Volume 21 - Issue 1 - January 2008
Continuing Education »
Please click here for the full Continuing Medical Education article:
In order to enhance one's ability to prescribe custom orthoses, this author emphasizes a thorough exam, a focused evaluation of the patient's footwear, accurate impressions and fabrication, and key nuances to maximizing the effectiveness of modifications.
News and Trends »
Physicians reportedly obtain over 60 million computed tomography (CT) scans each year in the United States. However, a recent study in the New England Journal of Medicine (NEJM) suggests that CT scans may be linked to an increased risk of radiation exposure and cancer.
Citing evidence from epidemiologic studies, the authors of the NEJM article indicate that organ doses from a common CT study, consisting of two or three scans, may result in an increased risk of cancer.
“As compared with plain film radiography, CT invo
Diabetes Watch »
Dedicating oneself to the side of limb salvage in the fight against diabetic foot disease is a demanding and personally challenging enterprise. In the face of infection, it often seems as though all variables are against the surgeon and the patient as they both struggle against the possibilities of proximal amputation and limb loss. In fact, it often appears as though the only constant is the unpredictability of the disease progression.
However, expert knowledge in lower extremity anatomy is one of the most valuable tools that one can have in this fi
Wound Care Q&A »
Treating a wound on a Charcot foot can be a challenge. Our expert panelists discuss the diagnosis of acute Charcot, the management of Charcot and Charcot-related wounds, indications for exostectomy and keys to facilitating a return to weightbearing.
Q: How do you diagnose an acute Charcot foot? Do you use any ancillary testing?
A: Most of the time, Geoffrey Habershaw, DPM, diagnoses acute Charcot by combining the patient’s history and physical with simple tests.
Dr. Habershaw, Lawrence Lavery, DP
Surgical Pearls »
Nonunion is a well-documented potential complication of the Lapidus arthrodesis. It reportedly occurs anywhere from 3.3 percent to 12 percent of the time, and is a very challenging problem to fix.1-7
Granted, a strict definition of nonunion and timeline for classifying a nonunion varies from one surgeon to another. However, for the purpose of this discussion, nonunion has both clinical and radiographic definitions. Nonunions involve the failure of bone healing at the fusion site after six months, broken hardware or both. A clinical nonunio
Soft tissue neoplasms of the lower extremity present a significant treatment challenge to the treating physician. Although most neoplasms of the lower extremity prove to be benign, the potential for malignancy does exist. The ability to appropriately diagnose and treat soft tissue neoplasms may be the difference between life and death for the patient presenting with a soft tissue tumor of the lower extremity.
Accordingly, let us take a closer look at appropriate evaluation and diagnostic techniques that will aid the physician in making an accurate dia