Velcro fastenings

Velcro fastenings

Velcro-covered straps used in place of laces; allows the shoe to accommodate to a foot whose dimensions alter throughout the day, e.g. oedema accumulation (see Table 1)
Table 1: Footwear modifications
Foot featureModification made to shoe
Excessive heel inversion/pronationButtressed heel; flared heel; floated heel: lateral/medial build out to heel to add lateral (for supinated rearfoot) or medial (for pronated rearfoot) support
Pes planovalgusThomas heel: anterior medial build out from medial distal margin of heel to give added support under waist of the shoe
Pes cavus
Talipes varus
Reverse Thomas heel: anterior lateral build out from lateral distal margin of heel to give added support under the lateral mid-third of the foot
Excessive calcaneal eversion and mobile whole-foot pronation or fixed whole-foot supinationMedial heel wedge added to the outer of the heel, or placed within the heel seat, in conjunction with a medial sole wedge, Thomas heel and medial heel flare
Excessive calcaneal inversion and mobile whole-foot supinationLateral heel wedge added to the outsole, or placed within the heel seat, in conjunction with reverse Thomas heel
Painful plantar heel; plantar heel spurExcavated heel seat, infilled with cushioning, shock absorber
Forefoot supinatus in childrenContralateral wedging: lateral sole wedge and medial heel wedge, to invert the hindfoot and evert the forefoot
Painful hallux limitus; fixed hallux rigidusRocker sole: additional outsole added to increased thickness at treadline, tapering distally and proximally to increase the toe spring and allow the foot to 'rock' rather than dorsiflex at the MTPJs
Steel stiffener: the addition of a metal plate between the outsole and the midsole to reduce movement, and therefore pain, in a foot with painful hallux limitus
Hammered toeStar-shaped split release: slits cut through the upper so that the point of intersection of the splits is centred over the prominent joint
Balloon patch (see below)
Bunion; HAVLongitudinal split release: splits cut through upper over the 1 MTJ, parallel to the medial edge of the sole, to increase the width of the upper and ease tension over the prominent joint
Balloon patch: a hole cut in the upper over the prominence of the joint, repaired with a stretch patch of leather dyed to match the shoe upper, to provide a wide pocket to accommodate digital deformity
Oedematous footFacings extended proximally with the addition of extra eyelets, to increase the internal dimensions of the vamp
Elastic laces
Velcro straps
Severe digital deformityVamp replacement: replacement of the vamp with one that incorporates extra depth and/or width
Digital and/or nail trauma; plantar heloma miliareTongue pad: clinical or orthotic padding added to the inner aspect of the tongue of a Derby or Oxford shoe, to retain the foot into the heel cup and prevent distal slip of the foot against the inner of the shoe

MTPJ, metatarsophalangeal joint; HAV, hallux abductovalgus; MTJ, midtarsal joint.

References in periodicals archive ?
With heavy leathers, pool slider straps and utilitarian detailing, including thick cushiony rubber soles and velcro fastenings, these shoes are far from delicate - but they're the coolest thing of the moment.
NeoMask is made from Hydro-allergenic breathable non latex neoprene, allowing a good seal and comfortable fit, along with having an adjustable nose piece and using comfortable secure velcro fastenings.
It would be futile for Volvo to simply rely on a belt, braces and Velcro fastenings approach to trouser safety.
Susan Marchant, Downham Market, Norfolk GET fluff out of velcro fastenings on shoes or clothes by using a wire suede brush.
This attractive bag in yellow makes sure that your favourite bubbly is in good condition wherever you go, thanks to the sturdy Velcro fastenings.
It's made of cardboard but it's long enough for someone to lie down to sleep, small enough for their body heat to warm up and has velcro fastenings on the entrance.
But now, according to a survey of leading shoe brands, today's primary school children are ditching "dangerous" laces for Velcro fastenings instead.
Even something as tiny as a pen nib will be picked up by the e-Glove, which simply slips over the hand and wrist and is secured by two Velcro fastenings.
Pretty soon I might have to buy clothes with Velcro fastenings.
From this, Flynn learned a very important lesson - that if you can't be trusted to keep your shoelaces tied then you should always go for Velcro fastenings.
Just beware Velcro fastenings, or you might end up with a Brazilian when you go to the loo.
While I can still taste the difference between red and white wine, between tea and coffee, while I can still bend down to tie my shoelaces, before the inevitable advent of slippers with Velcro fastenings.