Volume 18 - Issue 11 - November 2005

Continuing Education »

How To Evaluate And Treat Calcaneal Fractures

By Don Buddecke, DPM and Michael S. Lee, DPM | 39862 reads | 0 comments

   Calcaneal fractures continue to be one of the most complicated injuries of the lower extremity. Satisfactory outcomes are difficult to achieve and require extensive experience and understanding in treating the injury. Calcaneal fractures are much like pilon fractures of the distal tibia in that they are severe soft tissue injuries complicated by fracture of the heel bone. The importance of the soft tissue envelope cannot be overstated.

   There continues to be a wide range of treatment strategies despite the significant ongoing research on this injury. Cast



Editor's Perspective »

A Closer Look At Treating Plantar Fasciitis

By Jeff Hall, Executive Editor | 5013 reads | 0 comments

   There is no doubt that podiatrists see quite a bit of heel pain. Plantar fasciitis accounts for 11 to 15 percent of all foot symptoms in adults, according to an article published in the New England Journal of Medicine last year. As Stephen Barrett, DPM, points out in his cover story, “A Guide To Neurogenic Etiologies” (see page 36), projected estimates indicate that greater than two million patients per year are diagnosed with heel pain in the United States.

   However, despite the prevalence of this condition, there are complex anatomical consid



Diabetes Watch »

A Closer Look At Fixation Options For The Charcot Foot

By John Giurini, DPM | 20446 reads | 0 comments

   When Jean-Marie Charcot described the entity that bears his name in 1868, little did he know the controversies he would create. Charcot joint disease (or Charcot neuroarthropathy) has been one of the most misdiagnosed conditions in patients with diabetes mellitus. Patients with this entity have been misdiagnosed and consequently mistreated for osteomyelitis, cellulitis, tendonitis and gout.

   Over the years, various controversial questions have been posed about the treatment of Charcot neuroarthropathy. These questions range from what type of diagnostic tes



Forum »

Repaying Student Loans: Is There An End In Sight?

By Lara M. Allman, DPM | 5956 reads | 0 comments

   The year was 1996. I had finally graduated podiatry school. It felt great except for the large sum of loans that had accumulated. Four years and $100,000-plus in debt, it seemed like a black hole with no end in sight. A few months before graduation, the student loan department gave each of us a crash course on our loans, teaching us terms such as deferment, consolidation and prime rate. Deferment sounded good, especially if the residency salary left much to be desired.



News and Trends »

Nerve Decompression Study Offers Provocative Findings

By Brian McCurdy, Associate Editor | 13098 reads | 0 comments

   While previous studies have touted the benefits of peripheral nerve decompression for patients with neuropathy, a new study in the Journal of the American Podiatric Medical Association (JAPMA) reveals positive effects on sensation, neuropathic pain and patient balance. Authors of the study found that 87 percent of patients with numbness reported improved sensation and 92 percent who had preoperative balance problems had improved balance a year after undergoing the procedure.

   According to the study, which involved 60 patients with diabetic neuropat



Surgical Pearls »

Cartilage Preservation: Can It Maintain Post-Op Dorsiflexion?

By John Mozena, DPM, PC, and Tyler Marshall, DPM | 14611 reads | 0 comments

   One of the most documented postoperative complications of distal metatarsal osteotomies is adhesive capsulodesis that limits dorsiflexion of the first metatarsophalangeal joint (MPJ). When faced with such a post-op complication, one may be able to use a proven cartilage preservation procedure that maintains, if not improves, the first MPJ range of motion.

   Austin and Leventon first described the Austin bunionectomy in 1962 and the original procedure has undergone many modifications over the years.1 Each modification has different indications and



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