Vitamin D Insufficiency And Deficiency: Is There A Role For Routine Screening In Foot And Ankle Surgery?

Kristine Hoffman DPM | 640 reads | 0 comments | 07/13/2017

Vitamin D insufficiency and deficiency is an increasingly prevalent disorder. Numerous factors result in vitamin D deficiency, These factors include inadequate sunlight exposure, malabsorption syndromes and medications that alter vitamin D metabolism.

Choosing The Right Ankle Brace For Your Patient

A. Douglas Spitalny, DPM, FACFAS | 15,114 reads | 0 comments | 01/26/2016

Choosing an ankle brace is often like choosing a car: The options have become limitless. As with picking cars, dealing with athletes’ finicky behavior often makes choosing a brace just as difficult. Prior to going to podiatry school, I was a student trainer in college so I have done thousands of tape jobs and am appreciative of a good ankle brace.

Diagnosing And Treating Distinctive Pink Papules On The Ankle

Myron Bodman, DPM | 5,844 reads | 0 comments | 03/21/2016

There are hundreds of dermatologic disorders that can occur on the feet and lower extremities. Additionally, considering all the possible variables in host resistance and genetic variations as well as acute, subacute and chronic appearances, there are actually thousands of clinical diagnoses to take into account when one confronts a skin disorder. Morphologic description and site predisposition can help to generate and refine the differential list.

As exemplified with the following patient, recognizing a distinctive pattern can often make the clinical diagnosis a lot easier.  

When Patients Present With Posterior Ankle Impingement

Jesse Yurgelon, DPM, and Meagan M. Jennings, DPM, FACFAS | 12,757 reads | 0 comments | 04/20/2016

Posterior ankle impingement can be a result of a number of entities including soft tissue impingement, a prominent bony process or unfused ossicles. Patients typically relate pain with forced or repeated plantarfleixon at the ankle, which can cause acute and chronic impingement/synovitis or bony contusions as well as restricted motion in the ankle or subtalar joint. This condition is frequent among ballet dancers, football players, soccer players and cross-country runners.

Rethinking Salter–Harris Type I Ankle Fractures In Kids: Are They Really Fractures?

Saleena Niehaus DPM | 8,146 reads | 0 comments | 08/02/2016

In their landmark 1963 article, Salter and Harris described injuries to the epiphyseal plate, and noted that the growth plate is weaker in comparison to tendons and ligaments in growing children.1 Due to this inherent weakness, an injury that would normally cause a complete tear of a major ligament in an adult would instead lead to a separation of the epiphysis in a child. Thus, when a child’s ankle sustains an inversion injury, it is traditionally taught that the weaker physis will fail prior to the stronger ligamentous complex.2

Investigating The Alternatives To Arthrodesis For Advanced Stage Hallux Rigidus

Bob Baravarian, DPM, and Brayton Campbell, DPM | 14,313 reads | 1 comments | 12/30/2014

Hallux rigidus is a common condition involving pain and limited range of motion to the first metatarsophalangeal joint (MPJ) with degenerative arthritis of the joint.

Treating Posterior Medial Ankle Pain In A Juvenile Patient After An Ankle ‘Sprain’

Annie Nguyentat, DPM, and Meagan Jennings, DPM, FACFAS | 6,121 reads | 0 comments | 03/31/2015

These authors detail the diagnosis and treatment of a 10-year-old, who presented with posterior ankle pain that urgent care clinicians originally diagnosed

Pearls On Using External Fixation For Charcot Hindfoot And Ankle Deformity

Jessica Knight, DPM, Emily Pugh, DPM, and Bradley M. Lamm, DPM, FACFAS | 3,282 reads | 0 comments | 11/25/2015

Mindful of the debilitating effects of Charcot foot in patients with diabetes, these authors discuss the use of external fixation for a tibio-calcaneal fusion in a neuropathic patient with a Charcot ankle valgus deformity.

A Closer Look At Surgical Correction Of Ankle Instability

Michael Gentile, DPM, FACFAS | 15,338 reads | 0 comments | 06/22/2015

Ankle instability can be due to ligamentous pathology, structural abnormalities and/or a lack of dynamic support in the ankle. This author addresses surgery for the unstable ankle, offering surgical pearls for primary repair, arthroscopic repair and secondary repair.

Salvaging A Failed Ankle Replacement By Reconstructing The Talus

Jason Lake, MD, Todd Haddon, DPM, FACFAS, and Kristina Lacy, DPM | 5,265 reads | 0 comments | 07/30/2015

These authors present a guide to reconstructing the talus with a pantalar fusion and allograft of the femoral head in a patient with a failed ankle replacement.