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  • Jeff Hall, Executive Editor/VP-Special Projects, Podiatry Today
  • HMP Communications, 83 General Warren Blvd
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  • December 2001 | Volume 14 - Issue 12
    According to the author, recent evidence suggests that DPMS should be wary of assuming that a ruptured PTT is the primary etiology for adult-acquired flatfooot (shown above).
    By Douglas H. Richie Jr.
    42,682 reads | 0 comments | 09/03/08
    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 ... continue reading
    The Apex Foot Measuring System from Apex Foot Health Industries allows you to compare heel-to-toe and heel-to-ball length in order to determine the correct shoe size. The system is available in men’s, women’s and a combination version.

    3,331 reads | 0 comments | 09/03/08
    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... continue reading
    This positive bone scan indicates bilateral tibial stress fractures with associated right first metatarsophalangeal joint arthritis.
    By Eric J. Heit, DPM and Richard T. Bouché, DPM
    11,330 reads | 0 comments | 09/03/08
    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... continue reading

    1,532 reads | 0 comments | 09/03/08
    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... continue reading
    When a patient has chronic tenosynovitis, you may see nodules form in the tendon that place the tendon at greater risk for rupture.

    3,274 reads | 0 comments | 09/03/08
    A ruptured Achilles tendon can be problematic in many respects for athletically-inclined patients. Not only will they undergo surgery to repair the tendon, these patients face a long recovery period and extensive rehabilitation in order to get back to normal, according to the American College of Foot and Ankle Surgeons (ACFAS). However, perhaps emphasizing the proper athletic footwear can help athletes prevent these injuries in the first place. “The type of shoes the athlete wears makes a huge difference,” explains Eric Feit, DPM, a Fellow of the ACFAS. “Any shoe which is soft or compr... continue reading
    With the aid of hyperbaric oxygen therapy, a STSG, adjunctive wound care and
accommodative shoes, Patient #2 was able to heal a TMA procedure (as shown above).
    Jonathan E. Moore, DPM, MS, Lawrence Harkless, DPM and George Liu, DPM
    15,790 reads | 0 comments | 09/03/08
    Armed with the latest research and their own intriguing case studies, these authors take a closer look at limb salvage procedures and assess whether they are viable alternatives to amputation. By Jonathan E. Moore, DPM, MS, Lawrence Harkless, DPM and George Liu, DPM Over 50 years ago when Dr. Elliot Joslin asked Dr. Leland McKittrick to evaluate the surgical options for his diabetic patients, there were few alternatives. Dr. McKittrick later became one of the pioneers of the transmetatarsal amputation, which, at that time, was referred to as the “diabetic operation.”1 It would b... continue reading

    7,896 reads | 0 comments | 09/03/08
    Charcot arthropathy is an extremely challenging disease process to treat for many reasons, according to David Levine, DPM, CPed. He says one of the big problems is not being able to rely upon the patient for feedback. Given the profound peripheral sensory neuropathy present in these patients, Dr. Levine says vigilant monitoring of any changes in the foot is essential for preventing further complications. With this in mind, our expert panelists take a closer look at mechanical management of Charcot arthropathy and when it can help facilitate successful treatment outcomes. Q: In your opinio... continue reading
    Jonathan E. Moore, DPM, MS, Lawrence Harkless, DPM and George Liu, DPM
    1,758 reads | 0 comments | 09/03/08
    Mark A. Caselli, DPM and Ellen Sobel, DPM, PhD
    276,302 reads | 5 comments | 09/03/08
    The irritation is the result of biomechanical deformities such as limb length discrepancy, gastrocsoleus equinus, and excessive foot or leg varus, producing midtarsal and subtalar hyperpronation. In turn, this pronation produces a stretch of the plantar fascia as well as unwanted pulling on the origin of the fascia (the medial calcaneal tubercle). ... continue reading
    Getting a swab of a plantar ulceration for a qualitative culture is fairly common within an outpatient wound care environment.

    9,204 reads | 0 comments | 09/03/08
    By Jonathan E. Moore, DPM, MS When it comes to microbiologic monitoring of a wound, qualitative and quantitative cultures are the most commonly used techniques. In the outpatient wound care environment, you would generally obtain qualitative cultures As we all know, the swab method is easy, inexpensive and is a non-invasive method that gives you specific information about bacterial contamination in the superficial wound. In addition to the class and type of bacterial organism grown from this qualitative culture, the degree of contamination has been reported as very light, light, moderate a... continue reading