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Current Concepts In Second MPJ Pathology
By Kai Olms, MD, and Thorsten Randt, MD
One of the most challenging disorders of the foot is the unstable second metatarsophalangeal joint (MPJ). Due to the specific anatomical and biomechanical conditions, the surgeon has to define the plane of deformity as he or she will encounter a wide range of mild and passively reducible to severe and fixed deformities.
Indeed, there are special considerations regarding second MPJ biomechanics. The seven interossei pass plantar to the axis of the metatarsal head and insert into the base of the proximal phalanx and the plantar plate respectively. They act as strong flexors of the MPJ and, according to their position lateral or medial to the central axis of the MPJ, as abductor or adductor in the transverse plane for the MPJ simultaneously.
Is There A DPM Shortage On The Horizon?
By Brian McCurdy, Senior Editor
A decline in the number of graduating podiatric medical students combined with increasing demand for podiatric services could result in a shortage of DPMs, according to a recent study in the Journal of the American Podiatric Medical Association (JAPMA).
Study authors note that since the late 1990s, podiatric medical schools have experienced a decline in the number of applications, resulting in a decreased number of DPMs per capita in the United States. The study notes that the number of DPM graduates must increase “dramatically” or the supply of podiatrists will not keep up with the demand for services. Approximately 52 million people, about 19 percent of the U.S. population, experience foot problems every year, according to the study authors.
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There is no question that heel pain is one of the most common conditions we see and treat in podiatric practice. In order to provide appropriate treatment, one must have a strong understanding of the different etiologies that may come into play.
