Volume 15 - Issue 12 - December 2002

Feature »

Expert Insights On Detecting Lisfranc's Injuries

By David Caldarella, DPM, and Celeste Borchers, DPM | 25269 reads | 0 comments

Lisfranc’s injuries, as found at the tarsometatarsal joint, are rare, according to the literature. Only 1 percent of all fractures are found at the tarsometatarsal articulation with an incidence of one per 55,000 people per year.1 These injuries are two to four times more likely to occur among young to middle-aged men as opposed to female patients.1-3 Overall, though, the injury is still a rare phenomenon. Aitken and Poulson reviewed 82,500 fractures over a 15-year period and found only 16 cases of Lisfranc’s fractures.4
But are these injuries as rare as



Feature »

CE: When Should You Perform Callus Distraction?

By Michael S. Downey, DPM | 12420 reads | 1 comments

The current use of callus distraction techniques in foot, ankle and lower leg surgery is constantly growing. The limits of callus distraction techniques appear to be those imposed by surgical access and fixation. As techniques and technology continue to improve, even more indications for callus distraction will evolve.
Callus distraction, also commonly referred to as distraction osteogenesis or callostasis, is the lengthening of a bone by manipulation of the bone callus during the healing process. Gavriel A. Ilizarov, a Russian-born physician, is credited with popularizing limb lengtheni



Feature »

What Are The Best Modalities For Charcot's Foot?

By Guy R. Pupp, DPM, David T. Savage, DPM, MS, and Mark B. Hellmann, DPM, MS | 21290 reads | 0 comments

Neuropathic osteoarthropathy is a debilitating condition that affects diabetic patients with peripheral neuropathy. This distinct pathologic entity, commonly known as Charcot’s arthropathy or Charcot’s joint disease, is characterized by pathologic fractures, joint dislocation and deformity, resulting in a foot at high risk for ulceration and amputation in severe cases.
Armstrong, et. al., found the prevalence of Charcot’s arthropathy ranges between 0.16 percent in the general diabetic population of patients to 13 percent of patients presenting to a high-risk diabetic foot clinic.1<



Feature »

How To Detect And Treat Chronic Compartment Syndrome

By Michael M. Cohen, DPM | 41868 reads | 0 comments

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 »

Taking Advantage Of The Net Effect

By Jeff Hall, Editor-in-Chief | 1688 reads | 0 comments

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



Forum »

Zen And The Art Of Repairing Motorcyclists

By John McCord, DPM | 1925 reads | 0 comments

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