Volume 15 - Issue 4 - April 2002
The winds of change have blown through the medical community with a vengeance in the last 25 years. Managed care has turned medicine upside down. Dramatically lower fees and higher overhead expenses have made us work doubly hard just to maintain some level of consistency in our practice. Just as we have seen in the hospital community, economic necessity has made some strange bedfellows.
Digital contractures are among the most common deformities we see in podiatric practice. McGlamry described three etiologies for hammertoes: flexor stabilization, flexor substitution and extensor substitution.1 While each entity may exist independently, it is more likely you will see co-existing etiologies, particularly when you’re dealing with more complex deformities.
Most hammertoes in early stages primarily involve sagittal contractures. However, as the deformity progresses, transverse plane components may be unmasked. You may recognize transverse plane deformities early on as a subtle
The last decade has seen a tremendous evolution in the field of advanced wound management, both as a discipline and in regard to the development of wound healing therapies. New dressings, human skin equivalents, and barometric intervention all compete for utilization in the wound healing process. While each of these options is a viable intervention, there still needs to be more recognition of how wound biology and histo-cellular function affect wound healing.
Indeed, understanding the process of healing wounds is essential for the clinician dedicated to wound medicine. Often, it is stated th
In order to treat lower extremity pediatric problems, it is essential to have a sound knowledge of the normal and abnormal development of the child’s lower extremities. As structural and positional developmental changes take place in a dynamic and continuous fashion, you must have a strong grasp of when and how the changes occur during normal maturation. Once you become comfortable with this knowledge, you can successfully diagnose and treat pediatric lower extremity gait abnormalities.
As many have stated, the early years of development represent the golden years of treatment when you ma
Sports Medicine »
Foot blisters are among the most common injuries for athletes. According to research from the Scholl, over 5.2 million people suffer blisters every year. In a study of lower extremity injuries that occurred at the New York City Marathon, the most common foot problems reported were acute shear and stress injuries resulting in blister formation.
Aside from being painful, blisters can alter an athlete’s running form and lead to even more serious injuries of the leg and hip due to irregular gait biomechanics.
New Products »
The sight of a needle can strike fear into your bravest patient. Now a new product promises to minimize the pain.
Milestone Scientific’s CompuMed system consists of the CompuMed computer and the Wand handpiece. The CompuMed computerized anesthetic system allows you to control the flow rate to your patients.
Modes range from slow mode (one drop every two seconds) to the aspiration mode. This controlled distribution enables you to deliver the anesthetic below the patient’s threshold of pain.
According to Milestone, the microprocessor automatically provides safe delivery for different ti
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