Volume 15 - Issue 12 - December 2002
Certainly, one of the greatest challenges practitioners face is properly evaluating exercise-induced leg pain. All too commonly pigeonholed under the term shin splints, chronic (or exertional) compartment syndrome (ECS) is a unique disorder whose term specifies its clinical and pathological features. Those who treat the condition recognize the list of differentials can be exhausting and an accurate diagnosis is essential to providing proper treatment.
Compartment syndromes are either acute or chronic. The acute form first described by Volkman in 1881, is irreversible and may be initiated by
Editor's Perspective »
Have you taken advantage of the Internet to build your practice? Perhaps you’ve resisted the pull of new technology for one reason or another or maybe you have legitimate concerns about privacy issues, especially with the current emphasis on HIPAA. However, the emerging trends on Internet use, specifically as they relate to seeking health care information, are difficult to ignore.
Currently, 66 percent of adults in the United States are surfing the Web, according to the results of a Harris Interactive Poll released earlier this year. The pollsters estimate that 110 million adults in the U
I have a love-hate relationship with motorcycles. I was called to the emergency room last week to treat a man who was hit by a car while riding his touring bike. I examined him and reviewed his X-rays. He had displaced fractures of three metatarsals and the cuboid of his right foot.
We talked about motorcycles for a few minutes and then I explained the nature of his foot injuries and what had to be done to repair the fractures. My interest in motorcycles gave me credibility even in his Fentanyl-induced haze.
I developed a passion for motorcycles as a young boy. I hung around a Harley-Davidso
News and Trends »
In the wake of increasing threats of resistant bacteria strains such as MRSA, new data presented at the 40th Annual Meeting of the Infectious Diseases Society of America provides some hope. Researchers revealed that linezolid may have promise in treating diabetic foot infections caused by bacteria such as Staphylococcus aureus.
According to the results of the study, which involved over 350 patients at U.S. and European sites, 81.3 percent of the linezolid patients were “clinically cured,” compared to 71.3 percent of patients who received a standard aminopenicillin combination.
Sports Medicine »
Chronic overuse problems that persist despite appropriate care are the hallmarks of a leg length discrepancy (LLD) in an athlete. While the symptoms associated with LLDs are diverse and, at times, vague and confusing, you should suspect limb length asymmetry when athletes have back or lower extremity complaints. Leg length asymmetries appear to be the third most common cause of running injuries and occur in 60 to 90 percent of the population.
In regard to classifying LLD, the two major categories are structural and functional. The one minor category is environmental.
Technology In Practice »
Podiatrists are adding the OsteoSet Resorbable Mini-Bead Kit to their arsenal of treatments for osteomyelitis and diabetic foot infections. One prospective study reports that bone repair with the OsteoSet yielded a 98 percent success at 12 months for contained defects, according to the product’s manufacturer Wright Medical.1 For defects specifically caused by osteomyelitis, a different retrospective study reports a 64 percent healing rate.2
Those who have used the product in their practice have also seen favorable results. In the past year, Ritchard Rosen, DPM, says he
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