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  • Executive Editor/VP-Special Projects:
    Jeff Hall
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  • Editorial Correspondence

  • Jeff Hall, Executive Editor/VP-Special Projects, Podiatry Today
  • HMP Communications, 83 General Warren Blvd
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  • June 2003 | Volume 16 - Issue 6
    By Mark A. Caselli, DPM
    63,875 reads | 0 comments | 09/03/08
    The dancer’s feet are comparable to a concert pianist’s hands. Extensive training, often beginning before the age of 10, is common, especially among girls. Through the years, changing styles and great leaps have placed increased strain on the foot, resulting in the variety of dance injuries we must diagnose and treat today. In a follow-up to the last column (see “How To Identify And Treat Common Ballet Injuries,” pg. 70, April issue), let’s take a closer look at other common foot and ankle injuries that affect ballet dancers. The most common acute injury in theatrical dance is the... continue reading
    Phytacare Alginate Hydrogel dressing promotes a moist physiologic environment.
    By Brian McCurdy, Associate Editor
    4,020 reads | 0 comments | 09/03/08
    It can be challenging to maintain an optimum environment for wound healing in certain patients. It can also be challenging to sift through the vast array of wound care dressings on the market and find the right one that will help your patient. However, you may welcome the arrival of a new dressing that is reportedly cost-effective, easy to use and has a wide range of potential indications. You can use the phytacare Alginate Hydrogel wound dressing to treat a wide variety of lower extremity wounds, ranging from diabetic ulcers and pressure ulcers to abrasions and second-degree burns, accordin... continue reading
    This X-ray shows early periostitis and a fracture of the tibial cortex in a 33-year-old male who had lower shin pain.
    By Nicholas M. Romansky, DPM, and David C. Erfle, DPM
    36,793 reads | 0 comments | 09/03/08
    Shin splints are common among runners and individuals who participate in soccer, football, field hockey, lacrosse, etc. This overuse injury usually develops gradually over a period of weeks to months but may occur after a single, excessive bout of exercise. Individuals typically complain of pain in one of two locations: the lower inside half of the tibia and, less commonly, the upper outside portion of the tibia. Shin splints, also known as medial tibial stress syndrome, are an inflammation of the soft tissue surrounding the bone lining of the tibia at the origin of several leg muscles. Exce... continue reading
    By John H. McCord, DPM
    2,505 reads | 0 comments | 09/03/08
    I walked into the operating room 10 minutes early as usual. The case was a complex repair of multiple fractures from a SUV vs. Harley wreck. None of the fractures were difficult to repair but there were four to set and fixate. The nurses laughed quietly when I hung a numbered checklist next to the X-rays. Everybody in the room laughed except the anesthesiologist, who, like me, is a licensed pilot. Checklists save your life when you’re flying an airplane. Forgetting a small detail like the fuel level or the proper functioning of controls can result in a crash so we use checklists. Surgery ... continue reading
    Here you can see a post-debridement shot of a patient who presented after small pebbles became embedded in his foot.
    By Tamara D. Fishman, DPM
    69,115 reads | 0 comments | 09/03/08
    Puncture wounds caused by foreign bodies can be deceptive in appearance. This is because many show little or no signs of external damage, yet they may have caused a serious internal injury. Some of the more common objects that cause these injuries include nails, pins or tacks, wood, glass and thorns. There is usually little bleeding from puncture wounds and these wounds seem to close almost immediately. However, this does not mean treatment is not necessary. Puncture wounds do have a risk of becoming infected. The object that caused the wound may carry spores of tetanus or other bacteria... continue reading
    By Steven D. Chinn, DPM, CHE
    7,803 reads | 0 comments | 09/03/08
    Is your practice as safe as it needs to be? When Congress created the Occupational Safety and Health Administration (OSHA) in 1971, the intent was to decrease the number of workplace injuries, illnesses and deaths. In 1999, there were over 5.7 million occupational injuries and illnesses in the United States. Approximately 6.3 employees out of every 100 experienced a job-related injury or illness. All medical practices are expected to comply with the regulations regardless of the number of employees. Some of the critical areas emphasized over the years include injury and illness prevention, em... continue reading
    By Gary M. Rothenberg, DPM, CWS
    15,558 reads | 1 comments | 09/03/08
    In the course of a single day, we often see frustrating patients who do not follow the seemingly simple instructions that we give to them. Treating non-compliant diabetic patients, specifically those who are dealing with issues of wound care, infections and even amputations, can be particularly challenging. When I use the term non-compliant, I am sure that everyone immediately visualizes his or her most memorable patient. You may refer to this patient as a problem patient, a troublemaker or any other choice word, but are these negative judgments of patients making the challenging cases even ... continue reading
    By Michael D. Dujela, DPM, and Eric Espensen, DPM
    10,580 reads | 0 comments | 09/03/08
    Yes, Dr. Dujela points to key principles and case studies that convey the need for surgical treatment in facilitating curative results. The notion that osteomyelitis is “primarily” a surgical disease does not discount the importance of adjunctive antibiotic therapy. However, in the presence of established osteomyelitis, surgical treatment should be the mainstay with antibiotics playing a supporting role. The basic philosophy in the surgical treatment of osteomyelitis is foot salvage. Essentially, we are attempting to achieve a balance between resecting adequate bone for curative resul... continue reading
    CellerateRX replicates the natural fibroconnective template, which helps to accelerate cellular regeneration.

    4,017 reads | 0 comments | 09/03/08
    Are chronic wounds throwing you for a loop? If so, you may want to consider using CellerateRX, a new wound care gel and powder that reportedly helps to jumpstart the healing process. Advanced Wound Care, the manufacturer of the product, says CellerateRX has an array of indications ranging from diabetic ulcers and surgical wounds to pressure ulcers and second-degree burns. The company notes that CellerateRX promotes and accelerates cellular regeneration by replicating the natural fibroconnective template. It can be a good modality for recalcitrant wounds as it promotes natural autolysis and... continue reading
    Patients with soft tissue tumors will initially present with a bump on the foot (as seen above) with some report of pain in shoegear or a limp during ambulation.
    By John H. Walter Jr., DPM, MS, and Larry R. Goss, DPM
    108,696 reads | 0 comments | 09/03/08
    Soft tissue tumors may often be overlooked or mistaken as “simple lesions.” For example, ganglion cysts occur so frequently in the foot and ankle that it has often led to the careless assumption that every asymptomatic, soft, movable mass represents a benign lesion. Unfortunately, this lackadaisical confidence can lead to misdiagnosis and disaster in certain situations. Although rare, some “simple lesions” may actually represent a malignant process that goes undiagnosed until skeletal metastasis occurs or amputation is required. This tragedy could potentially lead to malpractice liti... continue reading