Volume 17 - Issue 12 - December 2004

News and Trends »

Experts Weigh In On Continued Rise Of MRSA

By Brian McCurdy, Associate Editor | 5753 reads | 0 comments

   Methicillin resistant Staph aureus (MRSA) infections are on the rise around the world as infections pass between hospitals and the community. The infections are not only associated with morbidity and mortality but also pose a high financial cost to patients and the healthcare profession, according to experts. What is causing the rise in antibiotic resistance and what steps should DPMs take to prevent and combat infection?

   The incidence of MRSA infection has increased 40 percent in five years and one-third of pneumonia among patients on ventilators



Feature »

A Closer Look At Deep Vein Thrombosis

By Allan B. Grossman, DPM and Matt Sowa, DPM | 42174 reads | 0 comments

   Venous thromboembolism (VTE) or deep vein thrombosis (DVT) is a common medical condition associated with considerable morbidity and mortality. Undiagnosed and untreated VTE can put patients at an unacceptable risk for a pulmonary embolism, which can be fatal. Thromboemboli account for 600,000 new cases, 300,000 admissions and approximately 100,000 deaths a year. Given that VTE has a recurrence rate of approximately 30 percent, early diagnosis and treatment are imperative.

   In order to understand the risk factors of deep vein thrombosis (DVT), one must firs



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Rethinking Tarsal Tunnel Syndrome

By Paul R. Scherer, DPM | 69595 reads | 0 comments

   Podiatrists have been treating tarsal tunnel syndrome (TTS) conservatively for decades although there is no clinical outcome study to document the effectiveness of orthotics for this syndrome. Most podiatrists rely on the anecdotal evidence and their own experience to prescribe orthoses, which are intended to change the position of the foot and reduce the trauma and traction of the posterior tibial nerve at the flexor retinaculum.

   First defined by Keck in 1962, tarsal tunnel syndrome is a relatively common problem that podiatrists see in their practice an



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How To Detect And Treat Granuloma Annulare

By Gary L. Dockery, DPM, FACFAS | 58009 reads | 0 comments

   Granuloma annulare (GA) is a benign inflammatory, self-limiting granulomatous dermatoses characterized by a variable clinical presentation of dermal and subcutaneous lesions. Although this condition may occur at any age, it is predominantly a disease of children ranging in age from 2 to 10 and adults who are younger than 30. GA is very common in young females as they are twice as likely to be affected than males. Foot involvement occurs in more than 70 percent of all patients with GA and hand involvement occurs in 60 percent of patients.

   The lesions may



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Can JCAHO Patient Safety Goals Have An Impact?

By Steven Chinn, DPM, MS | 7006 reads | 0 comments

Everyone dreads the potential experience of making a mistake that affects patient care. However, the complexity of healthcare lends itself to these situations. Caring for patients requires a series of interconnecting steps in order to produce the desired outcome. As physicians and surgeons try to minimize the variables that arise, there are still factors, some of which we are accountable for and some not, that can add up to a bad clinical outcome.
Many states have regulations that require licensed healthcare facilities, such as hospitals and nursing homes, to report any unusual patient care p



Continuing Education »

How To Perform The Double Calcaneal Osteotomy

By Alan R. Catanzariti, DPM, Robert W. Mendicino, DPM, and Brian D. Neerings, DPM | 23995 reads | 0 comments

   The double calcaneal osteotomy includes a combination of the posterior calcaneal displacement osteotomy (PCDO) and the Evans anterior opening wedge calcaneal osteotomy. One would consider this combination for symptomatic flexible flatfoot deformity in both the adolescent flexible flatfoot and the adult with late stage II (Johnson and Strom’s classification) posterior tibial tendon dysfunction (PTTD).

   The PCDO consists of a transcortical osteotomy through the posterior tuber of the calcaneus with medial transposition of the tuberosity. The PCDO displaces



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