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Journal of the American Podiatric Medical Association

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ISSN (Print) 8750-7315 - ISSN (Online) 1930-8264
Published by American Podiatric Medical Association

[1 journal]

Diabetes, Damp Casts, and Hair Dryers are Not a Good Combination.
- Authors: Journal of the American Podiatric Medical Association
  Abstract:
  Authors : Henderson BC, Lawson D, Conley GR Second- and third-degree burns of the toes resulted when a 69-year-old man with Charcot foot and a recent fractured ankle followed the advice of his local podiatrist. The man got his fiberglass cast wet while showering and was told to dry his cast using the low setting on a blow dryer. The following presents a literature review of cast drying, hair dryers, and this unfortunate man's case. PMID: 23697733 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Wed, 01 May 2013 04:00:00 +010
Angiokeratoma presenting as a melanoma: a case report.
- Authors: Journal of the American Podiatric Medical Association
  Abstract:
  Authors : Dumitrache N, Neiderer K, Martin B, Dancho J Angiokeratomas are benign skin lesions that can resemble melanomas or verrucae. Although morbidity from these lesions is rare, treatment for angiokeratomas typically consists of simple surgical excision. We aim to describe a case of a painful angiokeratoma that presented with the appearance of melanoma. PMID: 23697732 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Wed, 01 May 2013 04:00:00 +010
Irreducible metatarsophalangeal joint dislocation of the lesser toes: a case report.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: We present a 37-year-old man who was injured in a motorcycle accident and dislocated the first to third metatarsophalangeal joints and fractured the fourth metatarsal head. The left first metatarsophalangeal joint was reduced successfully through the closed method, but multiple attempts at closed reduction under local anesthesia failed to reduce the dislocated second and third metatarsophalangeal joints. We performed a dorsal incision between the second and third metatarsals, and the metatarsal heads were found to be entrapped under the plantar plate. Dislocation reduction was performed without damage to the plantar plate, and one Kirschner wire was used to fix the fourth metatarsal head fracture. The pin was removed 8 weeks after surgery, and the patient regained normal gait and returned ...
  PubDate: Wed, 01 May 2013 04:00:00 +010
Nonunion of an isolated cuboid fracture: a case report.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: We report a case of symptomatic nonunion of an isolated cuboid fracture after nonoperative treatment. Fracture union was achieved with surgery, and the patient returned to full activities. PMID: 23697730 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Wed, 01 May 2013 04:00:00 +010
Navicular stress reactions in runners.
- Authors: Journal of the American Podiatric Medical Association
  Abstract:
  Authors : St Louis M, Yoho RT PMID: 23697736 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Wed, 01 May 2013 04:00:00 +010
Marjolin's Ulcer of the Hallux.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: In this report, we describe the clinical and histopathologic features and the differential diagnosis of this unusual lesion. PMID: 23697735 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Wed, 01 May 2013 04:00:00 +010
Open reduction-internal fixation of a navicular body fracture with dorsal displacement of the first and second cuneiforms: a case report.
- Authors: Journal of the American Podiatric Medical Association
  Abstract:
  Authors : Andersen RC, Neiderer K, Martin B, Dancho J Body fractures of the tarsal navicular are relatively uncommon. To date, there is little literature discussing a navicular body fracture with dorsal subluxation of the first and second cuneiforms over the navicular. This case study presents a 30-year-old patient with this injury. He underwent open reduction internal fixation of the navicular body fracture successfully but failed adequate reduction of the navicular cuneiform joint after ligamentous reconstruction. After revisional surgery, he also failed 6 weeks of percutanous pinning with Kirschner-wire fixation. When comparing the literature of a similar injury, the Lisfranc fracture disclocation, the same principles may apply. One should consider rigid open reduction i...
  PubDate: Wed, 01 May 2013 04:00:00 +010
The impact of footwear and walking distance on gait stability in diabetic patients with peripheral neuropathy.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: This study suggests that gait alteration in patients with DPN is most pronounced while walking barefoot over longer distances and that footwear may improve gait steadiness in patients with DPN. PMID: 23697719 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Wed, 01 May 2013 04:00:00 +010
Impact of diabetes and comorbidities on split-thickness skin grafts for foot wounds.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: For individuals with diabetes but without exclusionary comorbidities, split-thickness skin grafting may be considered an effective surgical alternative to other prolonged treatment options currently used in this patient population. PMID: 23697729 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Wed, 01 May 2013 04:00:00 +010
Histologic Evaluation of Intermetatarsal Morton's Neuroma.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: Significant histologic similarities among results were not seen; however, certain trends were discovered. Degenerative changes were appreciated in most specimens. Definite histologic findings of neuroma recur, but difficulty in consistent reproducibility may be related to factors such as age, sex, and comorbidities. PMID: 23697728 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Wed, 01 May 2013 04:00:00 +010
Arch height index normative values of college-aged women using the arch height index measurement system.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: Normative values were established for college-aged females for the AHI using the AHIMS. Differences were noted between the right and left feet of the participants sampled. Although normative values were obtained, we caution against using these values to classify foot arch types based solely on a sample of the population studied. PMID: 23697727 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Wed, 01 May 2013 04:00:00 +010
Prevalence of accessory ossicles and sesamoid bones in hallux valgus.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: This is the first detailed report of the prevalence of accessory ossicles and sesamoid bones of the feet in Italian women with hallux valgus. These findings could help clinicians in the diagnosis and management of disorders of accessory ossicles and sesamoid bones, which are often undiagnosed, painful foot syndromes. PMID: 23697726 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Wed, 01 May 2013 04:00:00 +010
Do the presence of pathologic changes and the level of operator experience alter the rate of intra-articular injection of the first metatarsophalangeal joint': a cadaver study.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: The presence of pathologic changes reduces the rate of successful intra-articular joint puncture. However, the overall frequency of successful intra-articular injections can be improved through experience and the use of imaging. PMID: 23697725 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Wed, 01 May 2013 04:00:00 +010
Reliability and Repeatability of the Portable EPS-Platform Digital Pressure-Plate System.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: This study demonstrates that the EPS-Platform is a reliable device for collecting gait plantar pressures. Static trials produce better reliability, most likely owing to the large inherent variability during dynamic gait. Intersession reliability was higher than intrasession reliability owing to the intersession measures being calculated with an average of five trials. By averaging the trials, the variability of gait is decreased, and this improves the accuracy of the results. These results can be used as the basis for future studies and to determine a priori sample sizes for investigations that use the EPS-Platform. PMID: 23697724 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Wed, 01 May 2013 04:00:00 +010
Effectiveness of neuromuscular stretching with symmetrical biphasic electric currents in the cavus foot.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: Plantar stretching with symmetrical rectangular biphasic currents is effective for the prevention and treatment of pes cavus metatarsalgia caused by excessive pressure. PMID: 23697723 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Wed, 01 May 2013 04:00:00 +010
Joint Debridement and Metatarsal Remodeling in Freiberg's Infraction.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: In advanced-stage Freiberg's infraction of the second metatarsal, joint debridement and metatarsal head remodeling is a safe and simple therapeutic option, and it provides better quality of life for patients. PMID: 23697722 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Wed, 01 May 2013 04:00:00 +010
Variations of the origin of the arcuate artery.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: This cadaveric study demonstrates that the arcuate artery can originate from the dorsalis pedis artery, the lateral tarsal artery, and one other variant. The dorsal arterial network of the lower extremity is important to consider during the overall clinical and surgical assessment of a patient. PMID: 23697721 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Wed, 01 May 2013 04:00:00 +010
Three-Dimensional Finite Element Analysis Used to Compare Six Different Methods of Syndesmosis Fixation with 3.5- or 4.5-mm Titanium Screws: A Biomechanical Study.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: Quadricortical application of 3.5-mm single screws and tricortical application of 3.5-mm double cortical screws are not good choices for syndesmosis fixation. If the plan is tricortical application, a 3.5-mm single cortical screw is adequate. If quadricortical application of syndesmosis fixation is planned, a 4.5-mm cortical screw should be used. PMID: 23697720 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Wed, 01 May 2013 04:00:00 +010
Toward a change in syntax in diabetic foot care: prevention equals remission.
- Authors: Journal of the American Podiatric Medical Association
  Abstract:
  Authors : Armstrong DG, Mills JL Because neuroischemic complications are associated with a high rate of recurrence, we propose a slight shift in the mechanism by which we counsel and communicate risk daily with our patients. If the epidemiology of this problem is comparable with that of cancer, and recurrences are common, then perhaps language commensurate with such risks should follow. After initial healing of an index wound, our unit now refers to patients not as being cured but rather as being "in remission." This concept is easy for the patient and the rest of the team to understand. We believe that it powerfully connotes the necessity for frequent follow-up and rapid intervention for inevitable minor and sometimes major complications. PMID: 23536510 [PubMed - in pr...
  PubDate: Fri, 01 Mar 2013 05:00:00 +010
Are our patients ever ‘‘cured’’ or just in ‘‘remission'’’.
- Authors: Journal of the American Podiatric Medical Association
  Abstract:
  Authors : Joseph WS PMID: 23650663 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Fri, 01 Mar 2013 05:00:00 +010
The professor position and the single-stance flexion test may clarify the effect of lumbar spinal stenosis or pseudostenosis on lower-extremity symptoms.
- Authors: Journal of the American Podiatric Medical Association
  Abstract:
  Authors : Goldman SM The effect of lumbar spinal stenosis on lower-extremity symptoms is often hard to ascertain in patients with multiple possible causes of symptoms. A positive response to two described maneuvers performed by patients in the office involving flexion of the spine can strongly corroborate the contribution of lumbar spinal stenosis to lower-extremity symptoms, although a negative response does not negate it. The professor position involves the patient standing and leaning in a gentle flexion position, with hands held secure behind the lower back. The single-stance flexion test has the patient gently leaning on support, with only a single symptomatic extremity supporting his or her body weight. Reduction or elimination of lower-extremity symptoms otherwise ex...
  PubDate: Fri, 01 Mar 2013 05:00:00 +010
Cerebrotendinous xanthomatosis presenting with bilateral achilles tendon xanthomata: a case report.
- Authors: Journal of the American Podiatric Medical Association
  Abstract:
  Authors : Mirzanli C, Esenyel CZ, Ozturk K, Baris A, Imren Y Xanthomas are described as deposits in the skin and subcutaneous tissues. Mostly known as pseudotumors, xanthomas consist of connective tissue containing mainly cholesterol, triglycerides, and numerous foamy macrophages. Bilateral Achilles tendon xanthomata is pathognomonic for cerebrotendinous xanthomatosis in the case of normal cholesterol levels but increased cholestanol levels in serum. In this article, we present findings regarding bilateral xanthomas of Achilles tendons in a patient with cerebrotendinous xanthomatosis. PMID: 23536508 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Fri, 01 Mar 2013 05:00:00 +010
Primary squamous cell carcinoma of the distal hallux.
- Authors: Journal of the American Podiatric Medical Association
  Abstract:
  Authors : David MG, Stumph J, David BM Squamous cell carcinoma is a common disease of cutaneous tissue with a great ability to form metastases. Squamous cell carcinoma is found most commonly on sun-damaged skin and has a rare occurrence on the toes and feet. The patient was a 68-year-old woman who was seen at a podiatric specialty office with a complaint of pain in her left great toe and toenail. Radiographs displayed erosion of the distal hallux, and magnetic resonance imaging revealed no further spread of disease in the proximal phalanx. An amputation was performed of the hallux interphalangeal joint, and pathology confirmed squamous cell carcinoma of the verrucous type. PMID: 23536507 [PubMed - in process] (Source: Journal of the American Podiatric Medical Associatio...
  PubDate: Fri, 01 Mar 2013 05:00:00 +010
Deep venous thrombosis and pulmonary embolism as rare complications after hallux valgus surgery: case report and literature review.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: We describe a 57-year-old female patient who underwent surgery for bilateral hallux valgus deformities and was diagnosed as having deep venous thrombosis and pulmonary embolism after the surgery despite early mobilization and mechanical prohylaxis. Her preoperative physical examination revealed varicose veins in both cruris. She was treated for pulmonary embolism with low-molecular-weight heparin and an oral anticoagulant in the postoperative period. Although venous thromboembolism is more commonly described after proximal lower-extremity procedures, it can occur after foot and ankle surgery, particularly if the patient has certain risk factors. Therefore, in addition to mechanical prophylaxis, pharmacologic prophylaxis should be kept in mind in such patients. PMID: 23536506 [PubMed - ...
  PubDate: Fri, 01 Mar 2013 05:00:00 +010
Another cystic lesion in the calcaneus: benign fibrous histiocytoma of bone.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: We describe a 22-year-old male patient with benign fibrous histiocytoma involving the calcaneus treated with curettage and bone grafting. At the final follow-up visit, 1 year after surgery, the patient was free of pain and walking unaided. We discuss the differential diagnosis of cystic lesions of the calcaneus. PMID: 23536505 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Fri, 01 Mar 2013 05:00:00 +010
Diagnosis of hyperostosis of the medial calcaneal tubercle similar to a heel spur.
- Authors: Journal of the American Podiatric Medical Association
  Abstract:
  Authors : Altan E, Senaran H, Can N, Aydin BK, Erkocak OF Calcaneal osteochondromas are rare conditions. To our knowledge, we present the first report of a calcaneal osteochondroma in an adolescent patient that was surprisingly similar to a heel spur, and, in addition, symptoms due to compression of the medial plantar nerve were present. PMID: 23536504 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Fri, 01 Mar 2013 05:00:00 +010
The stationary configuration of the knee.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: CONCLUSIONS: The use of this reciprocal system introduces a new dimension of foot loading to the knee axis alignment. This insight shows that locating knee functional axes is equivalent to the static alignment measurement. This method can be used for the optimal design of braces and orthoses for conservative treatment of knee osteoarthritis. PMID: 23536503 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Fri, 01 Mar 2013 05:00:00 +010
The effect of moderate running on foot posture index and plantar pressure distribution in male recreational runners.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: CONCLUSIONS: Continuous running at a moderate speed (3.3 m/sec) induced changes in heel strike related to enhanced pronation posture, indicative of greater stress on that zone after physical activity. This observation may help us understand the functioning of the foot, prevent injuries, and design effective plantar orthoses in sport. PMID: 23536502 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Fri, 01 Mar 2013 05:00:00 +010
Foot overuse diseases in rock climbing: an epidemiologic study.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: CONCLUSIONS: Overuse foot diseases related to rock climbing are particularly frequent and debilitating. Detailed knowledge of these diseases and their predisposing factors may help us implement effective preventive or therapeutic measures, including changes in the type of climbing, correction of body weight, degree of difficulty, footwear, orthoses, and measures that maximize the support of the foot to the ground. PMID: 23536501 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Fri, 01 Mar 2013 05:00:00 +010
Plantar loading asymmetry in american indians with diabetes and peripheral neuropathy, with diabetes only, and without diabetes.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: CONCLUSIONS: Overall, American Indians with diabetes seemed to show greater asymmetry in plantar loading variables across the forefoot region compared with those in the control group. Specifically, individuals with diabetes and peripheral neuropathy had the greatest amount of forefoot pressure-time integral asymmetry. Significant peak plantar pressure asymmetry occurred in the third metatarsal region of the forefoot in those with diabetes with and without peripheral neuropathy. Loading asymmetry may play a role in the development of foot ulcers in the forefoot region of American Indians with peripheral neuropathy and diabetes. PMID: 23536500 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Fri, 01 Mar 2013 05:00:00 +010
A comparison of two multisegment foot models in high-and low-arched athletes.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: CONCLUSIONS: Although both models found differences in frontal plane motion between high- and low-arched athletes, the Leardini multisegment foot model is suggested to be more appropriate as it directly tracks frontal plane midfoot motion during dynamic motion. PMID: 23536499 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Fri, 01 Mar 2013 05:00:00 +010
Diabetic foot infection.
- Authors: Journal of the American Podiatric Medical Association
  Abstract:
  Authors : Joseph WS PMID: 23447841 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Tue, 01 Jan 2013 05:00:00 +010
2012 infectious diseases society of america clinical practice guideline for the diagnosis and treatment of diabetic foot infections.
- Authors: Journal of the American Podiatric Medical Association
  Abstract:
  Authors : Lipsky BA, Berendt AR, Cornia PB, Pile JC, Peters EJ, Armstrong DG, Deery HG, Embil JM, Joseph WS, Karchmer AW, Pinzur MS, Senneville E Foot infections are a common and serious problem in persons with diabetes. Diabetic foot infections (DFIs) typically begin in a wound, most often a neuropathic ulceration. While all wounds are colonized with microorganisms, the presence of infection is defined by ≥2 classic findings of inflammation or purulence. Infections are then classified into mild (superficial and limited in size and depth), moderate (deeper or more extensive), or severe (accompanied by systemic signs or metabolic perturbations). This classification system, along with a vascular assessment, helps determine which patients should be hospitalized, which may re...
  PubDate: Tue, 01 Jan 2013 05:00:00 +010
A Prospective, Randomized, Double-blinded Study with Crossover to Determine the Efficacy of Radio-frequency Nerve Ablation for the Treatment of Heel Pain.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: Using a prospective, randomized study with sham treatment and crossover, this study demonstrates the efficacy of RFNA for the treatment of plantar fasciosis. PMID: 23328847 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Tue, 01 Jan 2013 05:00:00 +010
The occurrence of ipsilateral or contralateral foot disorders and hand dominance: the framingham foot study.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: For the 2,089 study participants, certain forefoot disorders were shown to be ipsilateral and others were contralateral to the dominant hand. Future studies should examine whether the same biological mechanism that explains ipsilateral hand and foot preference may explain ipsilateral hand dominance and forefoot disorders. PMID: 23328848 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Tue, 01 Jan 2013 05:00:00 +010
Histopathologic characteristics of bone infection complicating foot ulcers in diabetic patients.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: Histopathologic categorization of bone infections in the feet of diabetic patients should include four groups: acute, chronic, chronic acute, and fibrosis. We suggest that new studies should identify cases of fibrosis to allow comparison with the present results. PMID: 23328849 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Tue, 01 Jan 2013 05:00:00 +010
Radiologic morphology of the calcaneus: a study of radiologic angles in a pediatric population.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: The mean angle values in a pediatric population did not differ from those in adults. We found a high percentage of calcaneal pitch angles outside the reference range. Age influenced the Fowler-Philip and calcaneal pitch angles but not the total calcaneal angle. PMID: 23328850 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Tue, 01 Jan 2013 05:00:00 +010
Effect of a Forefoot Off-loading Postoperative Shoe on Muscle Activity, Posture, and Static Balance.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: The posterior shift in center of pressure toward and behind the ankle joint axis is believed to result in the increase in tibialis anterior muscle activity that now acts as the primary stabilizer around the ankle. Instability may, therefore, increase in patients with weak tibialis anterior muscles (eg, diabetic neuropathy) who need to wear offloading devices for ulcer management. We suggest that the addition of a contralateral shoe raise fitted with a FOPS may potentially be beneficial in maintaining stability while off-loading the forefoot in this patient group. PMID: 23328851 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Tue, 01 Jan 2013 05:00:00 +010
Effects of anthropometric factors on nerve conduction: an electrophysiologic study of feet.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: The effects of age, sex, height, and BMI in foot nerve conduction studies are not identical. Height and BMI were shown to strongly affect motor, sensory, and mixed nerve conduction. Further investigations are needed. PMID: 23328852 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Tue, 01 Jan 2013 05:00:00 +010
Customized foot insoles have a positive effect on pain, function, and quality of life in patients with medial knee osteoarthritis.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: There was a significant reduction in pain and improvements in function and quality of life with custom-made laterally wedged insoles with arch support in older adults with mild-to-severe medial KOA. The customization of laterally wedged insoles may be essential for the effect in medial KOA. PMID: 23328853 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Tue, 01 Jan 2013 05:00:00 +010
Perceived Value of the Clinical Dual-degree Program to DPM/MHA Alumni.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: These survey results provide justification that the DPM/MHA dual-degree program at Des Moines University is fulfilling its goal of providing an educational background in the administrative and clinical aspects of medicine that prepares students for the complex and ever-changing health-care industry. The dual-degree program is a great opportunity for the podiatric medicine profession and podiatric medical schools to increase their collaboration with MHA programs to offer dual-degree programs to help fill the void and prepare future physician leaders. PMID: 23328854 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Tue, 01 Jan 2013 05:00:00 +010
Heparin-induced Thrombocytopenia in the Setting of Perioperative Bridging for Podiatric Surgery: A Case Report.
- Authors: Journal of the American Podiatric Medical Association
  Abstract:
  Authors : Frykberg RG, Gordon S, Tierney E, Tallis A Heparin is an anticoagulant commonly used to treat and prevent deep venous thrombosis. Heparin-induced thrombocytopenia and possible thrombosis are serious complications associated with its use. This can occasionally complicate treatment of patients undergoing podiatric surgery. Heparin-induced thrombocytopenia is often not immediately recognized and is underreported in podiatric medicine literature. The goal of this case report is to highlight the multiple risk factors associated with the development of heparin-induced thrombocytopenia and to aid with early recognition, understanding of pathogenesis, and treatment options. PMID: 23328855 [PubMed - in process] (Source: Journal of the American Podiatric Medical Associa...
  PubDate: Tue, 01 Jan 2013 05:00:00 +010
Closed total dislocation of talus without any accompanying fractures.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: We present a case of closed peritalar dislocation without any accompanying fractures and, thus, discuss the conflicts encountered in this rare injury. A 25-year-old male patient presented with severe pain, swelling, and deformity in his right ankle within 30 minutes of a fall from a height. There were no wounds around the ankle. Radiographs revealed that the talus was disrupted from the calcaneus, navicula, and tibia moving in the anterolateral direction. No accompanying fractures were seen in the talus or in surrounding bones. After an unsuccessful closed reduction attempt, a further decision was open reduction. It was seen that the interposed joint capsula was preventing reduction. After reduction, stability of the ankle was checked and found to be satisfactory, so no fixation material w...
  PubDate: Tue, 01 Jan 2013 05:00:00 +010
Aggressive early reconstruction in open foot trauma: a case report.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: We present a case of open fracture-dislocation of the first ray treated with prompt debridement, skeletal stabilization, and immediate soft-tissue reconstruction. PMID: 23328857 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Tue, 01 Jan 2013 05:00:00 +010
Mosaicplasty for osteochondral lesions of the talus: a report of two cases.
- Authors: Journal of the American Podiatric Medical Association
  Abstract:
  Authors : Chiang C, Au MK Two women (24 and 27 years old) noted pain in the affected ankle of several years' duration. Radiography and magnetic resonance imaging revealed osteochondral lesions of the talus in both patients. The lesion sites measured 1.3 × 1.0 × 0.4 cm (0.52 cm(3)) and 2.0 × 1.9 × 0.5 cm (1.9 cm(3)). Each patient received a medial malleolar osteotomy with mosaicplasty. Donor plugs were obtained from the ipsilateral knee in both patients. Surgery was performed successfully in both patients without complications. At 2-year follow-up, both patients had recovered good ankle function, with no donor site morbidity. American Orthopedic Foot and Ankle Society ankle/hindfoot scores improved in the affected ankles from 16 to 84 in case 1 and from 43 to 87 in case ...
  PubDate: Tue, 01 Jan 2013 05:00:00 +010
Podiatric medicine and disaster response: a survey of the professional leadership.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: These findings suggest that deliberations regarding academic competencies at the podiatric medical school level and continuing education should be conducted by the profession for a surge response role, including prevention, response, mitigation, and recovery activities. After coordination and integration with response agencies, podiatric medicine has a role in strengthening the nation's catastrophic event surge response. PMID: 23328859 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Tue, 01 Jan 2013 05:00:00 +010
Measuring Teaching Effectiveness--or Not.
- Authors: Journal of the American Podiatric Medical Association
  Abstract:
  Authors : Shaw GP Faculty in the present-day academic medicine environment are expected to perform multiple functions, notably, the provision of high-quality teaching to the medical professionals of tomorrow. However, evaluating the effectiveness of this teaching is particularly difficult. Student evaluations of teaching, despite their many flaws, are widely used as a convenient tool to measure teaching effectiveness. Administrators continue to routinely use student evaluation of teaching surveys in faculty retention/promotion and merit pay decisions. This practice should be reevaluated since it may have unintended consequences, such as grade inflation and content debasement, and may contribute to faculty leaving the institution and even the profession. A more valid, reliab...
  PubDate: Tue, 01 Jan 2013 05:00:00 +010
The first podiatric medical education issue for the new millennium.
- Authors: Journal of the American Podiatric Medical Association
  Abstract:
  Authors : Jones LJ PMID: 23204193 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Thu, 01 Nov 2012 04:00:00 +010
Podiatric medical students' perceptions of professionalism in the clinical setting: a qualitative analysis.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: This study, which was performed with a selected group of individuals at a single institution, serves as an initial assessment of the needs of podiatric medical students and will be useful for developing professionalism-related instructional activities that could benefit students in the future. PMID: 23204194 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Thu, 01 Nov 2012 04:00:00 +010
Undergraduate GPAs, MCAT Scores, and Academic Performance the First 2 Years in Podiatric Medical School at Des Moines University.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: These results identify undergraduate cumulative grade point average as the strongest cognitive admissions variable in predicting academic performance in the podiatric medicine program at Des Moines University, followed by undergraduate science grade point average. These results also suggest limitations of the total Medical College Admission Test score in predicting academic performance. Information from this study can be used in the admissions process and to monitor student progress. PMID: 23204195 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Thu, 01 Nov 2012 04:00:00 +010
Information-seeking Behaviors of Podiatric Physicians.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: Podiatrists recognize the need to become proficient at locating high-quality information, evaluating resources, and improving their understanding and use of resources on evidence-based medicine. Furthermore, with an increased awareness of their own behaviors, practicing podiatric physicians should pursue the best methods to find, judge, and use medical information for patient care. PMID: 23204196 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Thu, 01 Nov 2012 04:00:00 +010
Can We Predict 4-year Graduation in Podiatric Medical School Using Admission Data'
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: Despite the model's capacity to predict 4-year graduation better than random assignment, a sufficient amount of error in prediction remained, suggesting that important predictors are missing from the model. Furthermore, the high rate of false-positives makes it inappropriate to use age and Medical College Admission Test score as admission screens in an attempt to eliminate attrition by not accepting at-risk students. PMID: 23204197 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Thu, 01 Nov 2012 04:00:00 +010
Effect of technology on student class performance and class absence.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: Instructional technology did not enhance absentee student course performance and, indeed, hurt it. Its use as a means of providing access to additional lecture material needs to be reevaluated. PMID: 23204198 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Thu, 01 Nov 2012 04:00:00 +010
Improving the standardized patient experience.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: The students answered positively that the standardized patient rotation was important in terms of improving interviewing skills and worthwhile for future professional development. The students agreed that there likely was underused time in the course and even suggested ways in which they would make the course run more efficiently. PMID: 23204199 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Thu, 01 Nov 2012 04:00:00 +010
Can We Predict First-time Failure on the Podiatric Boards Using an Admission Screen'
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: First-time Board failure can be predicted, but Board failure must be primarily addressed by interventions after matriculation rather than by an admission screen. PMID: 23204200 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Thu, 01 Nov 2012 04:00:00 +010
Lecture capture: enhancing learning through technology at the Kent state university college of podiatric medicine.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: The results of this survey confirm the concept of lecture capture as an integral segment of advanced education. Though this system should not replace class attendance, it is a vital supplement to course work and study. By reviewing all of the components of the survey those who may have concerns on its effectiveness are also aware of the advantages. The results of this study met all the objectives to evaluate use and obtain viewpoints to improve and expand the program. PMID: 23204201 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Thu, 01 Nov 2012 04:00:00 +010
Can we predict podiatric medical school grade point average using an admission screen'
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: Seventy-five percent of the individual variation in cumulative GPA at graduation and first-semester GPA remains unaccounted for by admission screens that rely on only cognitive measures, such as undergraduate GPA and Medical College Admission Test score. A reevaluation of admission screens is warranted, and medical educators should consider broadening the criteria used to select the podiatric physicians of the future. PMID: 23204202 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Thu, 01 Nov 2012 04:00:00 +010
An educational model for patient safety and disclosure of medical error in podiatric medicine.
- Authors: Journal of the American Podiatric Medical Association
  Abstract:
  Authors : Jones LJ, Levy LA PMID: 23204203 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Thu, 01 Nov 2012 04:00:00 +010
Educating the podiatric physician in disaster and emergency preparedness.
- Authors: Journal of the American Podiatric Medical Association
  Abstract:
  Authors : Levy LA, Jones LJ PMID: 23204204 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Thu, 01 Nov 2012 04:00:00 +010
Psychometric Properties and Podiatric Medical Student Perceptions of USMLE-style Items in a General Anatomy Course.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: Students valued USMLE-style items. These data, coupled with the psychometric data, suggest that USMLE-style items can be successfully incorporated into a basic science course in podiatric medical education. Outcomes from students who recently took the APMLE Part I suggest that incorporation of USMLE-style items into the general anatomy course was a successful measure and prepared them well. PMID: 23204205 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Thu, 01 Nov 2012 04:00:00 +010
Assessment Plan for Student Academic Achievement: One College's Perspective.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: This article presents the plan for assessment of student achievement at the Kent State University College of Podiatric Medicine. PMID: 23204206 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Thu, 01 Nov 2012 04:00:00 +010
AMERICAN PODIATRIC MEDICAL ASSOCIATION OFFICIAL NOTICE: To Component Societies and Affiliated Organizations * APMA Meetings * House of Delegates {middle dot} 2013 Annual Scientific Meeting.
- Authors: Journal of the American Podiatric Medical Association
  Abstract:
  Authors : Caporusso JM, Gastwirth GB PMID: 23204207 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Thu, 01 Nov 2012 04:00:00 +010
In appreciation.
- Authors: Journal of the American Podiatric Medical Association
  Abstract:
  Authors : Joseph WS PMID: 23204208 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Thu, 01 Nov 2012 04:00:00 +010
Subject index.
- Authors: Journal of the American Podiatric Medical Association
  Abstract:
  Authors : PMID: 23204209 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Thu, 01 Nov 2012 04:00:00 +010
Author index.
- Authors: Journal of the American Podiatric Medical Association
  Abstract:
  Authors : PMID: 23204210 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Thu, 01 Nov 2012 04:00:00 +010
Equine pericardium as a biological covering for the treatment of diabetic foot wounds: a prospective study.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: The use of equine pericardium as a temporary biological scaffold is safe and effective for the treatment of chronic neuropathic foot wounds. PMID: 23001728 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Sat, 01 Sep 2012 04:00:00 +010
Meta-analysis of Flexor Tendon Transfer for the Correction of Lesser Toe Deformities.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: Regarding patient satisfaction, this comprehensive analysis provides supportive evidence of the clinical benefit of flexor digitorum longus tendon transfer. PMID: 23001729 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Sat, 01 Sep 2012 04:00:00 +010
Performance of the Probe-to-Bone Test in a Population Suspected of Having Osteomyelitis of the Foot in Diabetes.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: Positive probe-to-bone test results and erythrocyte sedimentation rates greater than 70 mm/h provide some support for the diagnosis of diabetic foot osteomyelitis, but it is not strong; magnetic resonance imaging or bone biopsy will probably be required in cases of doubt. PMID: 23001730 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Sat, 01 Sep 2012 04:00:00 +010
First Metatarsophalangeal Joint Motion in Homo sapiens: Theoretical Association of Two-Axis Kinematics and Specific Morphometrics.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: The selected morphometrics are consistent with inversion of the metatarsal around its longitudinal axis as it dorsiflexes. PMID: 23001731 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Sat, 01 Sep 2012 04:00:00 +010
Anatomical origin of forefoot varus malalignment.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: These findings may have implications for the treatment of forefoot varus since they suggest that the source of forefoot varus malalignment may be found in an alterable soft-tissue deformity rather than in an unalterable bony torsion of the talus. PMID: 23001732 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Sat, 01 Sep 2012 04:00:00 +010
Partial or Total Calcanectomy as an Alternative to Below-the-Knee Amputation for Limb Salvage: A Systematic Review.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: This systematic review provides evidence that partial or total calcanectomy is a viable option for limb salvage in ambulatory patients with calcaneal osteomyelitis. PMID: 23001733 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Sat, 01 Sep 2012 04:00:00 +010
Weightbearing and nonweightbearing ankle dorsiflexion range of motion: are we measuring the same thing'
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: Weightbearing and nonweightbearing ankle dorsiflexion measurements produce significantly different results and only a moderate correlation, suggesting that these two measurements should not be used interchangeably as measures of ankle dorsiflexion range of motion. PMID: 23001734 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Sat, 01 Sep 2012 04:00:00 +010
Assessment of partial first-ray resections and their tendency to progress to transmetatarsal amputations: a retrospective study.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: Partial first-ray resections are not highly successful. Our study found a higher success rate compared to a previous study done by Cohen et al in 1991. Partial first-ray amputations can be a good initial procedure to salvage the foot and prolong a patient's bipedal ambulatory status, thereby lowering the patient's morbidity and mortality. PMID: 23001735 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Sat, 01 Sep 2012 04:00:00 +010
Pilomatrixoma: an infrequently encountered lesion on the lower extremity.
- Authors: Journal of the American Podiatric Medical Association
  Abstract:
  Authors : Martin BR, Neiderer K, Dancho JF We discuss the clinical presentation and treatment of pilomatrixoma as it occurs in the lower extremity. Although pilomatrixoma is far more common on the head, neck, and upper extremity, it can be found on the lower extremity. Treatment is aimed primarily at excision if the lesion is symptomatic or suspicious for malignancy. The authors present a case of a 73-year-old male who presented to the diabetic foot center with this condition. PMID: 23001736 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Sat, 01 Sep 2012 04:00:00 +010
Nephrogenic systemic fibrosis in the podiatric patient.
- Authors: Journal of the American Podiatric Medical Association
  Abstract:
  Authors : Freed L, Hill J, Gooch D Nephrogenic systemic fibrosis (NSF) is a severely debilitating disease that was first described in the literature by Cowper and colleagues in 2000. It is pertinent to the field of podiatry because patients with NSF first manifest cutaneous symptoms in the lower extremity in the form of fibrosing lesions. To date, these lesions have been documented only in people with moderate to severe kidney failure. There is speculation that gadolinium, used as a contrast agent for imaging, might be the inciting factor that triggers a cascade of events that results in the inappropriate fibrosis both in the dermis and in deeper tissues. Nephrogenic systemic fibrosis has been shown to cause these lesions in the lungs, pleura, diaphragm, myocardium, pericar...
  PubDate: Sat, 01 Sep 2012 04:00:00 +010
Incidental findings of massive heel spurs in a veteran with a variant of psoriatic arthritis.
- Authors: Journal of the American Podiatric Medical Association
  Abstract:
  Authors : Lowell DL, Osher LS, Grady AF A middle-aged man presented for left foot diabetic ulcer care. Pedal radiographs were negative for signs of osteomyelitis. However, asymptomatic incidental osseous findings demonstrated significant plantar and posterior calcaneal spurring possibly consistent with diffuse idiopathic skeletal hyperostosis (DISH). A differential of DISH, psoriatic arthritis, Reiter's, and ankylosing spondylitis was developed. Subsequent spinal imaging and laboratory work-up did not satisfy the diagnostic criteria for DISH. This case illustrates radiographic changes characteristic of multiple seronegative arthropathies. On initial presentation a diagnosis of DISH was most likely, but with further imaging studies a diagnosis of a variant of psoriatic arthr...
  PubDate: Sat, 01 Sep 2012 04:00:00 +010
Newly approved laser systems for onychomycosis.
- Authors: Journal of the American Podiatric Medical Association
  Abstract:
  Authors : Gupta AK, Simpson F Laser systems are a new treatment area for onychomycosis. As of January 2012, the US Food and Drug Administration (FDA) has approved four laser systems for the "temporary increase of clear nail in onychomycosis." The FDA has approved these devices on the basis of "substantial equivalence" to predicate devices with similar technical specifications and applications. Laser therapy appears to be a promising alternative to traditional pharmacotherapy, but these systems have been tested in only limited clinical trials; therefore, it is not possible to compare their efficacy to the oral and topical drugs currently used in the treatment of onychomycosis. PMID: 23001739 [PubMed - in process] (Source: Journal of the American Podiatric Medical Associa...
  PubDate: Sat, 01 Sep 2012 04:00:00 +010
Successful Limb-sparing Treatment Strategy for Diabetic Foot Osteomyelitis.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: In patients with diabetic foot osteomyelitis, surgical debridement or limited amputation plus antimicrobial therapy is effective at achieving clinical cure and limb salvage. PMID: 22826325 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Sun, 01 Jul 2012 04:00:00 +010
Reliability of a new supination resistance measurement device and validation of the manual supination resistance test.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: The supination resistance machine was shown to have sufficient limits of agreement for the study, but improvements need to be made for more meaningful research going forward. In this study, the force required to supinate a foot was independent of its posture, and approximately 12% of it was explained by body weight. Further work is required with a much larger sample size to build regression models that sufficiently predict supination resistance force and that will be of clinical use. The manual supination test is a valid clinical test for clinicians experienced in its use. PMID: 22826326 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Sun, 01 Jul 2012 04:00:00 +010
Intrarater and Interrater Reliability of First Metatarsophalangeal Joint Dorsiflexion: Goniometry versus Visual Estimation.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: Although minimal differences between intrarater and interrater reliability of GM and VE are noted, this study suggests that GM is more reliable than VE is when used by experienced examiners. These findings support the continued use of GM for first metatarsophalangeal joint dorsiflexion assessment. PMID: 22826327 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Sun, 01 Jul 2012 04:00:00 +010
Inhibition of matrix metalloproteinase 9 expression in rat dermal fibroblasts using small interfering RNA.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: Expression of MMP-9 was increased in diabetic rat skin, especially around wounds, and was markedly inhibited after MMP-9 small interfering RNA transfection in vitro (P < .05). These findings may provide new treatments for diabetic skin wounds. PMID: 22826328 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Sun, 01 Jul 2012 04:00:00 +010
Optimization of an infected shoe model for the evaluation of an ultraviolet shoe sanitizer device.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: The developed infected shoe model is useful for assessing the effectiveness of ultraviolet shoe sanitizers. Also, ultraviolet treatment of shoes with a commercial ultraviolet C sanitizing device was effective in reducing the fungal burden in shoes. These findings have implications regarding breaking foot infection cycles. PMID: 22826329 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Sun, 01 Jul 2012 04:00:00 +010
Relationship between student academic and clinical performance in podiatric medical education at des moines university.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: These results help define the relationship between student academic and clinical performance for podiatric medicine students at Des Moines University and suggest that nonacademic characteristics may play a pivotal role in clinical abilities. These characteristics need to be further identified and developed in the academic curriculum. There may be attributes identified that also benefit the admissions process. PMID: 22826330 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Sun, 01 Jul 2012 04:00:00 +010
A Cross-disciplinary Approach to Understanding Flatfoot.
- Authors: Journal of the American Podiatric Medical Association
  Abstract:
  Authors : Ponnapula P As form follows function, pedal anatomy is embedded in a history of evolution. This literature review seeks to further the understanding of physiologic and pathologic flatfoot through cross-disciplinary research of expired and extant members of the Homininae subfamily. Archaeological, anthropological, paleontological, and ontogenetic evidence presents multiple biomechanical similarities and anatomical parallels between flatfooted hominins and humans. Recognizing an evolutionary pattern in flatfoot pathologic disorders enhances anticipation and effective treatment. PMID: 22826331 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Sun, 01 Jul 2012 04:00:00 +010
Surgical Reconstruction of Severe Forefoot Derangement in a Patient with Traumatically Acquired Contralateral Limb-length Discrepancy: A Case Report.
- Authors: Journal of the American Podiatric Medical Association
  Abstract:
  Authors : Bonner A, Cranford CC, Patel R, Chi A, Bhikha S Limb-length discrepancy is a very common condition. A severe debilitating forefoot deformity resulting from a post-traumatic limb length discrepancy is quite rare. This case study discusses the surgical reconstruction of a forefoot deformity of a 64-year-old male following a post-traumatic limb-length discrepancy from a motor vehicle accident that caused compensatory biomechanical changes in the unaffected lower extremity. These changes resulted in a severe hallux abducto valgus deformity with subluxated metatarsophalangeal joints of the second and third digits, leaving the patient with a severe symptomatic forefoot deformity that closely mimics the radiographic appearance of a rheumatoid forefoot. The forefoot defor...
  PubDate: Sun, 01 Jul 2012 04:00:00 +010
Double crush syndrome in the lower extremity: a case report.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: We present the case of a 33-year-old massage therapist who uses her feet to provide therapy to clients who presented to our clinic with symptoms consistent with tarsal tunnel syndrome. Her failure to progress in a satisfactory manner after a variety of therapies made us search for additional etiologies for her foot pain. In cases where tarsal tunnel persists after surgical therapy, the treating physician should search for more proximal lesions along the course of the nerve. PMID: 22826333 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Sun, 01 Jul 2012 04:00:00 +010
Surgical treatment of a young patient with bilaterally destroyed first metatarsophalangeal joints suffering from gout.
- Authors: Journal of the American Podiatric Medical Association
  Abstract:
  Authors : Wünschel M, Wülker N, Walter C The authors present an unusual case of untreated gout leading to major bony destructions in both metatarsophalangeal joints, leading to joints of enormous dimensions. If untreated, gout can cause disabling destructions with direct influence on both private and working life, even in young patients. In potentially noncompliant patients, simple surgical procedures and postoperative regimes are valuable treatment options resulting in acceptable clinical results. PMID: 22826334 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Sun, 01 Jul 2012 04:00:00 +010
Osteochondritis dissecans of the tarsal navicular bone: a case report.
- Authors: Journal of the American Podiatric Medical Association
  Abstract:
  Authors : Beil FT, Bruns J, Habermann CR, Rüther W, Niemeier A Osteochondritis dissecans most often affects the convex articular surfaces of the knee, the elbow, and the ankle joints; other sites of manifestation are very rare. Here we report a case of osteochondritis dissecans of the talonavicular joint affecting the concave part of the tarsal navicular bone in a 22-year-old woman, which was successfully treated by surgery, leading to complete recovery. Early diagnosis and surgery in stages of undamaged cartilage may help to prevent disease progression and the development of disabling osteoarthritis in the physiologically heavily loaded talo-navicular joint. PMID: 22826335 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Sun, 01 Jul 2012 04:00:00 +010
A Blueprint for an Office-based Emergencies Course.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: We describe the development and implementation of an office-based emergencies course for podiatric medical students. The program included a didactic session along with clinical skills stations incorporating task trainers, high-fidelity simulators, and a standardized patient. We tailored the course to the level of the junior podiatric medical student. The primary goal of this program was to provide a review on how to handle selected office-based medical emergencies. This course focused on complications of common chronic medical conditions, such as asthma, chronic obstructive pulmonary disease, diabetes, and hypertension, along with other unexpected emergencies, such as altered mental status, seizure, and syncope. In developing such a course, it is important to keep in mind the level of the ...
  PubDate: Sun, 01 Jul 2012 04:00:00 +010
Topical ketamine cream in the treatment of painful diabetic neuropathy: a randomized, placebo-controlled, double-blind initial study.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: CONCLUSIONS: The 5% topical ketamine cream was no more effective than was placebo in relieving pain caused by diabetic neuropathy. PMID: 22659759 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Tue, 01 May 2012 04:00:00 +010
Ultrasonography and magnetic resonance imaging in the diagnosis of Morton's neuroma.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: CONCLUSIONS: Ultrasonography has a slightly higher sensitivity in the diagnosis of Morton's neuroma, particularly of neuromas smaller than 5 mm, and should be the preferred imaging modality in suspected cases, and MRI should be reserved for cases with equivocal diagnosis. PMID: 22659760 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Tue, 01 May 2012 04:00:00 +010
Foot-to-shoe mismatch and rates of referral in Special Olympics athletes.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: CONCLUSIONS: There is a significant (41.44%) mismatch of foot to shoe in Special Olympics athletes. The most common mismatch is a shoe too big, with a much smaller number of athletes having shoes too small. Awareness of this foot-to-shoe incompatibility may be useful for the development of shoes better designed for athletes with a foot structure not consistent with conventional shoes. Because 20% of the athletes required a referral for professional follow-up, Fit Feet examinations are important for identifying athletes with conditions that can be more readily evaluated and treated, thus improving the athletes' comfort and performance. Beyond knowing the rate of referral, future studies can determine the conditions or findings that necessitate a referral and the ultimate outcome of that ref...
  PubDate: Tue, 01 May 2012 04:00:00 +010
Matrixplasty for the treatment of severe incurved toenail with growth plate deformity.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: CONCLUSIONS: Matrixplasty showed excellent clinical results in the treatment of severe incurved toenail, and this newly developed procedure showed improvement of the deformed toenail and its growth plate. PMID: 22659762 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Tue, 01 May 2012 04:00:00 +010
Dynamic midfoot kinematics in subjects with medial tibial stress syndrome.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: CONCLUSIONS: Patients with MTSS display a larger ND and a higher ND velocity during treadmill walking. Increased ND velocity may be important to this condition. Future studies should include velocity of dND to investigate the mechanisms of dND in relation to overuse injuries. PMID: 22659763 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Tue, 01 May 2012 04:00:00 +010
Peripheral and central bone mineral density in Charcot's neuroarthropathy compared in diabetic and nondiabetic populations.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: CONCLUSIONS: The results of this study suggest that lumbar BMD does not reflect peripheral BMD in patients with diabetes mellitus and reconstructive-stage CN. This study has clinical implications when reconstructive osseous surgery is planned in patients with CN. PMID: 22659764 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Tue, 01 May 2012 04:00:00 +010
Topical application of a gentamicin-collagen sponge combined with systemic antibiotic therapy for the treatment of diabetic foot infections of moderate severity: a randomized, controlled, multicenter clinical trial.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: CONCLUSIONS: Topical application of the gentamicin-collagen sponge seems safe and may improve clinical and microbiological outcomes of diabetic foot infections of moderate severity when combined with standard of care. These pilot data suggest that a larger trial of this treatment is warranted. PMID: 22659765 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Tue, 01 May 2012 04:00:00 +010
Acellular fetal bovine dermal matrix in the treatment of nonhealing wounds in patients with complex comorbidities.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: CONCLUSIONS: In patients with comorbidities known to delay healing, the implantation of PriMatrix promoted the healing and, ultimately, full reepithelialization of otherwise unresponsive wounds of varied etiology, including those with complications of infection or exposed bone or tendon. PMID: 22659766 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Tue, 01 May 2012 04:00:00 +010
Relation between popliteal-tibial artery atherosclerosis and global glycolytic metabolism in the affected diabetic foot: a pilot study using quantitative FDG-PET.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: CONCLUSIONS: Using FDG-PET, one may be able to detect and quantify the degree of increased metabolic activity of early active atherosclerosis and the associated chronic tissue ischemic effects at the regional level and globally throughout the whole body during the asymptomatic phase of disease. PMID: 22659767 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Tue, 01 May 2012 04:00:00 +010
Malignant eccrine acrospiroma: a case report.
- Authors: Journal of the American Podiatric Medical Association
  Abstract:
  Authors : Wenzel E, Sandhu J, Kajgana Z, Ganta V, Rouweyha R The authors present a case of seemingly textbook digital osteomyelitis with draining ulceration. Per protocol, specimens were sent to pathology with the intent to verify and identify the offending organisms. Surprisingly, the textbook osteomyelitis returned with a pathological diagnosis of rare sweat gland tumor, malignant eccrine acropsiroma, prompting immediate systemic medical workup and treatment. This case emphasizes the importance of proper laboratory workup of all surgically removed specimens, despite having a "typical" presentation. PMID: 22659768 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Tue, 01 May 2012 04:00:00 +010
Management of nonreducible lesser toe interphalangeal dislocation: an unusual injury.
- Authors: Journal of the American Podiatric Medical Association
  Abstract:
  Authors : Córdoba-Fernández A Interphalangeal joint dislocations of the lesser toes are relatively rare in clinical practice. Most nonreducible interphalangeal joint dislocations occur as a result of rupture or interposition of the plantar plate or of the collateral ligament in the joint space, thus hindering a closed reduction and, in most cases, compelling an open reduction. A post-reduction radiologic exploration is then essential to identify such an entity and proceed consequently. In some cases, such as the one introduced herein, a misdiagnosis, along with an inadequate surgical correction may lead to recurrence of the deformity and, ultimately, to a salvage arthrodesis. PMID: 22659769 [PubMed - in process] (Source: Journal of the American Podiatric Medical Assoc...
  PubDate: Tue, 01 May 2012 04:00:00 +010
Interphalangeal joint involvement of the big toe in gout: a rare presentation.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: We report a case of gout that presented with an expansile lytic lesion involving the interphalangeal joint of the hallux, lack of a history of gout, and an associated solitary lung nodule. Magnetic resonance imaging showed an expansile destructive bony lesion with soft-tissue involvement suggestive of a possible bony metastasis. A needle biopsy was performed, and histopathologic features were diagnostic of chronic tophaceous gout. PMID: 22659770 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Tue, 01 May 2012 04:00:00 +010
Evaluating the biomechanics of the pediatric foot in Turner syndrome: a case report.
- Authors: Journal of the American Podiatric Medical Association
  Abstract:
  Authors : Morrison SC, Izod A, Mahaffey R Turner syndrome is a genetic disorder that can present clinically with multiple concurrent comorbidities. This case report describes a 12-year-old girl with Turner syndrome who was referred for podiatric medical assessment and explores the application of optoelectronic stereophotogrammetry in the biomechanical assessment of the foot and lower limb. A four-segment kinematic foot model using 14-mm reflective markers was applied to the foot and lower limb of the patient to track motion at the tibia, rearfoot, forefoot, and hallux. Kinematic results presented in this case study illustrate evidence of excessive foot pronation throughout the stance phase of gait. Whether excessive pronation is a general characteristic of foot function in ...
  PubDate: Tue, 01 May 2012 04:00:00 +010
A case of keratosis lichenoid chronica.
- Authors: Journal of the American Podiatric Medical Association
  Abstract:
  Authors : Baczewski N, Albano B Keratosis lichenoid chronica is a rare dermatologic anomaly believed to be a variant of lichen planus. It presents as violaceous, nodular lesions usually on the dorsal aspects of the extremities and the trunk. The disease is refractory to treatment although psoralen ultraviolet A therapy and oral retinoids have been proven useful in some cases. Here we present the case of a 58-year-old male diagnosed with keratosis lichenoid chronica. PMID: 22659772 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Tue, 01 May 2012 04:00:00 +010
Prevalence of equinus in diabetic versus nondiabetic patients.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: CONCLUSIONS: Equinus may be more prevalent in diabetic patients than previously reported. Although we cannot prove causality, we found a significant association between equinus and ulceration. PMID: 22461264 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Thu, 01 Mar 2012 05:00:00 +010
Controlled release of epidermal growth factor from hydrogels accelerates wound healing in diabetic rats.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: CONCLUSIONS: These data from in vitro release and diabetic animal models highlight the efficacy of hydrogels as a controlled releasing system for topical application of EGFs. The rhEGF-containing hydrogel we developed holds the merits of prolonged and sustained releasing of bioactive rhEGF and therapeutic potential in enhancing diabetic wound healing. PMID: 22461265 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Thu, 01 Mar 2012 05:00:00 +010
Complex regional pain syndrome of the pediatric lower extremity: a retrospective review.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: CONCLUSIONS: Diagnosis of CRPS type 1 should be considered in a preadolescent female complaining of pain out of proportion after an inciting event with a physical examination demonstrating change in skin color, decrease in skin temperature, edema, and painful or diminished range of motion in affected joints. Prompt diagnosis can decrease the time to resolution of symptoms. PMID: 22461266 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Thu, 01 Mar 2012 05:00:00 +010
Radiographic measurement of the first metatarsal: a new technique to improve the accuracy of intermetatarsal angle measurement.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: CONCLUSIONS: Compared with two existing techniques, a novel technique for accurately obtaining the bisection of the first metatarsal was consistently found to be reproducible and repeatable. PMID: 22461267 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Thu, 01 Mar 2012 05:00:00 +010
Epidemiologic factors affecting plantar arch development in children with flat feet.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: CONCLUSIONS: Flat feet in children may be affected by age, sex, Cole index, place of residence, and physical activity. The proposed model allows plantar arch heights in children with flat feet to be predicted without the need for sophisticated technology via controlling the child's weight and physical activity for prescribing appropriate footwear. PMID: 22461268 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Thu, 01 Mar 2012 05:00:00 +010
Intratest reliability in determining the subtalar joint axis using the palpation technique described by K. Kirby.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: CONCLUSIONS: The clinical palpation technique itself is reliable; the consistent attribution of a classification, in other words, interpretation, is weak. PMID: 22461269 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Thu, 01 Mar 2012 05:00:00 +010
Dynamic footprint measurement collection technique and intrarater reliability: ink mat, paper pedography, and electronic pedography.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: CONCLUSIONS: Footprint measurements collected with various techniques demonstrate differences. Interchangeable use of exact values without adjustment is not advised. Intrarater reliability of a single method (ink mat) was found to be high. PMID: 22461270 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Thu, 01 Mar 2012 05:00:00 +010
Clinical efficacy and safety of tapentadol immediate release in the postoperative setting.
- Authors: Journal of the American Podiatric Medical Association
  Abstract:
  Authors : Daniels SE, Golf M The appropriate treatment for postoperative pain remains a common dilemma for podiatric surgeons and patients undergoing surgery of the foot and ankle. The treatment of moderate to severe acute pain typically relies heavily on the use of opioid analgesics, such as hydrocodone and oxycodone, which are often associated with adverse effects, including nausea and vomiting. These adverse effects may have a negative impact on postoperative outcomes and reduce patient compliance with analgesic therapy. Tapentadol is a novel, centrally acting analgesic with two mechanisms of action--μ-opioid receptor agonism and norepinephrine reuptake inhibition--in a single molecule. Tapentadol immediate release has been evaluated in a series of clinical trials in pa...
  PubDate: Thu, 01 Mar 2012 05:00:00 +010
Normal genetic variation of the human foot: Part 2: Population variance, epigenetic mechanisms, and developmental constraint in function.
- Authors: Journal of the American Podiatric Medical Association
  Abstract:
  Authors : Quinn G Congenital deformities of the foot have been reported to correlate with regulatory epigenetic mechanisms that are also responsible for the timing and sequencing of developmental growth of the lower limb. Developmental variance of normal morphologic features has also been shown to vary between populations despite the retention of human foot characteristics. The molecular evidence for genetically controlled expressions of common evolved physical features is highly suggestive of regulatory control mechanisms that act together with developmental constraints to homogenize the retained functional characteristics of the foot. Genetic variance in morphologic features and functional plasticity when linked to morphometric change during gait may prove influential in ...
  PubDate: Thu, 01 Mar 2012 05:00:00 +010
Synovial sarcoma of the anterior tibialis tendon.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: We report the clinical features, radiographic findings, management and results of a patient with a post-traumatic synovial sarcoma of the anterior tibialis tendon. Our patient was managed operatively and with radiotherapy with good clinical results. No evidence of recurrence or metastatic disease was seen at 3-year follow-up. PMID: 22461273 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Thu, 01 Mar 2012 05:00:00 +010
Charcot arthropathy of the first metatarsophalangeal joint.
- Authors: Journal of the American Podiatric Medical Association
  Abstract:
  Authors : Wünschel M, Wülker N, Gesicki M Charcot arthropathy is an acute or subacute, often indolent, non-infectious or tumorous osteoarticular destruction of weightbearing skeletal structures in patients with reduced pain perception due to peripheral neuropathy. The authors present a rare case of progressive Charcot arthropathy of the first metatarsophalangeal joint with accompanying ulcer and foot deformity due to peripheral neuropathy. An arthrodesis of the first metatarsophalangeal joint with resection of the hypertrophic bone and osteophytes using a locking plate was performed. Also a condylectomy of the base of the proximal phalanx digitus II and III as well as a shortening osteotomy of the third metatarsal were conducted. The ulcer was debrided and primarily close...
  PubDate: Thu, 01 Mar 2012 05:00:00 +010
Surfer's toe: trauma-induced idiopathic acro-osteolysis in the toes of a 46-year-old surfer: a case report.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: In this report, a 46-year-old surfer was evaluated for AOL as a complication of sports-related repetitive trauma to the right second and third toes. Radiography showed the bony tips of his right second and third toes had been eroded away. Acquired acro-osteolysis in the surfer's toes resulted from increased blood flow initiated to repair microdamage caused by repeated trauma to the distal ends of his second and third right toes due to the habitual dragging of the affected toes across a surfboard. The always initial lytic phase of bone repair was magnified by the increased arterial input to warm the extremities after prolonged exposure to cold. At 6-years' follow-up, the use of a protective bandage while surfing has permitted full regeneration of the affected toes. PMID: 22461275 [PubMe...
  PubDate: Thu, 01 Mar 2012 05:00:00 +010
Treatment of mild, moderate, and severe onychomycosis using 870- and 930-nm light exposure: some follow-up observations at 270 days.
- Authors: Journal of the American Podiatric Medical Association
  Abstract:
  Authors : Landsman AS, Robbins AH We have previously reported the results of a clinical trial in which the Noveon laser was used to treat onychomycosis. In the 180-day follow-up therein it was noted that positive clinical impact was demonstrable by a clearly measurable decrease in positive fungal culture and a concomitant decrease in positive microscopy with periodic acid-Schiff-stained nail scrapings. Review of 270-day mycological data, which are now available, confirmed that there was further decrease in both measures. Indeed, 38% of the treated population had negative culture and microscopy, qualifying as "mycological cures." These mycological cures occurred in cases categorized as mild, moderate, and even severe disease. PMID: 22461276 [PubMed - in process] (Source:...
  PubDate: Thu, 01 Mar 2012 05:00:00 +010
A historical and current analysis for the DPM acquiring an MD or DO degree and an unrestricted medical license.
- Authors: Journal of the American Podiatric Medical Association
  Abstract:
  Authors : Levy LA The podiatric medical profession has evolved substantially in the past 80 years. This evolution includes major changes in scope, in the requirements necessary to enter a podiatric medical school, and in the curriculum that must be completed to earn the degree of Doctor of Podiatric Medicine. Entrance requirements to the schools are now identical to the prerequisites for admission to MD and DO institutions, and licensure requires the completion of graduate medical education. Much of the curriculum also is the same as it is in MD and DO schools. In the past decade, discussion focusing on the ability of the DPM to acquire the MD or DO degree has intensified. An analysis is provided using a historical context regarding this potential initiative. PMID: 2246...
  PubDate: Thu, 01 Mar 2012 05:00:00 +010
Prevalence of Equinus in Diabetic versus Nondiabetic Patients.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: Equinus may be more prevalent in diabetic patients than previously reported. Although we cannot prove causality, we found a significant association between equinus and ulceration. PMID: 22461264 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Thu, 01 Mar 2012 05:00:00 +010
Controlled release of epidermal growth factor from hydrogels accelerates wound healing in diabetic rats.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: These data from in vitro release and diabetic animal models highlight the efficacy of hydrogels as a controlled releasing system for topical application of EGFs. The rhEGF-containing hydrogel we developed holds the merits of prolonged and sustained releasing of bioactive rhEGF and therapeutic potential in enhancing diabetic wound healing. PMID: 22461265 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Thu, 01 Mar 2012 05:00:00 +010
Complex regional pain syndrome of the pediatric lower extremity: a retrospective review.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: Diagnosis of CRPS type 1 should be considered in a preadolescent female complaining of pain out of proportion after an inciting event with a physical examination demonstrating change in skin color, decrease in skin temperature, edema, and painful or diminished range of motion in affected joints. Prompt diagnosis can decrease the time to resolution of symptoms. PMID: 22461266 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Thu, 01 Mar 2012 05:00:00 +010
Radiographic measurement of the first metatarsal: a new technique to improve the accuracy of intermetatarsal angle measurement.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: Compared with two existing techniques, a novel technique for accurately obtaining the bisection of the first metatarsal was consistently found to be reproducible and repeatable. PMID: 22461267 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Thu, 01 Mar 2012 05:00:00 +010
Epidemiologic factors affecting plantar arch development in children with flat feet.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: Flat feet in children may be affected by age, sex, Cole index, place of residence, and physical activity. The proposed model allows plantar arch heights in children with flat feet to be predicted without the need for sophisticated technology via controlling the child's weight and physical activity for prescribing appropriate footwear. PMID: 22461268 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Thu, 01 Mar 2012 05:00:00 +010
Intratest reliability in determining the subtalar joint axis using the palpation technique described by k. Kirby.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: The clinical palpation technique itself is reliable; the consistent attribution of a classification, in other words, interpretation, is weak. PMID: 22461269 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Thu, 01 Mar 2012 05:00:00 +010
Dynamic footprint measurement collection technique and intrarater reliability: ink mat, paper pedography, and electronic pedography.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: Footprint measurements collected with various techniques demonstrate differences. Interchangeable use of exact values without adjustment is not advised. Intrarater reliability of a single method (ink mat) was found to be high. PMID: 22461270 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Thu, 01 Mar 2012 05:00:00 +010
Clinical efficacy and safety of tapentadol immediate release in the postoperative setting.
- Authors: Journal of the American Podiatric Medical Association
  Abstract:
  Authors : Daniels SE, Golf M The appropriate treatment for postoperative pain remains a common dilemma for podiatric surgeons and patients undergoing surgery of the foot and ankle. The treatment of moderate to severe acute pain typically relies heavily on the use of opioid analgesics, such as hydrocodone and oxycodone, which are often associated with adverse effects, including nausea and vomiting. These adverse effects may have a negative impact on postoperative outcomes and reduce patient compliance with analgesic therapy. Tapentadol is a novel, centrally acting analgesic with two mechanisms of action-μ-opioid receptor agonism and norepinephrine reuptake inhibition-in a single molecule. Tapentadol immediate release has been evaluated in a series of clinical trials in pati...
  PubDate: Thu, 01 Mar 2012 05:00:00 +010
Normal genetic variation of the human foot: part 2: population variance, epigenetic mechanisms, and developmental constraint in function.
- Authors: Journal of the American Podiatric Medical Association
  Abstract:
  Authors : Quinn G Congenital deformities of the foot have been reported to correlate with regulatory epigenetic mechanisms that are also responsible for the timing and sequencing of developmental growth of the lower limb. Developmental variance of normal morphologic features has also been shown to vary between populations despite the retention of human foot characteristics. The molecular evidence for genetically controlled expressions of common evolved physical features is highly suggestive of regulatory control mechanisms that act together with developmental constraints to homogenize the retained functional characteristics of the foot. Genetic variance in morphologic features and functional plasticity when linked to morphometric change during gait may prove influential in ...
  PubDate: Thu, 01 Mar 2012 05:00:00 +010
Synovial sarcoma of the anterior tibialis tendon.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: We report the clinical features, radiographic findings, management and results of a patient with a post-traumatic synovial sarcoma of the anterior tibialis tendon. Our patient was managed operatively and with radiotherapy with good clinical results. No evidence of recurrence or metastatic disease was seen at 3-year follow-up. PMID: 22461273 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Thu, 01 Mar 2012 05:00:00 +010
Charcot arthropathy of the first metatarsophalangeal joint.
- Authors: Journal of the American Podiatric Medical Association
  Abstract:
  Authors : Wünschel M, Wülker N, Gesicki M Charcot arthropathy is an acute or subacute, often indolent, non-infectious or tumorous osteoarticular destruction of weightbearing skeletal structures in patients with reduced pain perception due to peripheral neuropathy. The authors present a rare case of progressive Charcot arthropathy of the first metatarsophalangeal joint with accompanying ulcer and foot deformity due to peripheral neuropathy. An arthrodesis of the first metatarsophalangeal joint with resection of the hypertrophic bone and osteophytes using a locking plate was performed. Also a condylectomy of the base of the proximal phalanx digitus II and III as well as a shortening osteotomy of the third metatarsal were conducted. The ulcer was debrided and primarily close...
  PubDate: Thu, 01 Mar 2012 05:00:00 +010
Surfer's Toe: Trauma-Induced Idiopathic Acro-Osteolysis in the Toes of a 46-Year-Old Surfer: A Case Report.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: In this report, a 46-year-old surfer was evaluated for AOL as a complication of sports-related repetitive trauma to the right second and third toes. Radiography showed the bony tips of his right second and third toes had been eroded away. Acquired acro-osteolysis in the surfer's toes resulted from increased blood flow initiated to repair microdamage caused by repeated trauma to the distal ends of his second and third right toes due to the habitual dragging of the affected toes across a surfboard. The always initial lytic phase of bone repair was magnified by the increased arterial input to warm the extremities after prolonged exposure to cold. At 6-years' follow-up, the use of a protective bandage while surfing has permitted full regeneration of the affected toes. PMID: 22461275 [PubMe...
  PubDate: Thu, 01 Mar 2012 05:00:00 +010
Treatment of Mild, Moderate, and Severe Onychomycosis Using 870- and 930-nm Light Exposure: Some Follow-up Observations at 270 Days.
- Authors: Journal of the American Podiatric Medical Association
  Abstract:
  Authors : Landsman AS, Robbins AH We have previously reported the results of a clinical trial in which the Noveon laser was used to treat onychomycosis. In the 180-day follow-up therein it was noted that positive clinical impact was demonstrable by a clearly measurable decrease in positive fungal culture and a concomitant decrease in positive microscopy with periodic acid-Schiff-stained nail scrapings. Review of 270-day mycological data, which are now available, confirmed that there was further decrease in both measures. Indeed, 38% of the treated population had negative culture and microscopy, qualifying as "mycological cures." These mycological cures occurred in cases categorized as mild, moderate, and even severe disease. PMID: 22461276 [PubMed - in process] (Source:...
  PubDate: Thu, 01 Mar 2012 05:00:00 +010
A Historical and Current Analysis for the DPM Acquiring an MD or DO Degree and an Unrestricted Medical License.
- Authors: Journal of the American Podiatric Medical Association
  Abstract:
  Authors : Levy LA The podiatric medical profession has evolved substantially in the past 80 years. This evolution includes major changes in scope, in the requirements necessary to enter a podiatric medical school, and in the curriculum that must be completed to earn the degree of Doctor of Podiatric Medicine. Entrance requirements to the schools are now identical to the prerequisites for admission to MD and DO institutions, and licensure requires the completion of graduate medical education. Much of the curriculum also is the same as it is in MD and DO schools. In the past decade, discussion focusing on the ability of the DPM to acquire the MD or DO degree has intensified. An analysis is provided using a historical context regarding this potential initiative. PMID: 2246...
  PubDate: Thu, 01 Mar 2012 05:00:00 +010
The anatomical location of the flexor hallucis brevis as it pertains to implant arthroplasty.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: This study provides precise anatomical data that can be used by foot and ankle surgeons when considering the use of implant arthroplasty for the treatment of hallux limitus/rigidus and the ability to maintain the insertion point of the flexor hallucis brevis muscle. PMID: 22232314 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Sun, 01 Jan 2012 05:00:00 +010
Consequences of pediatric obesity on the foot and ankle complex.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: The decreased active ankle dorsiflexion in the obese group can increase foot contact for a longer period of the stance phase of gait. Obese participants also presented with a more flexible foot when bearing weight. PMID: 22232315 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Sun, 01 Jan 2012 05:00:00 +010
Arthrodesis of the first metatarsophalangeal joint: comparison of three techniques.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: Our experience corroborates the advantages of Memory staples as described in the literature, including good approximation of bone fragments, technically easy application with fewer steps than an AO-applied screw, and an adequate source of internal fixation to achieve metatarsophalangeal joint fusion. There is also a suggestion that the time to achieve fusion is shorter. PMID: 22232316 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Sun, 01 Jan 2012 05:00:00 +010
Effect of a metatarsal pad on the forefoot during gait.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: The combination of increased forefoot width and the height of the second metatarsal head produced by the metatarsal pad results in an increase in space between the metatarsal heads. This extra space could play a role in pain reduction produced by a metatarsal pad. PMID: 22232317 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Sun, 01 Jan 2012 05:00:00 +010
Influence of turnout on foot posture and its relationship to overuse musculoskeletal injury in professional contemporary dancers: a preliminary investigation.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: Turnout is one of the most fundamental aspects of dance technique. This study suggests a trend toward pronation in angle of turnout and a link to lower-limb musculoskeletal injury. PMID: 22232318 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Sun, 01 Jan 2012 05:00:00 +010
Navicula drop test ad modum brody: does it show how the foot moves under dynamic conditions'
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: This study of asymptomatic individuals did not confirm that static ND can be used to individually predict dynamic ND during treadmill walking. It was demonstrated that the start position of Brody's test is not well correlated with navicular height at heel strike, with this being the main reason for the weak relationship between static and dynamic ND measures. PMID: 22232319 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Sun, 01 Jan 2012 05:00:00 +010
Transformative learning: empathy and multicultural awareness in podiatric medical education.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: Short-term medical missions could play a significant role in the transformative learning experience in podiatric medical education. This could affect the empathy and multicultural awareness of podiatric medical students. Further and more extensive evaluations of the potential impact of short-term medical missions in podiatric medical education should be explored because it could influence curriculum and global health in the field of podiatric medicine. PMID: 22232320 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Sun, 01 Jan 2012 05:00:00 +010
Hallux interphalangeal joint range of motion in feet with and without limited first metatarsophalangeal joint dorsiflexion.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: Hallux interphalangeal joint dorsiflexion was greater in feet with hallux limitus than in normal feet. There was a strong inverse correlation between first metatarsophalangeal joint dorsiflexion and hallux interphalangeal joint dorsiflexion. PMID: 22232321 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Sun, 01 Jan 2012 05:00:00 +010
Podiatric health needs of homeless populations as a public health concern.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: The small number of studies published so far all emphasize the major public health need for podiatric care among homeless populations. More studies are needed to help address this important public health concern. PMID: 22232322 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Sun, 01 Jan 2012 05:00:00 +010
Comparative analysis of moral distress and values of the work organization between american and spanish podiatric physicians.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: The results underline the significance of moral distress for both samples, mainly related to time constraints and organizational aspects concerning patients and lack of resources. PMID: 22232323 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Sun, 01 Jan 2012 05:00:00 +010
Normal genetic variation of the human foot: part 1: the paradox of normal anatomical alignment in an evolutionary epigenetic context.
- Authors: Journal of the American Podiatric Medical Association
  Abstract:
  Authors : Quinn G Molecular genetics is changing our understanding of the developmental translation of genotype to phenotype between and within different phylogenetic groups. Together with a growing understanding of our own evolutionary relationships to common ancestors, the epigenetic processes involved enforce a reexamination of what is regarded as a normal foot structure. A revised populationist approach is proposed and supported by paleoanthropologic evidence that reflects a picture of emerging suitability for bipedalism that is driven by natural genetic divergence. PMID: 22232324 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Sun, 01 Jan 2012 05:00:00 +010
Dislocation of the fifth metatarsal base following partial fourth and fifth ray amputation: a case report.
- Authors: Journal of the American Podiatric Medical Association
  Abstract:
  Authors : Carlson RM, Smith NC, Stuck RM, Sage RA This case report presents a rare postoperative dislocation of the fifth metatarsal base following a healed open partial fourth and fifth ray amputation of a 62-year-old male veteran with poorly controlled diabetes mellitus. The dislocated fifth metatarsal base subsequently created a chronic ulceration and an inhibition of normal gait. The patient was taken to the operating room where the fifth metatarsal base was resected with transfer of the peroneus brevis tendon to the cuboid to maintain biomechanical stability. PMID: 22232325 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Sun, 01 Jan 2012 05:00:00 +010
Entrapment involving the lateral calcaneal branch of the sural nerve: a case study.
- Authors: Journal of the American Podiatric Medical Association
  Abstract:
  Authors : Heaslet M, Patel D Sural nerve impingement is frequently reported and often arises from localized trauma but much less understood are its mechanical etiologies. This case report describes the effects of local traction on the lateral calcaneal branch of the sural nerve. The association is confirmed anatomically and symptoms are alleviated with a heel lift. PMID: 22232326 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Sun, 01 Jan 2012 05:00:00 +010
Pseudarthrosis after percutaneous distal osteotomy in hallux valgus surgery: a case report.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: We report the case of a 42-year-old woman who developed a pseudarthrosis of the first metatarsal after percutaneous retrocapital distal osteotomy of the first metatarsal for a mild hallux valgus deformity. The operative treatment consisted of debridement of fibrous nonunion with plating followed by application of pulsed electromagnetic fields (PEMF) with an external device. PMID: 22232327 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Sun, 01 Jan 2012 05:00:00 +010
Hallux limitus and its relationship with the internal rotational pattern of the lower limb.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: Patients with mild hallux limitus had a lesser capacity of internal rotation of the lower extremity than did individuals in the control group. The more limited the internal rotational pattern of the lower limb, the more limited was hallux dorsiflexion. The foot progression angle was similar in both groups. PMID: 22106194 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Tue, 01 Nov 2011 04:00:00 +010
Validation of the talar-second metatarsal angle as a standard measurement for radiographic evaluation.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: The anteroposterior T2M angle gives a consistent and reproducible measurement that provides accurate information about foot alignment. PMID: 22106195 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Tue, 01 Nov 2011 04:00:00 +010
An Open-label, Three-arm Pilot Study of the Safety and Efficacy of Topical Microcyn Rx Wound Care versus Oral Levofloxacin versus Combined Therapy for Mild Diabetic Foot Infections.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: Microcyn Rx is safe and at least as effective as oral levofloxacin for mild diabetic foot infections. PMID: 22106196 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Tue, 01 Nov 2011 04:00:00 +010
Quantification of skin marker movement at the malleoli and talar heads.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: For this subject, skin-mounted markers could be used to assess subtalar joint motion. Further studies are necessary to investigate the implications of these findings to the wider population. PMID: 22106197 [PubMed - in process] (Source: Journal of the American Podiatric Medical Association)
  PubDate: Tue, 01 Nov 2011 04:00:00 +010
Anatomical variations of peroneal muscles: a cadaver study in an Indian population and a review of the literature.
- Authors: Journal of the American Podiatric Medical Association
  Abstract: Conclusions: Racial differences, cultural variations, and postural habits, along with different stages of evolution, may be factors contributing to different observations. Split lesions of the peroneus brevis tendon were six to seven times more prevalent than was presence of the peroneus quartus muscle, which implies that split or tear lesions of the peroneus brevis tendon are more frequently involved in the manifestation of persistent retromalleolar pain compared with complications arising out of presence of the peroneus quartus muscle. Hence, accurate knowledge of presence of the peroneus quartus muscle in different populations is important because it can also be used in grafting and reconstruction in foot and ankle surgery. PMID: 22106198 [PubMed - in process] (Source: Journal of th...
  PubDate: Tue, 01 Nov 2011 04:00:00 +010