Volume 24 - Issue 2 - February 2011
Diabetes Watch »
With the recognition of limb salvage as a key to decreasing mortality and increasing the quality of life in patients with chronic non-healing ulcerations, the transmetatarsal amputation (TMA) has become a common procedure.1-4 The current epidemic of diabetes mellitus affects 7.8 percent of the population in the United States. Moreover, an additional 57 million individuals have been diagnosed with “pre-diabetes.”5
News and Trends »
Whether there is a personal issue fueling the anger or lingering resentment over an insurance-related dilemma, this author offers pertinent insights on the roles of empathy, certain phrasing and body language in conflict resolution. He also discusses key steps to take when patient discharge is necessary.
In addition to reviewing the clinical presentation of psoriasis in the lower extremity, this author provides key insights on various topical medications ranging from corticosteroids and vitamin D analogs to retinoids and keratolytics. She also offers insights on systemic therapies that physicians may consider when the disability and disease severity warrant a more aggressive approach.
If patients with second metatarsophalangeal joint (MPJ) dysfunction experience a delayed diagnosis or misdiagnosis, the condition can become progressively worse and lead to complications. Accordingly, this author discusses issues with second MPJ surgery, the emerging role of plantar plate repair and a suture and button technique that may prove to be beneficial.
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