbstract:Curly Toe, hammer Toe, claw Toe and Mallet Toe are all terms that describe specific deformities of the lesser Toes (Boc and Martone in J Food Ankle Surg 34(2):220–222, 1995; Bignel in Lancet 342(8865):235, 1993; Mizel and Yodlowski in J Am Acad Orthop Surg 3(3):166–173, 1995; Coughlin in Instr Course Lect in Instr Course Lect 52:421–444, 2003; Coughlin in Foot Ankle Int 16(3):109–116, 1995). Several definitions have been used to describe each one of the deformities. We aim to quantify any variation of understanding of these terms and determine whether the deformities would be better described in terms of their position. Questionnaires were circulated by hand among 24 orthopaedic consultants and 33 registrars in 5 major teaching hospitals. The participants were asked to draw a schematic diagram of each of the deformities. There was a 90% consultant and 85% registrar return of forms. There was a 17% variation (Kappa=0.66) in consultant replies to curly Toe as compared to a 30% variation in registrar replies (Kappa=0.4). There was also a 12% variation (Kappa=0.76) in consultant replies to hammer Toe as compared to a registrar reply variation of 24% (Kappa=0.52). There was an 8% variation (Kappa=0.84) in consultant replies to claw Toe, with a registrar variation of 18% (Kappa=0.64). With regards to Mallet Toe, there was no consultant variation (Kappa=1), but there was a registrar variation of 8% (Kappa=0.82). There was marked variation in the description of these terms among consultants and more so among registrars where several kappa scores where below the acceptable level of variation of 0.8 (Carletta in Comput linguistics 22(2):1–6, 1996). We therefore advocate the use of orthopaedic objective terminology to describe these deformities of the lesser Toes.
David T Felson - One of the best experts on this subject based on the ideXlab platform.
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foot musculoskeletal disorders pain and foot related functional limitation in older persons
Journal of the American Geriatrics Society, 2005Co-Authors: Fadi Badlissi, Julie J Keysor, Julie E. Dunn, Carol L Link, James B Mckinlay, David T FelsonAbstract:Objectives: To examine whether common musculoskeletal disorders of feet are associated with pain and foot-related functional limitation. Design: A cross-sectional study using stratified random sampling. Setting: A residential community. Participants: Ethnically diverse sample of elderly persons (n=784). Measurements: Foot disorders (hallux valgus/bunion, pes planus (flat foot), pes cavus (high arch), hammerToe, Mallet Toe, claw Toe, overlapping Toes, bunionette, and plantar fasciitis), foot pain, the foot health functional status (FHFS, range 0–100, 100=no problems) scale, and walk time score (range 0–4, 4=fastest). Results: Most commonly assessed musculoskeletal disorders, including hallux valgus and Toe deformities, were not associated with pain or function limitation. Plantar fasciitis and, to a lesser extent, pes cavus were associated with worse FHFS scores; foot pain partially explained this association. Neither foot disorders nor foot pain were significantly associated with slower walk times. Conclusion: Many foot disorders had little relationship with foot pain or function and may not require clinical attention when asymptomatic. Risk factors and preventive and therapeutic interventions for plantar fasciitis require further longitudinal investigation.