Volume 14 - Issue 12 - December 2001

Feature »

Clearing Up The Confusion Over Posterior Tibial Tendon Dysfunction

By Douglas H. Richie Jr. | 40826 reads | 0 comments

Virtually every foot and ankle surgical symposium held in the United States over the past five years has devoted significant sessions to the pathomechanics, surgical and non-surgical treatment of the symptomatic adult flatfoot condition. Unfortunately, the popular name for this condition, posterior tibial tendon dysfunction (PTTD), reinforces a generally accepted notion that a failure of the posterior tibial tendon (PTT) is the primary etiology of the symptomatic adult acquired flatfoot deformity.
However, there has been recent evidence to the contrary that would, at least, caution us about



New Products »

A Sharp Assessment

3229 reads | 0 comments

Are you trying to get a more accurate handle on a patient’s diabetic neuropathy?
If so, you may want to check out the SmartPen dual filament sensor from Koven Technology. It says the SmartPen combines a sterile sharp tip sensor and a replaceable, calibrated, retractable Semmes-Weinstein monofilament.
According to Koven, the sterile sensor enables you to test for sharp sensations in areas near diabetic foot ulcers. Using the 10gm monofilament helps you assess diabetic neuropathy assessment with touch-pressure sensation and is calibrated for 100 uses, according to the company. Koven adds tha



Continuing Education »

How To Treat Sesamoid Injuries In Athletes

By Eric J. Heit, DPM and Richard T. Bouché, DPM | 10905 reads | 0 comments

It has been speculated that 50 to 75 percent of weightbearing forces are transmitted through the first metatarsophalangeal joint (MTPJ) complex during weightbearing and these forces can account for up to three times one’s body weight.1,2 Anatomical location of the hallucal sesamoids predisposes them to significant shear, pressure and ground reactive forces during weightbearing activities. As a result, sesamoids are a site for potential injury.
Sesamoid pathology is not uncommon in a typical podiatric sports medicine practice. In a study of 1,000 running injuries, the sesamoids



Feature »

Introduction

1473 reads | 0 comments

The burden of infections in surgical patients today is alarming. In the United States, Staphylococcus aureus is the most common cause of skin and soft tissue infections (SSTIs). Approximately 70% of nosocomial infections are due to gram-positive organisms, with methicillin-resistant S. aureus (MRSA) being a very common nosocomial pathogen in hospitalized patients and the most common nosocomial pathogen in surgical patients. Equally alarming is the recent, rapidly rising occurrence of community-acquired MRSA (CA-MRSA), a pathogen that appears to have evolved independently of healthcare-asso



Feature »

How To Differentiate And Treat Tendon Pathology

David C. Erfle, DPM and Nicholas Romansky, DPM | 11061 reads | 0 comments

These authors offer diagnostic tips and treatment pearls for lower-extremity tendon injuries, with a specific focus on managing chronic tenosynovitis.

Tendon pathology in the foot and ankle are the most common of all injuries. Obviously, there have been chapters in books dedicated solely to repairing individual tendons in the lower extremity. Given the array of external factors (i.e., duration and intensity of activity, improper shoes) and intrinsic factors (i.e., altered body mechanics, advanced age) that can cause tendon pathology, let’s take a closer look at how to differentiate tendon



Editor's Perspective »

Are You Prepared For Disaster?

Jeff Hall | 1581 reads | 0 comments

Life moves so fast that few people have time to consider “what if” scenarios, even if these scenarios could have a serious impact on their lives and the lives of others. However, all of this changed on September 11. During this time of grieving, loss and fear, our lives came to an abrupt halt as we were forced to deal with the possibility of an uncertain tomorrow.
For many of us who didn’t experience direct personal losses, it was a time to reflect on our lives. It was also a time for professionals from all different fields to ask themselves troubling “what if” questions. For exampl



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