Diagnosing And Treating Gout In An Unlikely Patient

William Fishco DPM FACFAS
10/1/12 | 3996 reads | 0 comments
A 35-year-old woman presented to my office with the chief complaint of a large growth on the dorsolateral left foot. She denied any prior treatment for it. She could not wear a closed-in shoe due to pain and irritation to the mass. Her shoe gear was limited to flip-flops. She denied any injury to the foot. The mass had been growing slowly for five years or more. She denied any fluctuations in the size of the mass over time. She also related that she had a growth on her right pinky finger. Read More.

My Surgical Tips And Pearls For Residents

William Fishco DPM FACFAS
9/6/12 | 3692 reads | 0 comments
In this blog, I want to share with you surgical tips and pearls that I regularly teach my residents. Read More.

Starting Your Practice Off On The Right Foot After Graduation

William Fishco DPM FACFAS
7/30/12 | 2712 reads | 1 comments
Every year on July 1, a new group of graduating residents enter the real world of practicing podiatric medicine and surgery. To that end, I want to share my thoughts and give some advice for those who are embarking on a new chapter in their professional lives. All of my previous students and residents who have spent time with me in my office have heard this before. Since only a select few get to spend time with me, I would like to share this with everyone. Read More.

Can Staple Fixation Be Effective For Lisfranc’s Fracture Dislocations?

William Fishco DPM FACFAS
7/2/12 | 3857 reads | 0 comments
Most foot fractures heal well and have minimal long-term sequelae. Intra-articular calcaneal fractures and Lisfranc’s fracture dislocations, however, typically have poor long-term outcomes even with open reduction internal fixation. I want to share with you my thoughts on the Lisfranc fracture. Read More.

When Excising Diseased Peroneus Longus Tendon May Make More Sense Than Tendon Reconstruction

William Fishco DPM FACFAS
6/6/12 | 6684 reads | 0 comments
Peroneal tendon disorders are fairly common after ankle inversion injuries or in patients who have chronic wear and tear associated with the pes cavus foot type. Peroneus brevis tendon partial tears and tendinosis seem to be more prevalent than peroneus longus tendon disorders. I want to dedicate this blog to a simple yet effective surgery for severe tendinosis and/or complete rupture of the peroneus longus tendon. Read More.

Secrets To Performing Bunion Surgeries That Will Stand The Test Of Time

William Fishco DPM FACFAS
4/30/12 | 5005 reads | 2 comments
I am sitting in the Louisville airport waiting to catch a plane back to Phoenix. I thought this would be a good time to write my next blog. I had a great morning of giving lectures for the Kentucky Podiatric Medical Association where I spoke for a couple hours on various surgical and non-surgical topics. One lecture was on bunion surgery and I thought I would share some of my thoughts regarding the dreaded complication of recurrent or failed bunionectomy. Read More.

What You Should Know About Peroneal Tendon Disorders

William Fishco DPM FACFAS
3/26/12 | 14861 reads | 0 comments
Lateral ankle pain and hindfoot conditions can be difficult to diagnose through a history and physical exam. Often, multiple anatomic areas are painful with palpation or motion. To that end, it is common to order magnetic resonance imaging (MRI) for a “lateral ankle pain.” Read More.

When ‘Ingrown Toenail’ Pain May Be Caused By A Subungual Exostosis

William Fishco DPM FACFAS
3/2/12 | 10071 reads | 0 comments
Disorders of toenails easily rank in the top five most common podiatric complaints in our patient population. We see ingrown toenails every day and sometimes we get into a rut assuming that the source of all pain from the toenail is the toenail itself. Read More.

How A Sagittal Z Osteotomy Can Be Beneficial With Revisional Surgery Of The First Metatarsal

William Fishco DPM FACFAS
2/3/12 | 4756 reads | 0 comments
An important part of any busy podiatric surgeon’s practice is revision of failed foot surgery. Since forefoot surgery makes up the majority of procedures performed on the foot, one commonly encounters aberrations of the metatarsals from prior surgery. One of the most common conditions affecting the forefoot includes excessive shortening or sagittal plane malposition of the first metatarsal. Read More.