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Achilles tendonitis- A painful and often debilitating inflammation of the Achilles tendon (heel cord).  The Achilles tendon is the largest and strongest tendon in the body.  It is located in the back of the lower leg, attaches to the heel bone (calcaneus), and connects the leg muscles to the foot.

Anterior superior iliac spine- Refers to the anterior extremity of the iliac crest of the pelvis.

Arthritis- A group of conditions involving damage to the joints of the body.  The most common form of arthritis, osteoarthritis (degenerative joint disease) is a result of trauma to the joint, infection of the joint, or age.  Emerging evidence suggests that abnormal anatomy might contribute to the early development of osteoarthritis.  Other arthritis forms are rheumatoid arthritis and psoriatic arthritis, autoimmune diseases in which the body attacks itself. Septic arthritis is caused by joint infection.  Gouty arthritis is caused by deposition of uric acid crystals in the joint, causing inflammation.

Arthroplasties- An operative procedure of orthopaedic surgery performed, in which the arthritic or dysfunctional joint surface is replaced or by remodeling or realigning the joint by osteotomy or some other procedure.

Atherosclerosis- Comes from the Greek words athero (gruel or paste) and sclerosis (hardness).  It is the name of the process in which deposits of fatty substances, cholesterol, cellular waste products, calcium and other substances build up in the inner lining of an artery.  This buildup is called plaque.  It usually affects large and medium-sized arteries.  Some hardening of arteries often occurs when people grow older.

Brown Bar shoe construct- A non-movable, stationary foot abduction brace attached to the shoes that forces constant external rotation of the feet.

Bunion- Structural deformity in the foot beginning with a leaning of the big toe, gradually changing the angle of the bones over the years and slowly producing the characteristic bump, which continues to become increasingly prominent.  The visible bump actually reflects changes in the bony framework of the front part of the foot.  With a bunion, the big toe leans toward the second toe, rather than pointing straight ahead.  This throws the bones out of alignment, producing the bunion's bump at the metatarsophalangeal joint.

Cardiometabolic Syndrome- A constellation of maladaptive cardiovascular, renal, metabolic, prothrombotic, and inflammatory abnormalities, is now recognized as a disease entity by the American Society of Endocrinology, National Cholesterol Education Program, and World Health Organization, among others. These cardiovascular and metabolic derangements individually and interdependently lead to a substantial increase in cardiovascular disease (CVD) morbidity and mortality, making the cardiometabolic syndrome an established and strong risk factor for premature and severe CVD, congestive heart failure, chronic kidney disease (CKD), and stroke.  Established and evolving treatment strategies including moderate physical activity, weight reduction, rigorous blood pressure control, correction of dyslipidemia, and glycemic control have proven beneficial in reversing these abnormal responses and decreasing the CVD risk.  Other risk factors include hypertension, insulin resistance, microalbuminuria, and hypercoagulability. 

CDC- The Centers for Disease Control and Prevention is an agency of the United States Department of Health and Human Services based in unincorporated DeKalb County, Georgia adjacent to the campus of Emory University and east of the city of Atlanta. It works to protect public health and safety by providing information to enhance health decisions, and it promotes health through partnerships with state health departments and other organizations. The CDC focuses national attention on developing and applying disease prevention and control (especially infectious diseases), environmental health, occupational safety and health, health promotion, prevention and education activities designed to improve the health of the people of the United States.  Its mission is "to promote health and quality of life by preventing and controlling disease, injury, and disability."

Cast correction-manipulation of position in a baby’s foot and leg through the serial application of easily removed fiberglas (ScotchCast) casting material.

Chondromalacia patella- A general term that indicates damage to the cartilage under your kneecap and is more accurately referred to as patellofemoral pain.  Literally, the term means softening of the articular cartilage of the knee-cap.  When the cartilage softens, it begins to break down, which causes irregularities along the undersurface of the patella.

External tibial rotation-the interuterine position is the foot turned out. As the baby and child grows, the tibial, or lower leg bone, turns in to bring the foot straight to the thigh.

Femoral internal rotation- Or femoral anteversion, is an inward twisting of the thigh bone, also known as the femur (the bone that is located between the hip and the knee).  Femoral anteversion causes the child's knees and feet to turn inward, or to have what is also known as a "pigeon-toed" appearance.

Genu valgum- Commonly called "knock-knees”, is a condition where the knees angle in and touch one another when the legs are straightened.  Individuals with severe valgus deformities are typically unable to touch their feet together while simultaneously straightening the legs.  The term originates from the Latin genu, "knee", and valgum, "knock-kneed".

Hammertoes- A deformity of the middle joint of the second, third, or fourth toe causing it to be permanently bent, resembling a hammer.

Hip acetabulum- The acetabulum is a concave surface of the pelvis. The head of the femur meets with the pelvis at the acetabulum, forming the hip joint.

Hyperpronation- A condition caused by the hereditary underdevelopment of the ankle bone (talus) or heel bone (calcaneus).  This condition allows an abnormal range of motion of the ankle bone inward, and/or forward, and/or downward.  The abnormal motion leads to the closing of the naturally occurring space (sinus tarsi) between the ankle and heel bones. 

Iliotibial band syndrome- One of the leading causes of lateral knee pain in runners. The iliotibial band is a superficial thickening of tissue on the outside of the thigh, extending from the outside of the pelvis, over the hip and knee, and inserting just below the knee. The band is crucial to stabilizing the knee during running, moving from behind the femur to the front during the gait cycle. The continual rubbing of the band over the lateral femoral epicondyle, combined with the repeated flexion and extension of the knee during running may cause the area to become inflamed, or the band itself may suffer irritation.

Ligamentous hyperlaxity-when the ligaments are not of normal tension and the resulting joints may have less than optimal support.

Low HDL- When LDLs are high, HDL are low. HDL stands for High-density lipoprotein.

Metatarsophalangeal joint- The articulation between a metatarsal bone and a phalanx.

Miserable Malalignment Syndrome- A combination of misalignments of the lower limbs that can include excessive femoral anteversion with internal rotation of the hip, external tibial rotation, and forefoot pronation, and may be associated with an increased Q angle, genu valgus, squinting patellae, patella alta, ligamentous hyperlaxity, and flat feet.

Non-steroidal anti-inflammatory (NSAIDS)- Drugs with analgesic, antipyretic and anti-inflammatory effects, i.e. they reduce pain, fever and inflammation.  The term "non-steroidal" is used to distinguish these drugs from steroids, which (among a broad range of other effects) have a similar eicosanoid-depressing, anti-inflammatory action.  As analgesics, NSAIDs are unusual in that they are non-narcotic.  NSAIDs are sometimes also referred to as non-steroidal anti-inflammatory agents/analgesics (NSAIAs) or non-steroidal anti-inflammatory medicines (NSAIMs).  The most prominent members of this group of drugs are aspirin, ibuprofen, and naproxen.

Orthotics- Orthopedic devices that are used to alter or modify foot function and are designed to treat, adjust, and support various biomechanical foot disorders.  Some orthotics are simple, commercially-made devices, such as cushioned heel cups or insoles for shoes that are sold over the counter in drug stores or other retail establishments.  The most effective orthotics, however, are custom-made devices that are crafted to meet the specific needs of a particular individual.

Osteoarthritis- OA, also known as degenerative arthritis, degenerative joint disease), is a clinical syndrome in which low-grade inflammation results in pain in the joints, caused by abnormal wearing of the cartilage that covers and acts as a cushion inside joints and destruction or decrease of synovial fluid that lubricates those joints.  As the bone surfaces become less well protected by cartilage, the patient experiences pain upon weight bearing, including walking and standing.  Due to decreased movement because of the pain, regional muscles may atrophy, and ligaments may become more lax.  OA is the most common form of arthritis.

Patella- Also known as the kneecap, is a thick, triangular bone which articulates with the femur and covers and protects the knee joint.

Patella alta- Condition in which the kneecap rides too high up on the femur (thigh bone).  This happens in quite a few people and may never do any harm.  However, at the higher end of the thigh bone the groove in which the patellar slides is much shallower than it is in the normal position, so people with patella alta are more likely to dislocate their kneecaps.  Patella alta is also seen in patellar tendon rupture.

Patellofemoral Pain Syndrome- Retropatellar or peripatellar pain resulting from physical and biochemical changes in the patellofemoral joint.  Patients with patellofemoral pain syndrome have anterior knee pain that typically occurs with activity and often worsens when they are descending steps or hills.  It can also be triggered by prolonged sitting.

Patellar subluxation- Condition in which the kneecap does not slide centrally within its groove, known as the trochlea. Depending on the severity of the patellar subluxation, this improper tracking may not cause the patient any problems, or it may lead to dislocation of the patella (where the kneecap fully dislocates out of the groove). Most commonly, the tracking problem causes discomfort with activity, and pain around the sides of the kneecap.

Peripheral neuropathy- In its most common form, causes pain and numbness in your hands and feet.  The pain typically is described as tingling or burning, while the loss of sensation often is compared to the feeling of wearing a thin stocking or glove.  Peripheral neuropathy can result from such problems as traumatic injuries, infections, metabolic problems and exposure to toxins.  One of the most common causes of the disorder is diabetes.

Plantar fasciitis- A painful inflammatory condition caused by excessive wear to the plantar fascia of the foot or biomechanical faults that cause abnormal pronation of the foot.[1] The pain usually is felt on the underside of the heel, and is often most intense with the first steps of the day. It is commonly associated with long periods of weight bearing. Obesity, weight gain, jobs that require a lot of walking on hard surfaces, shoes with little or no arch support, and inactivity are also associated with the condition. This condition often results in a heel spur on the calcaneus, in which case it is the underlying condition, and not the spur itself, which produces the pain.

Posterior tibialis tendon strain and dysfunction- One of several terms to describe a painful, progressive flatfoot deformity in adults.  Other terms include posterior tibial tendon insufficiency and adult acquired flatfoot.

Pronation- An anatomical term to describe a rotation movement.  The pronated foot is one in which the heel bone angles inward and the arch tends to collapse.  Foot pronation will cause the sole of the foot to face more laterally than when standing in the anatomical position.

Radiograph- An image produced on a radiosensitive surface, such as a photographic film, by radiation other than visible light, especially by x-rays passed through an object or by photographing a fluoroscopic image.

Real-time fluoroscopy-radiographic examination that allows the image to be seen continuously as the lower extremity moves, all in digital form.

Subtalar arthroereisis- Arthroereisis is the limitation of excessive movement across the joint.  Subtalar arthroereisis is designed to correct the excessive talar displacement and calcaneal eversion by placing an implant in the sinus tarsi, a canal located between the talus and the calcaneus.

Syndrome X- A constellation of metabolic disorders that all result from the primary disorder of insulin resistance.  All the metabolic abnormalities associated with syndrome X can lead to cardiovascular disorders and when present as a group, the risk for cardiovascular disease and premature death are very high.  The characteristic disorders present in metabolic syndrome X include insulin resistance, hypertension, abnormalities of blood clotting, low HDL and high LDL cholesterol levels, and high triglyceride levels.

Talipes valgus- A deformity resulting in permanent eversion, i.e. the condition of being turned outward, of the foot so that only the inner side of the sole rests on the ground.

Tarsal tunnel syndrome- A painful foot condition in which the tibial nerve is impinged and compressed, or entrapped, as it travels through the tarsal tunnel. Tarsal Tunnel Syndrome (TTS) is also known as Posterior Tibial Nerve Neuralgia. TTS is a compression syndrome of the tibial nerve within the Tarsal Tunnel. This tunnel is found along the inner leg behind the medial malleolus (bump on the inside of the ankle). The posterior tibial nerve, a major artery, veins, and tendons travel in a bundle along this pathway, through the Tarsal Tunnel. In the tunnel, the nerve splits into three different paths. One nerve (calcaneal) continues to the heel, the other two (medial and lateral plantar nerves) continue on to the bottom of the foot. The Tarsal Tunnel is made up of bone on the inside and the flexor retinaculum on the outside.

Tibial tubercle- A small bump on the tibia where the patellar tendon of the quadriceps muscle attaches.  The tibial tubercle is a growth center located just below the knee joint on the front of the tibia.

Triglycerides- A type of fat found in your blood.  They are a major source of energy and the most common type of fat in your body.   When you eat, your body uses the calories it needs for quick energy.  Any extra calories are turned into triglycerides and stored in fat cells to be used later.  The excess calories are stored as fat regardless of what kind of food you eat-fat, carbohydrate, or protein. If you regularly eat more calories than you burn, you may have high triglycerides.  In normal amounts, triglycerides are important to good health.  When triglyceride levels are high, it is not clear whether these high levels directly increase your risk for heart disease.  But high triglycerides are often part of a group of conditions called metabolic syndrome.

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