Volume 18 - Issue 10 - October 2005

Forum »

Letting Your Hair Down After Reviewing Your Peers

By John McCord, DPM | 2555 reads | 0 comments

   I entered a room in the bowels of the hospital marked “administrative conference room.” It was 7 a.m. on a Friday. I usually have a cup of coffee and read a book at that hour. There was a coffee pot and some bagels but the reading material was patient charts stacked at one end of the table.

   All physicians are invited to participate in chart review but it is a tedious and often unpleasant task generally known as peer review. Three of us showed up on this day. One was a young OB-GYN who has been with us for a year. One was a urologist who has been here



Diabetes Watch »

Proactive Measures To Prevent Diabetic Complications

By Ronald Sage, DPM | 23456 reads | 0 comments

   In spite of efforts to control diabetes and improve limb salvage rates, the number of diabetes-related amputations continues to rise in the United States. Over 80,000 amputations are performed each year, with approximately one-half being partial foot procedures and one-half being transtibial or higher amputations.1 By evaluating and identifying patients at risk for amputation, podiatrists may initiate simple, preventive interventions that can help lower these dismal statistics.

   Patients with diabetes suffer from macrovascular and microvascular



Continuing Education »

How To Diagnose Lateral Ankle Injuries

By Remy Ardizzone, DPM, and Ronald L. Valmassy, DPM | 85404 reads | 0 comments

   The initial presentation of an acute lateral ankle injury may be deceptive. What appears to be a simple ankle sprain may represent a fracture of the ankle or hindfoot. A tendon or impingement-type injury may not present until later in the healing process. One may not be able to appreciate other intraarticular injuries without advanced imaging studies. Nerve injuries may offer the greatest diagnostic challenges of all (see “A Guide To Differential Diagnosis Of Inversion Ankle Injuries” below).

   The ankle is the most common joint injured in sports and an



News and Trends »

International Olympic Committee Seeks DPM's Advice For 2008 Olympics

By Brian McCurdy, Associate Editor | 3491 reads | 0 comments

   Officials of the International Olympic Committee (IOC) are already in the midst of planning for the 2008 Olympics in Beijing. In order to facilitate improved treatment for athletic injuries, they recently sought out the suggestions of a United States podiatrist who treated athletes at the Athens Olympiad last year. Nicholas Romansky, DPM, who headed up the U.S. podiatry contingent at the 2004 Olympics, spoke recently to the IOC regarding his clinical experiences and made suggestions for the next games.

   Dr. Romansky reviewed injury trends, noted how the c



Feature »

Key Insights On Recommending Running Shoes

By Peter Wilusz, DPM | 22346 reads | 0 comments

   Believe it or not, the running shoe first originated as a leather upper with a leather sole. Adidas running shoes date back to the late 1800s but many of the technical advancements did not begin to appear until the 1970s. In 1971, Bill Bowerman and Phil Knight created a shoe manufacturing company called Blue Ribbon Sports (BRS), which eventually became Nike, Inc.

   While he was coaching track and field at the University of Oregon, Bowerman created the first cushioned midsole by heating polyurethane on his wife’s waffle iron in his garage. What followed wa



Feature »

Point-Counterpoint: Is Fusion The Best Option For Crossover Toe Deformity?

By William D. Fishco, DPM, and Lawrence Ford, DPM | 25179 reads | 0 comments

Yes, this author says surgeons can successfully incorporate arthrodesis in the repair of this deformity. He says a strong knowledge of the second toe anatomy and other influencing structures can facilitate good treatment outcomes.

By William D. Fishco, DPM

   In theory, surgery on the toes sounds pretty simple. After all, how hard can it be? Technically speaking, we consider toes to be “easy,” especially when we first start out in residency training. Most of us remember getting our first chance handling a scalpel while performing toe surgery. However, anyone who