Volume 20 - Issue 12 - December 2007
Approximately 6 million extremity fractures occur in the United States each year. Five to 10 percent of these fractures will go on to delayed or nonunion. In regard to lost wages and additional treatment for delayed and nonunions, this translates into an annual economic loss to the United States of $3 to $6 billion.
One of the vexing and controversial issues related to the use of electric bone stimulation regards the actual definition of when a delayed or a nonunion occurs. The historic definition of a nonunion by the FDA was that of osseous discontinuity of nine months’
Podiatric physicians and surgeons have a wide array of modalities to choose from when it comes to the treatment of chronic joint disease and the pain related to these conditions. These modalities include oral analgesics that are opioid-based, nonsteroidal antiinflammatories (NSAIDs) and various forms of glucocorticoids that patients can take both orally and in injection form. There are also various forms of injectable hyaluronic acid to rehydrate and cushion the joint.
Due to the chronic nature of the disease involving the joints, efficacy and side effects are important considerati
Continuing Education »
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Given that many patients will present with tendon-related pain, this author offers key diagnostic tips, insights on conservative treatment and pearls on appropriate surgical options.
News and Trends »
When choosing a pair of running shoes, consumers have a wide range of choices with a number of models available in different price ranges. Does buying a more expensive running shoe necessarily translate into getting a better quality shoe? A recent study suggests there may not be that much difference in cushioning between inexpensive and more expensive shoes.
The study, which was recently published in the British Journal of Sports Medicine, compared a total of nine pairs of men’s running shoes from three different manufacturers. Researchers compared low-priced shoes (&poun
Diabetes Watch »
Hyperbaric oxygen (HBO) chambers are currently located in over 750 facilities in the United States. New wound care centers are opening monthly across the country and most incorporate HBO chambers. Which foot and ankle conditions benefit from HBO treatment? Does clinical evidence support HBO treatments?
Patients undergoing HBO therapy enter a chamber filled with 100 percent oxygen atmosphere pressurized to 2.0 to 2.5 ATA (atmospheric pressure absolute), which is equivalent to the pressure 33 to 48 feet below sea level. Hyperbaric oxygen therapy treatment
Dermatology Diagnosis »
A 60-year-old Caucasian female patient presents for consultation to the foot and ankle clinic regarding a one-year history of an erythematous, scaly and irregular lesion on the sole of her right foot. She notes the lesion is entirely asymptomatic. She originally saw a primary care physician about the lesion. The physician told her that she had a case of “athlete’s feet” and recommended an over-the-counter (OTC) antifungal cream. After four weeks of treatment with the antifungal cream, the patient showed no improvement.
The primary care physician then re-diag
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