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Glossary entry

French term or phrase:

appui pulpaire

English translation:

toe-ground contact

Added to glossary by Marcia Liddle BA(Hons), MA, ACIL
Oct 28, 2009 13:48
14 yrs ago
6 viewers *
French term

appui pulpaire

French to English Medical Medical: Instruments Orthopaedic surgery
Hello,

I'm trying to figure out what "l’appui
pulpaire" means in the following sentence.

Protocole post-opératoire habituel de la chirurgie de l’avant-pied selon les habitudes et usages. Il est important de contrôler l’appui pulpaire.

The sentence is from an instruction manual for an interphalangeal joint implant under the postop protocol section. Toe pulp support? Is this something to do with the toe pulp coming into contact with the floor?

Any help would be greatly appreciated.
Proposed translations (English)
4 +1 toe pulp contact
5 +1 Toe pulp weight bearing (weight-bearing on the pulp of toes)
References
toe ground contact in forefoot surgery

Discussion

Drmanu49 Oct 29, 2009:
in contact with the grounds without weight bearing would be meaningless. The whole point is preciseley to be able to use weight bearing. This is not cosmetic surgery.
SJLD Oct 29, 2009:
Also, let's not confuse "en appui" and "l'appui (au sol)".
SJLD Oct 29, 2009:
The issue after forefoot surgery is whether the toes make correct contact with the ground. We don't know which toe is being referred to here. In the literature you will find "défaut d'appui pulpaire". A defect in or loss of weightbearing would make no sense. See ref below with pictures of foot being assessed for toe ground contact.
Drmanu49 Oct 29, 2009:
@ Chris It's OK Chris, but I have worked long enough with the Orthopaedics department to make a difference in French between "en contact" and "en appui". Especially when dealing with the great toe which is essential for balance.
Chris Hall Oct 29, 2009:
In response Dr Manu - The decision has already been made by the Asker. Appui can either mean "support" or "contact". I'm sorry - we can't always be right. Even I am occcasionally wrong.
Drmanu49 Oct 29, 2009:
The source text says appui not contact (the French word).
Sorry but these are NOT synonyms. Appui is definitely weight bearing.

Proposed translations

+1
24 mins
Selected

toe pulp contact

Source: http://www.springerlink.com/content/y25pw66340538737/

ENG: "Functional dissatisfaction rate (18% vs.17.4%) and toe pulp contact defect (12% vs. 8.7%) were not significantly different in the two groups."

FRE: "Le taux d’insatisfaction est de 18% (vs 17,4%) et le défaut d’appui pulpaire du gros orteil de 12% (vs 8,7%), ces taux ne sont pas significativement différents dans les deux groupes."
Peer comment(s):
agree SJLD : or rather toe-ground contact - this is not about weight-bearing
2 hrs
Many thanks SJLD - much appreciated. Kind regards, Chris.
Something went wrong...
4 KudoZ points awarded for this answer. Comment: "Thanks Chris! I'm going to go with SJLD's toe-ground contact as I think this is the correct term in the context of postop forefoot surgery management."
+1
38 mins

Toe pulp weight bearing (weight-bearing on the pulp of toes)

contact with the deeper layers and a dark imprint is produced. Photographs-Some .... The footprint shows weight-bearing on the pulp of the big toe with even distribution .... joint of the great toe. Journal. ofBone and Joint Surgery, ...
www.jbjs.org.uk/cgi/reprint/57-B/4/478.pdf

--------------------------------------------------
Note added at 47 mins (2009-10-28 14:35:45 GMT)
--------------------------------------------------

The position of the weight-bearing hallux was measured with reference to the .... are amenable to shoe alteration, but the toe pulp symptoms are usually ...
rheumatology.oxfordjournals.org/cgi/reprint/15/3/143.pdf -

bearing on the pulp of the great toe, and the other rays (4). In the horizontal plane, it is essential, in order to preserve the weight bearing function of ...
www.actaorthopaedica.be/acta/.../12-Jarde et al.pdf



--------------------------------------------------
Note added at 1 day3 hrs (2009-10-29 17:44:52 GMT) Post-grading
--------------------------------------------------

This is definitely about weight bearing otherwise the word would have been contact in French. Ask any orthopedic surgeon!
Note from asker:
Yes, weight-bearing on the toe pulp! Thank-you so much!!
Peer comment(s):
neutral Chris Hall : so you would translate "appui" as "weight bearing"?
6 mins
Yes definitely in this case Chris.
agree Jean-Louis S.
26 mins
Thank you.
Something went wrong...

Reference comments

2 hrs
Reference:

toe ground contact in forefoot surgery

Forefoot reconstruction - Google Books Resultby Louis Samuel Barouk - 2005 - Medical - 388 pages
Impaired MTP joint: joint Preservative Surgery Moderate impairment of the MTP joint, with correct great toe ground contact. In this case, the correction of ...
books.google.lu/books?isbn=2287252517... -
Preoperative Management III. SURGICAL MANAGEMENT IN FOREFOOT ...Decrease or loss of toe ground contact, also pointed out by the Bristol test. ..... 8) Decision-making in forefoot surgery with severe trophic troubles. ...
www.springerlink.com/index/w877v5371m4xm571.pdf - Similar -
Postoperative Managementforefoot surgery (moderate hallux valgus correc- ... Tiptoes and training of toe ground contact (after one postoperative month). dicated. ...
www.springerlink.com/index/q542x4n836123hj8.pdf -

--------------------------------------------------
Note added at 1 day4 hrs (2009-10-29 18:18:27 GMT) Post-grading
--------------------------------------------------

http://books.google.lu/books?id=2ydBJDslXNYC&pg=PA205&lpg=PA...
Peer comments on this reference comment:
disagree Drmanu49 : contact is NOT appui as you should know. Ask any orthopedic surgeon.
1 day 1 hr
and weightbearing is "en charge"
Something went wrong...
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