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Italian version of the Cumberland Ankle Instability Tool (CAIT-I). 意大利版坎伯兰踝关节不稳定工具(CAIT-I)。
Pub Date : 2023-05-01 DOI: 10.2139/ssrn.4358254
Angela Contri, Francesco Ballardin, G. De Marco, Matteo Gaucci, Angela Scariato, Veronica Zanoni, C. Vanti, P. Pillastrini
STUDY DESIGNEvaluation of the psychometric properties of a translated, culturally adapted questionnaire.OBJECTIVETranslating, culturally adapting, and validating the Italian version of the Cumberland Ankle Instability Tool (CAIT-I).SUMMARY OF BACKGROUND DATAAnkle sprains are one of the most common musculoskeletal injuries and can lead to chronic ankle instability (CAI). The International Ankle Consortium recommends the Cumberland Ankle Instability Tool (CAIT) as a valid and reliable self-report questionnaire assessing the presence and severity of CAI. At this moment, there is no validated Italian version of CAIT.METHODSThe Italian version of the CAIT (CAIT-I) was developed by an expert committee. Test-retest reliability of the CAIT-I was measured in 286 healthy and injured participants within a 4-9-day period, by using Intraclass Correlation Coefficients (ICC2,1). Construct validity, exploratory factor analysis, internal consistency and sensitivity were examined in a sample of 548 adults. Instrument responsiveness over 4 time points was determined in a subgroup of 37 participants.RESULTSThe CAIT-I demonstrated excellent test-retest reliability (ICC≥0.92) and good internal consistency (α = .84). Construct validity was confirmed. Identified cut-off for the presence of CAI was 24.75, with sensitivity= 0.77 and specificity= 0.65. There were significant differences across time for CAIT-I scores (P < .001), demonstrating responsiveness to change, but no floor or ceiling effects.CONCLUSIONThe CAIT-I demonstrates acceptable psychometric performance as a screening and outcome measure. The CAIT-I is a useful tool to assess the presence and severity of CAI.
研究设计:评估翻译后的文化适应性问卷的心理测量特性。目的翻译、文化适应和验证意大利语版的Cumberland踝关节不稳定工具(CAIT-I)。踝关节扭伤是最常见的肌肉骨骼损伤之一,可导致慢性踝关节不稳定(CAI)。国际踝关节协会推荐使用Cumberland踝关节不稳定工具(CAIT)作为评估CAI存在和严重程度的有效和可靠的自我报告问卷。目前,还没有经过验证的意大利语版CAIT。方法意大利版CAIT (CAIT- i)由专家委员会编制。通过使用类内相关系数(ICC2,1),在4-9天的时间内测量286名健康和受伤参与者的CAIT-I的重测信度。对548名成人样本进行结构效度、探索性因子分析、内部一致性和敏感性检验。在37名参与者的亚组中确定了4个时间点上的仪器反应性。结果CAIT-I具有良好的重测信度(ICC≥0.92)和良好的内部一致性(α = 0.84)。构念效度得到证实。确定CAI存在的截止值为24.75,敏感性= 0.77,特异性= 0.65。CAIT-I评分在不同时间有显著差异(P < 0.001),显示对变化的反应性,但没有下限或上限效应。结论CAIT-I作为一种筛选和结果测量指标具有良好的心理测量性能。CAI - i是评估CAI存在和严重程度的有用工具。
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引用次数: 1
Diabetic foot and lower limb amputations at central, provincial and tertiary hospitals-underscores the need for organised foot health services at primary healthcare level. 糖尿病足和下肢截肢在中央,省级和三级医院-强调需要有组织的足保健服务在初级卫生保健水平。
Pub Date : 2023-05-01 DOI: 10.2139/ssrn.4358264
S. Ntuli, Dimakatso Letswalo
BACKGROUNDDiabetic foot amputations are a devastating outcome for any diabetic patient. They are associated with various risk factors, including failure to risk stratify the diabetic foot. Early risk stratification could lower foot complications risk at the primary healthcare level (PHC). In the Republic of South Africa (RSA), PHC clinics are the first entry point to the public healthcare system. Failure to correctly identify, risk categorise, and refer diabetic foot complications at this level may lead to poor clinical outcomes for diabetic patients. This study looks at the incidence of diabetic-related amputations at central and tertiary hospitals in Gauteng to highlight the case of the needed foot health services at the PHC level.METHODSA cross-sectional retrospective study that reviewed prospectively collected theatre records database of all patients who underwent a diabetic-related foot and lower limb amputation between January 2017 and June 2019. Inferential and descriptive statistics were performed, and patient demographics, risk factors and type of amputation were reviewed.RESULTSThere were 1862 diabetic-related amputations in the period under review. Most patients (98 %) came from a poor socioeconomic background earning ZAR 0.00-70 000.00 (USD 0.00-4754.41) per annum. Most amputations, 62 % were in males, and the majority, 71 % of amputations, were in patients younger than 65. The first amputation was major in 73 % of the cases, and an infected foot ulcer was a primary amputation cause in 75 % of patients.CONCLUSIONAmputations are a sign of poor clinical outcomes for diabetic patients. Due to the hierarchal nature of healthcare delivery in RSA, diabetic-related foot amputations could imply inadequate care of or access to diabetic foot complications at the PHC level in RSA. A lack of access to structured foot health services at PHC levels impedes early identification of foot complication identification and appropriate referral resulting in amputation in some of the patients.
背景:糖尿病足截肢对任何糖尿病患者来说都是毁灭性的后果。它们与各种危险因素有关,包括未能对糖尿病足进行风险分层。早期风险分层可以降低初级卫生保健水平(PHC)的足部并发症风险。在南非共和国(RSA),初级保健诊所是进入公共医疗保健系统的第一个入口点。如果不能正确识别、风险分类和转诊糖尿病足并发症,可能会导致糖尿病患者的临床结果不佳。这项研究着眼于豪登省中央医院和三级医院与糖尿病相关的截肢发生率,以突出在初级保健一级所需的足部保健服务。方法一项横断面回顾性研究,前瞻性地回顾了2017年1月至2019年6月期间接受糖尿病相关足部和下肢截肢的所有患者的手术室记录数据库。进行了推理和描述性统计,并对患者人口统计学、危险因素和截肢类型进行了回顾。结果本研究期间共发生1862例糖尿病相关截肢。大多数患者(98%)来自贫困的社会经济背景,年收入为0.00- 70000.00兰特(0.00-4754.41美元)。大多数截肢者(62%)为男性,大多数(71%)截肢者年龄小于65岁。在73%的病例中,第一次截肢是主要的,而在75%的患者中,感染的足部溃疡是截肢的主要原因。结论截肢是糖尿病患者临床预后较差的标志。由于RSA医疗保健服务的等级性质,糖尿病相关足部截肢可能意味着RSA初级保健水平的糖尿病足并发症护理不足或无法获得。初级保健一级缺乏有组织的足部保健服务,妨碍了对足部并发症的早期识别和适当转诊,导致一些患者截肢。
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引用次数: 1
Cross-cultural adaptation, reliability and validity of the Cantonese-Chinese Cumberland Ankle Instability Tool (CAIT-HK). 粤汉坎伯兰踝关节不稳量表(CAIT-HK)的跨文化适应、信度和效度。
Pub Date : 2021-12-13 DOI: 10.21203/rs.3.rs-1158203/v1
Samuel Ka-Kin Ling, J. Hui, Anson Hei Ka Tong, Vivian W.Y. Chui, D. Fong, W. Chau, P. Yung
Acute lateral ankle sprains are common amongst athletes, and screening is essential in preventing these long-term sequelae. Self-reported questionnaires, such as the Cumberland Ankle Instability Tool (CAIT), may help identify individuals with chronic ankle instability. To date, a Cantonese-Chinese version of the CAIT does not exist. A cross-cultural adaptation and validation of the CAIT were carried out: 46 individuals who were native in Cantonese completed the Cantonese-Chinese version of the CAIT and Chinese Foot and Ankle Outcome Score. For the test-retest analysis, the intraclass correlation coefficient was 0.874. Internal consistency showed a Cronbach's ɑ value of 0.726. Construct validity against the FAOS was fair but statistically significant with a Spearman's correlation coefficient of 0.353, 0.460, 0.303, 0.369 and 0.493 for the categories of symptoms, pain, daily function, sports function, and quality of life, respectively. A cutoff score of 20.5 was determined to differentiate healthy individuals from those with chronic ankle instability for this study population. The original English CAIT was successfully translated, cross-culturally adapted and validated into Cantonese-Chinese.
急性踝关节外侧扭伤在运动员中很常见,筛查对于预防这些长期后遗症至关重要。自我报告的问卷,如坎伯兰踝关节不稳定工具(CAIT),可以帮助识别慢性踝关节不稳定的个体。到目前为止,还没有粤语版的CAIT。对CAIT进行了跨文化适应和验证:46名广东人完成了粤语-汉语版本的CAIT和中国足踝结局评分。重测分析,类内相关系数为0.874。内部一致性Cronbach's r = 0.726。FAOS的结构效度一般,但具有统计学意义,症状、疼痛、日常功能、运动功能和生活质量的Spearman相关系数分别为0.353、0.460、0.303、0.369和0.493。在本研究人群中,确定了20.5分的临界值来区分健康个体和慢性踝关节不稳定患者。原英语CAIT被成功地翻译、跨文化改编并验证为粤语-汉语。
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引用次数: 1
Clinical, radiological, pedobarographic, and quality of life outcomes of the Ponseti treatment for clubfoot: a prospective study. Ponseti治疗内翻足的临床、放射学、儿科摄影和生活质量:一项前瞻性研究。
Pub Date : 2021-01-29 DOI: 10.21203/RS.3.RS-154389/V1
Kamyar Vahidi, A. Shamabadi, M. Nabian, Fardis Vosoughi, Ramin Zargarbashi, B. Panjavi
BACKGROUNDTalipes equinovarus, also known as clubfoot, is a congenital anomaly that affects one newborn per 1000 live births. Its standard treatment strategy is Ponseti casting management. This study aims to report the long-term outcomes of the Ponseti treatment in Iran.METHODSA prospective cohort study was enrolled to evaluate clinical outcomes, radiological results, pedobarographic measurements, and quality of life after the Ponseti treatment in patients with clubfoot who were followed for at least five years.RESULTSIn this study, 25 clubfeet of 18 patients were included. Significant reductions in Pirani, Dimeglio, and CAP scores, improved ankle dorsiflexion, and acceptable pedobarographic indices were observed in this study. From the radiological evaluation indices, the calcaneal pitch and lateral talus-first metatarsal angles were significantly reduced. After five years of treatment, patients' quality of life was favorable, which was better in females. This study showed that the results of the Ponseti treatment remained acceptable after five years.CONCLUSIONSThe Ponseti management for clubfoot in the long term appears to maintain significant improvements. However, the recurrence rate - albeit without disruption to daily activities - cannot be ignored.
马蹄内翻,也被称为马蹄内翻足,是一种先天性异常,每1000个活产儿中就有一个新生儿受到影响。其标准处理策略为庞氏铸造管理。本研究旨在报道伊朗Ponseti治疗的长期结果。方法采用一项前瞻性队列研究,对至少5年的内翻足患者进行Ponseti治疗后的临床结果、放射学结果、足镜测量和生活质量进行评估。结果本研究纳入18例患者25例内翻足。在本研究中观察到Pirani, Dimeglio和CAP评分的显著降低,踝关节背屈的改善,以及可接受的足底造影指标。从影像学评价指标来看,跟骨距和距骨-第一跖外侧角明显降低。经过5年的治疗,患者的生活质量较好,其中女性更好。这项研究表明,Ponseti治疗的结果在5年后仍然是可以接受的。结论长期内翻足的Ponseti治疗仍有显著改善。然而,复发率——尽管不影响日常活动——不容忽视。
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引用次数: 1
Functional bracing is a safe and cost effective treatment for isolated Weber B fracture. 功能性支具是一种安全且经济有效的治疗孤立性韦伯B型骨折的方法。
Pub Date : 2020-04-30 DOI: 10.21203/rs.3.rs-22866/v1
A. Abdelaal, S. Elnikety
BACKGROUNDDespite the current recommendations that stable Weber B ankle fractures can be treated with functional bracing and weightbearing as tolerated, some reluctance exists among trauma surgeons to follow these recommendations. This paper reports on our institution's experience in managing these injuries and compare it to the national guidelines.PATIENTS AND METHODSThis is a retrospective cohort study. Consecutive patients with isolated Weber B fractures referred to the local outpatient clinic over the period of six months were included in the study. Radiographs and clinic letters were examined, the patients were interviewed via telephone to obtain outcome scores [Olerud and Molander score]. Method of immobilisation, weight-bearing status, radiological fracture union, clinical outcomes and complications were all assessed and analysed.RESULTSOne hundred and twenty-three patients with isolated Weber B fractures were identified. This cohort of patients did not show clinical or radiographic evidence of instability, they were deemed stable and were initially treated non-operatively. Minimum follow-up period was six months. Sixty-two patients were treated in plaster and were non-weight bearing on the affected limb, while 61 were treated with functional bracing in a boot and were allowed early weight bearing. Three patients showed displacement requiring surgical fixation. All fractures progressed to union and patients were discharged irrespective of the method of immobilisation or weightbearing status during treatment. There was no statistically significant difference in the functional outcome measures between the two groups. The protocol of functional bracing and weightbearing was associated with fewer outpatient clinics and a reduced number of radiographs obtained in the clinic and fewer complications.CONCLUSIONIsolated trans-syndesmotic Weber B ankle fractures, that are clinically and radiologically stable, can be safely treated with functional bracing in a boot and weightbearing as tolerated.
背景:尽管目前推荐稳定的Weber B型踝关节骨折可以使用功能性支具和负重治疗,但在创伤外科医生中存在一些不愿意遵循这些建议的情况。本文报告了我院在管理这些伤害方面的经验,并将其与国家指导方针进行了比较。患者和方法:这是一项回顾性队列研究。连续6个月在当地门诊就诊的孤立性韦伯B型骨折患者被纳入研究。检查x光片和门诊信件,通过电话采访患者以获得结果评分[Olerud和Molander评分]。对固定方法、负重情况、骨折放射愈合、临床结果及并发症进行评估分析。结果分离性Weber B型骨折123例。这组患者没有表现出不稳定的临床或影像学证据,他们被认为是稳定的,最初采用非手术治疗。最小随访期为6个月。62例患者采用石膏治疗,患肢不负重,61例患者采用靴子内功能支具治疗,允许早期负重。3例患者出现移位,需要手术固定。所有骨折进展至愈合,患者出院,无论治疗期间的固定方法或负重状况如何。两组患者的功能指标无统计学差异。功能性支具和负重方案与较少的门诊诊所和较少的临床x线片数量以及较少的并发症相关。结论孤立性经韧带联合Weber B型踝关节骨折,临床和影像学稳定,在耐受的情况下,可采用功能性支具治疗。
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引用次数: 4
Reconstruction with β-tricalcium phosphate for giant cell tumor of the talus. β-磷酸三钙重建距骨巨细胞瘤。
Pub Date : 2019-09-30 DOI: 10.1016/j.foot.2019.09.005
A. Sakamoto, T. Okamoto, S. Matsuda
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引用次数: 2
Acquired digital fibrokeratoma: a rare case study. 后天性手指纤维角化瘤:罕见个案研究。
Pub Date : 2019-09-04 DOI: 10.32474/scsoaj.2019.03.000162
M. McCann, John P. Bonvillian, Cody D. Blazek
Acquired digital fibrokeratomas are a benign soft tissue tumor with typical appearance and anatomical locations. This lesion generally occurs in middle aged males with common sites of occurrence in the digits of upper or lower extremities. Previous case studies have reported incidences of this lesion appearing on heels of middle-aged males but are generally described as giant digital fibrokeratoma based on the lesion's diameter. This case report describes an acquired digital fibrokeratoma in a pediatric female patient in an infrequent location.
获得性指纤维角膜瘤是一种具有典型外观和解剖位置的良性软组织肿瘤。这种病变通常发生在中年男性,通常发生在上肢或下肢的手指。以前的病例研究报告了这种病变出现在中年男性脚跟的发生率,但根据病变的直径通常被描述为巨大的指纤维角化瘤。这个病例报告描述了一个获得性指纤维角化瘤的儿科女性患者在一个罕见的位置。
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引用次数: 1
Role of mechanical factors in the clinical presentation of plantar heel pain: Implications for management. 机械因素在足底跟痛临床表现中的作用:对治疗的影响。
Pub Date : 2019-09-03 DOI: 10.1016/j.foot.2019.08.007
Justin Sullivan, E. Pappas, J. Burns
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引用次数: 16
Osteochondroma of the talus in a 19-year-old female: A case report and review of the literature. 19岁女性距骨软骨瘤1例报告及文献复习。
Pub Date : 2019-08-26 DOI: 10.1016/j.foot.2019.08.006
V. Galanis, K. Georgiadi, Vassilios Balomenos, G. Tsoucalas, V. Thomaidis, A. Fiska
{"title":"Osteochondroma of the talus in a 19-year-old female: A case report and review of the literature.","authors":"V. Galanis, K. Georgiadi, Vassilios Balomenos, G. Tsoucalas, V. Thomaidis, A. Fiska","doi":"10.1016/j.foot.2019.08.006","DOIUrl":"https://doi.org/10.1016/j.foot.2019.08.006","url":null,"abstract":"","PeriodicalId":77133,"journal":{"name":"Foot & ankle","volume":"1 1","pages":"101635"},"PeriodicalIF":0.0,"publicationDate":"2019-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87643324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 7
Reproducibility of radiographic methods for assessing longitudinal tarsal axes Part 2: Severe cavus or flatfoot study. 评估纵向跗骨轴的放射学方法的可重复性。第2部分:严重的足穴或平足研究。
Pub Date : 2019-08-20 DOI: 10.1016/J.FOOT.2019.08.002
Masamitsu Kido, K. Ikoma, Ryosuke Ikeda, Toshihiro Hosokawa, Yusuke Hara, Kan Imai, Masahiro Maki, S. Ohashi, Y. Mikami, T. Kubo
{"title":"Reproducibility of radiographic methods for assessing longitudinal tarsal axes Part 2: Severe cavus or flatfoot study.","authors":"Masamitsu Kido, K. Ikoma, Ryosuke Ikeda, Toshihiro Hosokawa, Yusuke Hara, Kan Imai, Masahiro Maki, S. Ohashi, Y. Mikami, T. Kubo","doi":"10.1016/J.FOOT.2019.08.002","DOIUrl":"https://doi.org/10.1016/J.FOOT.2019.08.002","url":null,"abstract":"","PeriodicalId":77133,"journal":{"name":"Foot & ankle","volume":"1896 1","pages":"101631"},"PeriodicalIF":0.0,"publicationDate":"2019-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86532628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
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Foot & ankle
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