Volume 19 - Issue 4 - April 2006
Continuing Education »
Podiatric physicians commonly see fifth metatarsal fractures when treating active patients. The actual rate of occurrence is unknown but some estimate the rate at somewhere between 0.7 and 1.9 percent of all foot fractures. Fractures of the fifth metatarsal can occur at a number of locations and while some of these respond well to conservative treatment, other fractures have been notoriously hard to heal with high rates of nonunion and other complications.
Proper classification of these fractures and a strong understanding of the mechanism of injury will help guide the podiatric physician
Editor's Perspective »
Every now and then, I catch an episode of Bravo’s Inside The Actor’s Studio. At the end of the hour, the interviewee participates in a pithy, amusing and sometimes revealing questionnaire. One of the standard questions is “What is your least favorite word?” For me, it would be two words: conventional and assumption. Those who assume are too lazy to seek out the truth. Conventional implies there is one predominant way of doing things but the dynamic nature of our lives suggests different models.
Interestingly enough, a number of articles in this month’s issue offer challeng
News and Trends » MRSA
Given the substantial rates of methicillin resistant Staphylococcus aureus (MRSA) infection in hospitals, early detection is vital to ensure timely and appropriate treatment. A new molecular test may significantly decrease the amount of time it takes to detect MRSA and possibly reduce transmission of the bacteria, according to the authors of a new study.
Researchers who conducted the two-year study, recently published in Critical Care, evaluated over 1,000 patients who had been admitted for longer than 24 hours to a medical intensive care unit (ICU) or surgical ICU. Authors of
Diabetes Watch »
The Charcot foot and ankle is a challenging clinical entity for the qualified foot and ankle surgeon. It is a progressive disease with insidious onset. Osteoarthropathy was originally described in 1703 but it wasn’t until 1868 that it was called Charcot neuroarthropathy due to Charcot’s work in linking the disease to tabes dorsalis and neuropathy.1,2 It was Jordan who linked this destructive disease — which is associated with joint dislocation, breakdown and pathologic fracture — with diabetes mellitus.3
Osteoarthropathy has an incidence ranging from 0.16 percen
Practice Builders »
Successful DPMs know the right formulas for keeping patients. One should manage medical information professionally, run an efficient office, listen to patient concerns and always keep the patient foremost in mind. On the flip side, if a podiatric practice engages in certain other behaviors, the podiatrist will likely see more than a few patients walk out the door without returning any time soon.
That said, here are pearls on what not to do to keep a thriving practice. Unlike articles that suggest ideas to help you keep patients, I absolutely guarantee that the ideas presented in this article
Orthotics Q&A »
Although what one learned in podiatric medical school is invaluable in a podiatry career, sometimes podiatrists may encounter a different reality in clinical practice. These expert panelists weigh what they learned in school with their experience and the current research. They also detail which directions future orthotic research should take.
Q: What is the current research telling us about how the foot really functions as opposed to what many podiatrists were taught in school?
A: Much of the current research focuses on the importance of the midtarsal joint(s) and how they have a
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