Volume 20 - Issue 1 - January 2007
Yes. John S. Steinberg, DPM notes that the test is minimally invasive and easy to perform with sensitivity, specificity and positive predictive values similar to those of MRI and bone scans.
By John S. Steinberg, DPM
It comes down to patient selection and common sense. In the properly selected patient, the “probe to bone” test can be a very strong diagnostic tool in determining the presence of osteomyelitis at an ulcer site in the diabetic foot.
Grayson, et. al., formally popularized and documented this import
News and Trends »
As DPMs treat a wide variety of patients, they also practice in a wide variety of settings. Podiatrists practice in hospital settings, at academic institutions, solo practices and in group practices with other DPMs.
One such group practice, The Podiatry Group of South Texas (TPG), formed in 2003 when seven independent practices with a total of 12 DPMs merged. The merger was born of “the need and opportunity to consolidate business operations in response to negative pressures from the insurance industry,” according to Robert Vranes, DPM, the pre
Anyone questioning whether Dr. Barrett is trying to sell Instratek instrumentation for endoscopic plantar fasciotomy (EPF) procedures need look no further than his recent article, “Should You Change Your Approach To Plantar Fasciosis?” (see page 48, November issue), which is basically a long-winded advertisement for the EPF procedure.
There are several points not mentioned in this less than scholarly work that should be brought to the forefront.
The first point is that conservative care works and works very often. Through
Diabetes Watch »
Research is an essential part of medicine when it comes to the ongoing improvement of patient care. Although podiatry is still very early into its development of consistent research contributions, research in diabetes has an impact in what we do daily. Research on topics such as diabetic neuropathy, vascular disease, wound care, the management of diabetes and offloading should be of interest.
Diabetic neuropathy has been identified as an important risk factor for foot problems in the diabetic patient. The cost of diabetic neuropathy and its conseque
Wound Care Q&A »
Given the common incidence of puncture wounds, our roundtable experts continue their discussion (see page 32, November 2006 issue) by sharing key insights on appropriate antibiotic selection and how they prefer to close these wounds. Without further delay, here is what they had to say …
Q: What empiric antibiotics do you prescribe for puncture wounds?
A: For Michael Keller, DPM, the antibiotic selection depends upon three factors: the timing of presentation, the type of puncture and the type of patient.
Surgical Pearls »
One of the most common conditions that the foot and ankle surgeon will encounter is the hammertoe deformity. Surgeons have used multiple procedures for more than 60 years to deal with this condition. These have included amputation of the digit, arthrodesis of the interphalangeal joints, soft tissue releases, arthroplasty (removal of bone, partial or complete), tendon transfers, implants and/or a combination of the above. The most popular procedure during this time has been the arthroplasty with resection of the head of the proximal phalanx.
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