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  • Jeff Hall, Executive Editor/VP-Special Projects, Podiatry Today
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  • April 2008 | Volume 21 - Issue 4
    Guest Clinical Editor: Douglas Richie Jr., DPM
    16,691 reads | 0 comments | 09/03/08
    Injuries to the second metatarsophalangeal joint (MPJ) can be challenging to treat. Our expert panelists discuss predisposing factors to injury and review pertinent biomechanical considerations. They also discuss conservative treatment options, including variations of orthotic therapy and modifications that they have employed in clinical practice. Q: What are the predisposing factors (gender, foot type, activity, etc.) that are associated with injuries to the second MPJ? A: Second MPJ injuries may have a variety of etiological causes, accordi... continue reading
    This is a preoperative view of a weightbearing patient with calcaneal valgus deformity secondary to posterior tendon dysfunction.
    Kwame A. Williams, DPM, and Lawrence A. DiDomenico, DPM, FACFAS
    12,971 reads | 0 comments | 09/03/08
    Using plates and screws for bone fixation is a standard and successful technique. However, any fixation with plates and screws involves some amount of additional trauma and insult to the osseous blood supply of fracture fragments. These disturbances increase the risk of delayed union and infection.1 Indeed, reconstructive and trauma procedures of the foot and ankle present unique challenges for foot and ankle surgeons. As these cases grow in complexity, certain principles prevail in ensuring predictable and successful outcomes. These principles emphasize the protection of ... continue reading
    Russell G. Volpe, DPM
    Russell G. Volpe, DPM and By Richard M. Jay, DPM
    27,714 reads | 0 comments | 09/03/08
    Yes, this author advocates early treatment for moderate to severe metatarsus adductus, and semi-rigid or rigid deformity. He cites problematic compensatory effects from residual deformities and a documented association between metatarsus adductus and hallux abducto valgus deformity. Metatarsus adductus is a transverse plane congenital deformity with adduction of the forefoot at the tarsometatarsal joint. It has a reported incidence of one per 1,000 live births. However, it has been acknowledged that this may reflect only the severe cases and the true incidence may be... continue reading
    Nathan J. Lashley, DPM, and Patrick J. McKee, DPM
    13,841 reads | 1 comments | 09/03/08
    In an article published in the New England Journal of Medicine (NEJM) in 2006, the author gives an account of a 53-year-old female patient who received treatment from a podiatrist for a plantar wart for two years. She underwent electrocoagulation therapy without histological examination. Her lesion grew and she eventually sought the care of the NEJM author, who biopsied the lesion and noticed enlarged inguinal lymph nodes. The biopsy revealed amelanotic melanoma exceeding 6 mm in thickness (Clark’s level IV). Despite excision of the lesion and involved l... continue reading