The Treatment of Morton’s Neuroma, a Significant Cause of Metatarsalgia for People Who Exercise

Morton’s Neuroma is a common metatarsalgia in athletes created due to the entrapment of the inter-digital nerve inside the transverse inter-metatarsal ligament. The purpose of the present study is to draw the necessary conclusions from the use of a particular surgical treatment to release the digital nerve, accompanied by neurolysis in adults who exercise. On the whole, twenty five patients with twenty-five suffering extremities were treated. Five of them simultaneously had a Hallux Valgus type deformity and that supports the belief of the mechanical induce of this condition. Both ultrasonography and Magnetic Resonance Imaging (MRI) were used for the clinical evaluation of this condition. The pain was estimated via the Visual Analogue Scale (VAS). The patients were re-examined after three (1st postoperative), twelve (2nd postoperative) and twenty-four (3rd postoperative) months. A significant improvement (p < 0.0001) was noticed from the correlation between the pain before the surgery and the pain after the surgery via the Visual Analogue Scale (VAS). Most patients (15/25) did not display any discomfort or sensory disorder after surgery. The correct clinical evaluation as well as the correct and effective surgical intervention with the simultaneous repair of all the mechanical deformities of the foot provided better post-surgery progress in patients and increased the percentage of their rehabilitation of their previous activities

Sagittal and frontal plane evaluation of the whole-spine and clinical outcomes after vertebral fractures

Although it is known that a change in any level of the spine alters biomechanics, there aren’t many studies to evaluate the spine as a whole both in sagittal and frontal planes. This prospective cohort study evaluates the morphology and mobility of the entire spine in patients with vertebral fractures. The treatment group consisted of 43 patients who underwent percutaneous balloon kyphoplasty or percutaneous balloon kyphoplasty plus fixation. The Control Group consisted of 39 healthy subjects. Spinal mouse was used for the assessment of the curvatures and the mobility of the spine. Clinical outcomes were evaluated by Visual-Analogue Scale and Oswestry Disability Index. The measurements were recorded at 15 days, 3, 6 and 12 months postoperatively. Regarding the curvatures and mobility in sagittal plane, a statistically significant increase appeared early at 3 months, for lumbar curve, spinopelvic angulation and overall trunk inclination. In the frontal plane, most of the improvements were recorded after 6 months. Patients with osteoporotic fracture showed statistically significant lower mean value than patients with traumatic fracture. Pain and disability index showed early improvements. This study provides a comprehensive and complete picture of the functionality of the spine in patients treated with percutaneous balloon kyphoplasty

CoPe_it! - Supporting collaboration, enhancing learning

CoPe_it! is an innovative web-based tool that complies with collaborative practices to provide members of communities with the appropriate means to manage individual and collective knowledge, and collaborate towards the solution of diverse issues. In this article, we demonstrate its applicability in tackling data-intensive collaboration settings, which are characterized by big volumes of complex and interrelated data obtained from diverse sources, and knowledge expressed by diverse participants. We focus on issues related to the representation of such settings and the proposed approach towards making it easier for participants to follow the evolution of a collaboration, comprehend it in its entirety, and meaningfully aggregate data in order to resolve the issue under consideration

Posterior Decompression and Fusion: Whole-Spine Functional and Clinical Outcomes

The mobility of the spine and the change in the angle of the curvatures are directly related to spinal pain and spinal stenosis. The aim of the study was the evaluation of morphology and mobility of the spine in patients who were subjected to decompression and posterior fusion with pedicle screws. The treatment group consisted of 20 patients who underwent posterior fixation of lumbar spine (one and two level fusion). The control group consisted of 39 healthy subjects. Mobility and curvatures of the spine were measured with a non-invasive device, the Spinal Mouse. Pain was evaluated with the Visual Analogue Scale (VAS). The Oswestry Disability Index (ODI) and the SF-36 were used to evaluate the degree of the functional disability and the quality of life, respectively. The measurements were recorded preoperatively and at 3, 6 and 12 months postoperatively. The mobility of the lumbar spine in the sagittal plane increased (p = 0.009) at 12 months compared to the measurements at 3 months. The mobility of the thoracic spine in the frontal plane increased (p = 0.009) at 12 months compared to the preoperative evaluation. The results of VAS, ODI and SF-36 PCS improved significantly (p<0.001). The levels of fusion exhibited a strong linear correlation (r = 0.651, p = 0.002) with the total trunk inclination in the upright position. Although pain, quality of life and spinal mobility in the sagittal and frontal planes significantly improved in the treatment group, these patients still had limited mobility and decreased curves/angles values compared to control group

Demographic characteristics of the participants of the Treatment Group (TG) and the Control Group (CG).

<p>Demographic characteristics of the participants of the Treatment Group (TG) and the Control Group (CG).</p

Statistically significant improvements from the evaluation of the questionnaires SF-36 PCS, SF-36 MCS, ODI, VAS-back and VAS-leg.

<p>Statistically significant improvements from the evaluation of the questionnaires SF-36 PCS, SF-36 MCS, ODI, VAS-back and VAS-leg.</p

Receiver Operating Characteristic (ROC) curves: True positive rates (sensitivity) and false positive rates (1 − specificity) for the curvature of lumbar spine in full extension measurement in the sagittal plane.

<p>Receiver Operating Characteristic (ROC) curves: True positive rates (sensitivity) and false positive rates (1 − specificity) for the curvature of lumbar spine in full extension measurement in the sagittal plane.</p

Typical values of sensitivity and (1 − specificity) of myelography, computed tomography (CT), MRI and spinal mouse.

<p>Typical values of sensitivity and (1 − specificity) of myelography, computed tomography (CT), MRI and spinal mouse.</p