Volume 24 - Issue 6 - June 2011
Online Exclusive »
Online Case Study »
If you were lucky enough to see the episode of Happy Days with the Fonz waterskiing and evading a shark, then you know exactly where the saying “jumping the shark” comes from.
Practice Builders »
Running a practice has many challenges. In a perfect world, our patients would be our only focus. However, as we know, there are many other issues vying for our attention. As if the day-to-day realities of managing staff and keeping a practice running were not challenging enough, there are factors that can actually set it back. These factors include rising overhead costs, shrinking insurance reimbursements and dwindling revenue.
Sports Medicine »
First metatarsophalangeal joint (MPJ) injuries can be both diagnostic and treatment challenges. From an anatomy standpoint, the number of structures that can be injured are numerous. Figuring out what structure(s) (see “A Brief Overview Of First MPJ Structures” at right) are injured can be difficult to assess via physical exam and X-rays, especially in cases in which there is no apparent fracture present. Even with a fracture, these injuries can have corresponding soft tissue injuries that complicate the diagnosis and treatment plan. More often than not, magnetic resonance imaging (MRI) is necessary to isolate specific structures.
While platelet-rich plasma (PRP) has emerged as a potential adjunctive modality for some lower extremity injuries, there is a lack of conclusive evidence in this regard. Accordingly, this author reviews the available literature and offers insights from his experience in using PRP for Achilles tendinosis and chronic plantar fascial pain.
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