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

Kristine Hoffman DPM | 776 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.

Point-Counterpoint: Are Static Measurements Of Foot Morphology Necessary To Create Custom Foot Orthoses?

Robert D. Phillips, DPM, and Eric Fuller, DPM | 3,353 reads | 2 comments | 04/22/2016
Yes.

Citing research as well as his own clinical experience, this author says goniometric measurements play a key role in recognizing the degree and etiology of abnormal function, and help facilitate better prescriptions of custom foot orthoses.   

By Robert D. Phillips, DPM

When There Is A Proliferative Keloid On The Dorsal Foot

Kerianne Spiess, DPM, Lydia Komarnicky, MD, and Jane Pontious DPM, FACFAS | 3,832 reads | 0 comments | 02/26/2016

These authors discuss the diagnostic workup and treatment of a recurrent keloid secondary to Graves’ dermopathy following partial resection of a soft tissue mass along the first MPJ in a 55-year-old patient.

When A Patient Has Hallux Limitus On One Foot And Hallux Rigidus On The Other

Larry Huppin DPM | 1,052 reads | 0 comments | 02/03/2017

I had a colleague call with a question regarding an orthotic prescription for a patient with functional hallux limitus affecting one foot and a rather severe hallux rigidus affecting the other. The right foot had less than 5 degrees of dorsiflexion available at the first MPJ while the left foot had full range of motion and just a little dorsal exostosis.

The orthotic for the foot with hallux limitus is fairly straightforward. In this situation, we want to design the device to enhance motion in the first MPJ and decrease compression within that joint.

Treating A Large Fungating Mass On The Plantar Foot

Joseph Vella, DPM, AACFAS | 7,801 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.

Point-Counterpoint: Is Tendon Lengthening A Worthwhile Treatment For Diabetic Forefoot Ulcers?

J. Monroe Laborde, MD, MS, and Richard D. Weiner, DPM | 2,843 reads | 0 comments | 09/22/2016
Yes.

This author notes that when one combines Achilles tendon lengthening with other treatments for the diabetic foot, it can help heal lower extremity wounds and prevent wound recurrence and amputation.     

By J. Monroe Laborde, MD, MS

A Closer Look At The Role Of Collagen In Healing Complex Diabetic Foot Ulcerations

By Ann Zmuda, DPM | 14,726 reads | 0 comments | 10/22/2013

Currently, in the United States, the Centers for Disease Control and Prevention (CDC) reports there are approximately 25.8 million people with diabetes mellitus, which is 8.3 percent of the population.1 This number is estimated to grow to 44 million by the year 2034.

What You Should Know About Nutritional Deficiency And Diabetic Peripheral Neuropathy

Robert Smith, DPM, MSc, RPh, CPed | 10,345 reads | 1 comments | 02/24/2016

In a thorough review of the relationship between nutrition and diabetic peripheral neuropathy, this author discusses key vitamin deficiencies, the impact of oxidative stress in patients with diabetes, and the need for close postoperative nutrition monitoring in those who have bariatric surgery.

Keys To Addressing MRSA In The Diabetic Foot

Suhad Hadi, DPM, FACFAS, and Randy Garr, DPM | 39,299 reads | 0 comments | 02/27/2013

As diabetic infections continue to evolve and become more resistant to antibiotics, having a comprehensive treatment plan for methicillin resistant Staphylococcus aureus (MRSA) is crucial. These authors present a guide to current antibiotic options and offer two illuminating case studies of patients with diabetes and MRSA.

When A Diabetic Foot Ulcer Is Complicated With Tophaceous Gout

David M. Davidson, DPM | 18,173 reads | 0 comments | 03/26/2013

In an interesting case study, this author discusses the diagnostic workup and multidisciplinary efforts to resolve a longstanding combination of a diabetic foot ulcer and tophaceous gout.