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Is The Dorsal Or Plantar Approach More Effective For Plantar Plate Repair?

Brian McCurdy, Managing Editor | 2,848 reads | 0 comments | 03/21/2016

A Closer Look At A Rapid And Cost-Effective Alternative For Diagnosing Necrotizing Fasciitis

Kristine Hoffman DPM | 696 reads | 0 comments | 11/03/2016

Necrotizing fasciitis is a severe life and limb-threatening infection of the fascia and subcutaneous tissues. Regardless of many advances in medical care, the mortality rate of necrotizing soft tissue infections has not decreased in the last 30 years and remains at 25 to 35 percent.1,2 The mortality rate is directly related to the time to surgical intervention and early diagnosis and aggressive surgical intervention are the main factors leading to favorable outcomes.3-8

Keys To Diagnosing And Treating Plantar Keratosis

Patrick A. DeHeer, DPM, FACFAS, Aaron J. Leshikar, DPM, and Shrunjay Patel, DPM | 14,463 reads | 0 comments | 05/20/2016

Due to the varying presentations and causes of plantar keratosis, it is crucial to make an accurate diagnosis to facilitate effective treatment. These authors present a comprehensive guide to biomechanical and dermatological lesions as well as options for management.

Understanding Ten Key Biomechanical Functions Of The Plantar Fascia

Kevin A. Kirby, DPM | 13,188 reads | 0 comments | 06/21/2016

Underscoring the potential ramifications of plantar fasciotomy procedures and plantar fascia ruptures, this author offers a closer look at 10 biomechanical functions of the plantar fascia, ranging from enhanced resupination of the subtalar joint during propulsion to reduced tension forces within the plantar ligaments, and reduced ground reaction force on metatarsal heads during late midstance and propulsion.

Can Corticosteroid Injections Lead To Plantar Fascia Tears?

Richard Blake DPM | 3,676 reads | 0 comments | 08/26/2016

An athlete emailed me complaining of severe heel pain. I had him email me his magnetic resonance image (MRI), which clearly showed a plantar fascia tear.

Treating A Large Fungating Mass On The Plantar Foot

Joseph Vella, DPM, AACFAS | 7,616 reads | 0 comments | 01/26/2016

A 63-year-old African-American male presented with an enlarging hemorrhagic mass on the right foot. The tumor had been present for nearly one year and had continued to increase in size while limiting his normal gait function.

Overcoming The Challenges Of Offloading Neuropathic Plantar Foot Ulcers

Alison J. Garten DPM | 1,968 reads | 0 comments | 11/11/2015

We all have had the challenge of trying to determine the best way to offload patients who are either non-adherent or unable to have appropriate offloading. I have been treating a young male who has neuropathy and an undiagnosed neurologic disease.

The left lower extremity with the plantar ulceration is the “good” foot. This extremity allows him to continue to ambulate. The other lower extremity is weak and has limited function.

What Makes The Plantar Plate So Challenging To Treat?

Michael Theodoulou, DPM, FACFAS | 4,901 reads | 0 comments | 10/23/2015

Expert Insights On Treating Plantar Plate Tears

Bob Baravarian, DPM, FACFAS, and Avanti Redkar, DPM | 41,548 reads | 0 comments | 02/25/2016

Over the years, there have been many names for plantar plate tears, including crossover toe deformity, hammertoe, metatarsalgia, predislocation syndrome and metatarsophalangeal joint (MPJ) instability. This is mainly due to the lack of understanding and appropriate workup of this common problem.

Emerging Concepts In Plantar Plate Repair

Craig A. Camasta, DPM, FACFAS, FASPS, FACPS (Australia) | 78,244 reads | 0 comments | 01/22/2015

Plantar plate insufficiency or rupture can lead to a variety of complications, including hammertoe or a dislocated toe. Drawing upon his clinical experience as well as the literature, this author reviews keys to the clinical exam, offers insights on diagnostic imaging and provides pearls on dorsal procedures as well as primary repair.