Volume 19 - Issue 10 - October 2006

Feature »

An Alternative Approach To Plantar Plate Derangement

By Kerry Zang, DPM | 31250 reads | 0 comments

     Plantar plate derangement with synovitis of the metatarsophalangeal joint complex is a progressively degenerative condition with an inflammatory component.1 Recent clinical experience suggests that one can treat these pathologies successfully using plasma-mediated, radiofrequency-based microdebridement.

     While the plantar plate of the metatarsophalangeal joint shows signs of degeneration, the metatarsophalangeal joint complex itself is inflamed (i.e. synovitis). Clinicians often find this condition in conjunction with the triad of hallux ab



Continuing Education »

A Guide To Foot Surgery For The Geriatric Patient

By William D. Fishco, DPM, FACFAS | 18648 reads | 0 comments

     In regard to traditional perceptions, we need to redefine our approach to geriatric patients. Somewhere along the way in our training, we are taught that once people reach 65 years old, they are given the demographic label “geriatric.” As a result, there is a tendency to shy away from presenting surgical options for these patients due to fears that they may not heal, their bones are too brittle or that they have too many medical problems. The common excuses that I hear include: “too old,” “too risky,” “won’t heal” and “just live with it.” It is not unc



Dermatology Diagnosis »

When A Newborn Presents With A Skin Condition On Both Feet

By Gary “Dock” Dockery, DPM, FACFAS | 19808 reads | 0 comments

     A 30-year-old Caucasian female brings her 3-week-old son into the clinic with a skin condition on both feet. The mother reports that the pregnancy was uncomplicated. She says the baby was born full-term with a normal birth weight of 7.2 pounds and no problems noted.

     The mother also says she was healthy before and during the pregnancy, and that she is not taking any prescription medications or other drugs. She has been taking regular perinatal vitamins and minerals, including vitamin C and E, as directed by her personal obstetrician. The mother denies



New Products »

New Products

2478 reads | 0 comments

Antifungal Agent In A Convenient Package

A tried and true podiatric moisturizer is now available in a more convenient form.

     Naftin® Cream utilizes naftifine HCl 1% to treat conditions such as tinea pedis, according to the manufacturer Merz Pharmaceuticals. The cream has fungicidal and fungistatic activity against various organisms, according to the company.

     Naftin is now available in a new 90-g size, which is reportedly in response to physicians’ requests for fewer refills for patients. The company says DPMs can use



Forum »

Why I Am Turning Off The Surgical Engine

By John H. McCord, DPM | 2419 reads | 0 comments

     The career of the legendary stunt motorcyclist Evel Knievel seems like an ideal metaphor when I contemplate my career as a foot and ankle surgeon. Knievel’s forte was jumping over cars, buses, bulldozers or wild animals on his Harley. There was danger and Knievel suffered when things went wrong. At the end of his career, he had more hardware in his body than a Home Depot outlet. I always wondered if he had selected a retirement date or was he going to let the physics of death-defying motorcycle jumps choose for him.

     As a foot and ankle surgeon, I ha



News and Trends »

News and Trends

By Brian McCurdy, Senior Editor | 8651 reads | 0 comments

Study: Wrong Shoe Size In Veterans Tied To Diabetic Ulcers

     Shoes that fit poorly are often named as a factor in the development of diabetic foot ulcers. A recent study in the Journal of the American Podiatric Medical Association (JAPMA) questioned whether veterans wear appropriately sized shoes and found that three-quarters of those studied did not.

     Study authors evaluated the shoe sizes of 440 veterans at Southern Arizona Veterans Affairs (VA) Medical Center. Of those, 58.4 percent had diabetes and 6.8 percent had an active diabetic



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