• Title/Summary/Keyword: Chronic foot disease

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Observations on Foot Disease of Slaughter Cattle (도축우(屠畜牛)의 제질환(蹄疾患)에 관한 연구(硏究))

  • Kim, Myung-cheol
    • Korean Journal of Veterinary Research
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    • v.25 no.2
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    • pp.197-202
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    • 1985
  • Incidence of foot disease of Korean native cattle (231 cases) and Holstein (310 cases) in slaughter house was observed from July August, 1984. 1. Incidence rate of foot disease was 9.09%, 12.90% and 11.27% for Korean native cattle, Holstein and total respectively. 2. Chronic necrotic pododermatitis showed the highest incidence among all foot disease and it's incidence rate was 6.47% in all cattle observes. 3. Topographical incidence rate of chronic necrotic pododermatitis was 25.7%, 60.0% and 14.3% for forefoot, hind foot and not specified respectively, so the disease showed high incidence rate in hind foot.

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Effect of Chronic Foot Disease to Bone Mineral Density of the Affected Lower Limb (만성 족부 질환이 환측 하지의 골밀도에 미치는 영향)

  • Chu, In-Tak;Yoo, Jong-Min;Kang, Min-Gu;Chung, Jin-Wha
    • Journal of Korean Foot and Ankle Society
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    • v.14 no.2
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    • pp.165-168
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    • 2010
  • Purpose: Pain or discomfort caused by foot diseases may lead to abnormal gait, resulting in decreased bone mineral density (BMD) of the affected lower limb. We analyzed the effect of foot affection to BMD and its clinical significance. Materials and Methods: Bilateral hip BMD was evaluated in 93 patients with unilateral chronic foot disease. To minimize statistical errors, we excluded patients with medical histories that had influence on BMD. Analysis was based on the results of BMD tests at the first visit. All patients denied past medical intervention for osteoporosis. The difference in density between bilateral limbs was determined by comparing BMDs of the neck, upper neck, trochanter and total area of hip. Results: Test results revealed the decrease of BMD in the lower limb with the affected foot, compared to the unaffected side. This decrease was significant in the area of the trochanter (p <0.05). There was no marked difference of BMD in relation with duration of affection, underlying disease or age. Pertaining the location of foot affection, the hindfoot group showed significant decrease in BMD compared to the forefoot group. The group with affection in bone and joint also showed a marked decrease in BMD compared to the soft tissue group (p <0.05). Conclusion: Pain and discomfort caused by chronic foot diseases can lead to a decrease in the BMD of the affected lower limb. This may increase the risk of complications such as osteoporotic fracture and muscular atrophy.

Observation on Disease of Bovine Foot (젖소의 제질환(蹄疾患)에 관한 조사연구(調査硏究))

  • Cheong, Chang Kook;Han, Hong Ryul;Sung, Jai Ki
    • Korean Journal of Veterinary Research
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    • v.16 no.1
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    • pp.71-75
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    • 1976
  • Observation was performed for incidence of chronic necrotic pododermatitis to 1,387 heads of Hostein cows in 25 dairy herds during one year period from March 1975 to Feb. 1976. The results obtained were as follows: 1. Sixty four heads of cow affected chronic necrotic pododermatitis during the observation period and the incidence rate shown 4.61%. 2. Incidence of chronic necrotic pododermatitis was more prevalent of all foot disease and it was occupied 60.9% of all foot disease. 3. The highest incidence was observed on August and September in the season high in temperature and humidity. 4. The disease was more frequently seen affecting in hind than front limbs, and lateral than medial claws. 5. The disease was more frequently seen affecting in older cows, and higher production cows.

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Misunderstanding of Foot Drop in a Patient with Charcot-Marie-Tooth Disease and Lumbar Disk Herniation

  • Han, Youngmin;Kim, Kyoung-Tae;Cho, Dae-Chul;Sung, Joo-Kyung
    • Journal of Korean Neurosurgical Society
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    • v.57 no.4
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    • pp.295-297
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    • 2015
  • We report the case of 57-year-old woman diagnosed with Charcot-Marie-Tooth (CMT) disease and lumbar disk herniation (LDH). She had left leg weakness and foot numbness, foot deformity (muscle atrophy, high arch, and clawed toes). The lumbar spine MRI showed LDH at L4-5. Additionally, electrophysiology results were consistent with chronic peripheral motor-sensory polyneuropathy (axonopathy). In genetic testing, 17p11.2-p12 duplication/deletions characteristic of CMT disease were observed. We confirmed the patient's diagnosis as CMT disease and used conservative treatment.

Lower Leg Amputation by Calciphylaxis in Diabetic Nephropathy Patient (A Case Report) (당뇨병성 신부전증 환자의 선단 궤양에 의한 하지절단(1예 보고))

  • Lee, Jun-Young;Yu, Jae-Cheol
    • Journal of Korean Foot and Ankle Society
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    • v.13 no.1
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    • pp.109-112
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    • 2009
  • Calciphylaxis is a rare disease that appear in patients with secondary hyper-parathyroidism or chronic renal failure or that show defect in calcium phosphate metabolism which is characterized by fibrin deposit or calcification of medial wall of vessels causing gradual ischemic skin necrosis. Calciphylaxis is a disease with poor prognosis as skin necrosis can progress rapidly. If left untreated, calciphylaxis will progress to sepsis with high mortality. The treatment is controversial but kidney transplantation or parathyroidectomy is suggested to recover calcium-phosphate metabolism. The authors have experienced calciphylaxis in a patient with chronic renal failure caused by DM nephropathy with characteristic skin lesion and rapid skin necrosis. We describe this case with documentary reviews.

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Foot Health Condition and Related Characteristics of Nurses (일 대학병원 간호사의 발 건강 상태)

  • Lee, Eun Nam;Kim, Na Geong;Kim, Sun Hee
    • Journal of muscle and joint health
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    • v.27 no.3
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    • pp.289-297
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    • 2020
  • Purpose: This descriptive study aimed to identify the foot health condition and related characteristics of nurses. Methods: A literature-based questionnaire was developed and distributed to 472 nurses in a university hospital in B city, and data were collected from August 1 to August 15, 2020. The Foot Health Status Questionnaire (FHSQ) was used to measure foot health condition. Results: The most common foot diseases among the participants were plantar fasciitis (7.8%) and hallux valgus (7.0%). To relieve foot pain, most nurses used relaxation techniques, stretching, elevating the legs, and foot massage. The level of foot health condition among nurses was lower than that of older persons or the general public with chronic foot disease. The foot health condition of the nurses showed that the lower the age and the greater the number of foot diseases, the more severe the pain and dysfunction. Conclusion: The study shows that there is a need for interventions that will raise nurses' awareness about foot health and induce better foot health management.

Skin Graft Remains a Clinically Good Treatment Strategy for Chronic Diabetic Wounds of the Foot and Ankle (피부이식술을 통한 만성 당뇨족 창상 치료의 효용성)

  • Kim, Yoon-Chung;Kim, Bo-Seoung;Jeong, Howon;Ahn, Jae Hoon
    • Journal of Korean Foot and Ankle Society
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    • v.26 no.2
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    • pp.78-83
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    • 2022
  • Purpose: The purpose of this study was to evaluate the surgical outcome of split-thickness skin graft (STSG) for chronic diabetic wounds of the foot and ankle. Materials and Methods: The medical records of 20 patients who underwent surgery for chronic diabetic wounds of the foot and ankle between October 2013 and May 2018 were reviewed. Surgical management consisted of consecutive debridement, followed by negative-pressure wound therapy and STSG. We used an acellular dermal matrix between the wound and the overlying STSG in some patients with wide or uneven wounds. Patient satisfaction, comorbidities, wound size and location, length of hospital stay, wound healing time, and complications were investigated. Results: Of 20 patients, 17 (85.0%) were satisfied with the surgical outcome. Eight patients had diabetic wounds associated with peripheral vascular disease (PVD), 7 patients had diabetic wounds without PVD, and 5 patients had acute infection superimposed with necrotizing abscesses. The mean size of the wound was 49.6 cm2. The mean length of hospital stay was 33.3 days. The mean time to wound healing was 7.9 weeks. The mean follow-up period was 25.9 months. Complications included delayed wound healing (4 cases) and recurrence of the diabetic wounds (2 cases), which were resolved by meticulous wound dressing. Conclusion: STSG remains a good treatment strategy for chronic diabetic wounds of the foot and ankle.

Operative Treatment for Bilateral Chronic Recurrent Dislocation of the Peroneal Tendon: A Case Report (양측 족관절에 발생한 만성 재발성 비골건 탈구의 수술적 치료: 증례 보고)

  • Na, Hwa-Yeop;Song, Woo-Suk;Lee, Joo-Young
    • Journal of Korean Foot and Ankle Society
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    • v.24 no.4
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    • pp.161-164
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    • 2020
  • A peroneal dislocation is a rare disease that is often misdiagnosed as a simple sprain and can be treated inadequately in the acute phase. For this reason, it is important to have an appropriate diagnosis in the early stages because it can progress to chronic and recurrent conditions. Surgical treatment is considered mainly when progressing to chronic recurrent dislocation. Recently, patients with an acute peroneal dislocation tend to prefer surgical treatment, so accurate initial diagnosis and management are very important. This paper reports a case of chronic recurrent peroneal tendon dislocation in both ankle joints, which was treated by a superior peroneal retinaculum reconstruction and a groove deepening procedure.

Stress Radiographs under Anesthesia for Painful Chronic Lateral Ankle Instability (동통을 동반한 족관절의 만성 외측 불안정성에 있어서 마취하 스트레스 방사선 검사)

  • Choi, Jun Young;Ahn, Hee Chan;Shin, Myung Jin;Suh, Jin Soo
    • Journal of Korean Foot and Ankle Society
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    • v.21 no.1
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    • pp.12-16
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    • 2017
  • Purpose: Anterior drawer and varus stress radiographs are commonly to diagnose chronic lateral ankle instability. We compared the preoperative stress radiographs with the intraoperative radiographs under anesthesia to determine the accuracy and efficacy of stress radiographs in an outpatient clinical environment. Materials and Methods: Data was collected from patients who underwent a modified $Brostr{\ddot{o}}m$ operation for painful chronic unilateral lateral ankle instability between January 2014 and June 2016. Subjects were divided into three groups-complete tear, partial tear, and instability without rupture-according to the status of preoperative MRI findings of the anterior talofibular ligament. The anterior drawer and varus stress radiographs were taken preoperatively and intraoperatively under anesthesia. Results: Ninety-six patients, with a mean age of 29.63 years, were enrolled. There were 39, 46, and 11 patients in the complete tear, partial tear, and instability without rupture groups, respectively. On the anterior drawer and varus stress radiographs of the affected limb, talar anterior translation and varus tilting were significantly increased by 2.56 mm and $2.0^{\circ}$. The gaps between the unaffected limbs were also increased by 2.47 mm and $1.32^{\circ}$ after anesthesia. Although the stress radiographs were taken under anesthesia, the results were often smaller than the diagnostic value. Conclusion: Stress radiographs for painful chronic lateral ankle instability taken at the outpatient clinic might be inaccurate for diagnosis.

Conservative Management and Postoperative Rehabilitation of Chronic Lateral Ankle Instability (만성 외측 족관절 불안정성의 보존적 치료와 수술적 치료 후의 재활운동)

  • Park, Young Hwan;Kim, Hak Jun
    • Journal of Korean Foot and Ankle Society
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    • v.23 no.1
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    • pp.6-11
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    • 2019
  • As a result of the increased participation in recreational and competitive sports activity, the incidence of chronic lateral instability has risen. Because chronic ankle instability can cause significant comorbidity and increase the social cost, the interest in this issue is growing. Although there are well-documented and effective surgical treatments for managing this condition, conservative treatments are a viable first option in selected patients. Through conservative treatment, surgical treatments can be reduced or delayed without necessarily affecting the overall outcome, but the failure of conservative treatment results in the need for surgical treatment to reduce the long term complications. Appropriate postoperative rehabilitation is essential for adequate functional recovery, even when surgical treatment is required.