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  • Jeff Hall, Executive Editor/VP-Special Projects, Podiatry Today
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  • April 2008 | Volume 21 - Issue 4
    Joel Morse, DPM
    58,095 reads | 0 comments | 04/03/08
    A 43-year-old African-American male presents to the office with an irritated fourth toe with no known trauma to the toe. There is a horny projection of skin coming from the posterior nail fold with a nail-like structure at the tip. It has been present for the past two years and had recently become larger. The lesion is asymptomatic except for physical inconveniences. The patient reports that the toe is painful only in shoes. The patient works as a custodian and spends a lot of time on his feet. He has recent onset diabetes of three years but has not been to a podiatrist in the ... continue reading
    Guest Clinical Editor: Douglas Richie Jr., DPM
    17,322 reads | 0 comments | 04/03/08
    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
    13,436 reads | 0 comments | 04/03/08
    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
    28,811 reads | 0 comments | 04/03/08
    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