Volume 17 - Issue 5 - May 2004
Surgical Pearls »
Isolated fusions of the rearfoot have long been a choice of many podiatric foot and ankle surgeons for conditions such as coalitions, arthrosis and symptomatic flatfoot deformities. Persuasive arguments can be made for fusion of the calcaneocuboid, subtalar or talonavicular joints, especially when it comes to deformities such as the symptomatic flatfoot. While each of these procedures provide certain benefits for surgeons, they can present their own unique intraoperative and postoperative challenges as well.
With this in mind, I would like to share my thoughts as to why my talonavicular (TN)
Wound Care Q&A »
Given the potentially serious nature of venous ulcers in the lower extremity, our expert panelists take a closer look at key risk factors and share their treatment approaches to this condition. Drawing from their experience, they also discuss topical treatments, the use of bioengineered skin substitutes and surgical procedures.
Q: What risk factors predispose patients to the development of lower extremity venous ulcers?
A: Mark Hirko, MD, and Lawrence Karlock, DPM, agree that risks include prior deep venous thromboses (DVT), morbid obesity, lower extremity trauma and chronic venous
Whether they are due from patients, insurance companies, HMOs, Medicare, Medicaid or other third-party payers, accounts receivable (A/R) are the lifeblood of any medical practice. Unfortunately, it is not unusual for a podiatry practice to wait six, nine, 12 months or longer for payment. In fact, older A/R are often written off or charged back as bad debt expenses and never collected at all.
Also keep in mind that A/R are often the biggest practice asset to protect against creditors or adverse legal judgements. A judgement creditor pursuing you for a claim may pursue the assets of your prac
Heel pain is certainly one of the most ubiquitous complaints among our patients. Plantar heel pain is by far the most common location with proximal plantar fasciitis (heel spur syndrome) accounting for the majority of cases. Proximal plantar fasciitis, otherwise referred to as heel spur syndrome, is common in any podiatric practice and is certainly the most frequently encountered etiology of heel pain. Plantar fasciitis has been reported to comprise up to 10 percent of all foot and ankle injuries.
The clinical presentation consists of insidious onset plantar or plantar/medial heel pain. In m
Plantar warts are generally benign and usually self-limiting lesions, but are often painful and can be quite debilitating. The incidence of plantar warts is 1 to 2 percent in the general population. Warts usually resolve spontaneously within a two-year period in 60 percent of cases. While multiple treatments have been proposed over the years, there is no uniformly effective treatment for warts so therapy can often be difficult and unrewarding.
The most common treatment utilized is home therapy with a nonprescription salicylic acid preparation. Unfortunately, certain reports show that only two
Continuing Education »
While some researchers have suggested that bone tumors affect the feet in a disproportionately small number of cases, one must keep in mind that most major studies on the subject have been assembled at major centers for the treatment of cancer.1,2 Therefore, lesions that have clearly benign clinical or radiologic features are largely omitted. Also be aware that most tumors of the bones of the distal extremities may be readily biopsied or excised, histopathologically evaluated and treated in a community hospital setting. These lesions would similarly never find their way into the f
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