Journal of the American Podiatric Medical Association

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Open AccessArticle

Is Routine Use of VTED Chemical Prophylaxis Ever Warranted in Foot and Ankle Surgery? Results of a Cost-Effectiveness Analysis

by Shirley Chen, Adam Fleischer, Craig Wirt, Richmond Robinson, Carolina Barbosa, Arezou Amidi and Robert Joseph

J. Am. Podiatr. Med. Assoc. 2016, 106(sp1), 14; https://doi.org/10.7547/8750-7315-2016.1.chen - 1 Jan 2016

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INTRODUCTION AND OBJECTIVES: The purpose of this study was to determine whether some foot/ankle surgeries would benefit from routine use of low molecular weight heparin (LMWH) as postoperative DVT prophylaxis. Full article

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The Reliability of Venous Duplex Ultrasound and Clinical Findings for the Diagnosis of Lower Extremity Deep Venous Thrombosis

by Katie Adams, Shyam A. Sheth and Andrew J. Meyr

J. Am. Podiatr. Med. Assoc. 2016, 106(sp1), 13; https://doi.org/10.7547/8750-7315-2016.1.adams - 1 Jan 2016

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Abstract

INTRODUCTION AND OBJECTIVES: The gold standard for the diagnosis of lower extremity deep vein thrombosis (DVT) is reported to be venous duplex ultrasound (VDU) because it is noninvasive, sensitive, relatively inexpensive, and can be performed at a patients bedside. The objective of this [...] Read more.

INTRODUCTION AND OBJECTIVES: The gold standard for the diagnosis of lower extremity deep vein thrombosis (DVT) is reported to be venous duplex ultrasound (VDU) because it is noninvasive, sensitive, relatively inexpensive, and can be performed at a patients bedside. The objective of this investigation was to measure agreement in the interpretation of VDU between multiple medical specialties. Full article

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Open AccessArticle

Comparing the Efficacy of Viable Cryopreserved Placental Membrane for the Treatment of Wounds of Diverse Etiologies

by Derek S. Anselmo, Marc Karpo, Ebony Love and Tracey Vlahovic

J. Am. Podiatr. Med. Assoc. 2016, 106(sp1), 12; https://doi.org/10.7547/8750-7315-2016.1.anselmo - 1 Jan 2016

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Abstract

INTRODUCTION AND OBJECTIVES: The benefits of using amniotic tissue in skin regeneration are well documented. Today, cryopreservation technology allows for better availability and maintenance of mesenchymal stem cells. This is of particular interest in treating the diabetic foot ulcer as this population has [...] Read more.

INTRODUCTION AND OBJECTIVES: The benefits of using amniotic tissue in skin regeneration are well documented. Today, cryopreservation technology allows for better availability and maintenance of mesenchymal stem cells. This is of particular interest in treating the diabetic foot ulcer as this population has fewer mesenchymal stem cells. The objective of this case series investigation was to compare the efficacy of cryopreserved human amniotic stem cells in treating foot wounds of different etiologies. We will present data and case photos for a diabetic foot ulcer, venous leg ulcer, arterial ankle ulcer, and a pyoderma gangrenosum ulcer. Full article

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Open AccessArticle

Type IV Cell-Mediated Hypersensitivity Reaction Caused by Titanium Implant Following Medial Displacement Calcaneal Osteotomy and First Metatarsal-Cuneiform Arthrodesis

by Stephen J. Kriger, Shontal A. Behan, Parth J. Bhakta, Nicholas G. Bruning, Brennan A. Menninger and Mark C. Razzante

J. Am. Podiatr. Med. Assoc. 2016, 106(sp1), 11; https://doi.org/10.7547/8750-7315-2016.1.kriger - 1 Jan 2016

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INTRODUCTION AND OBJECTIVES: Due to its inert character and desired biocompatibility, titanium (Ti) implants have been universally accepted as safer alternatives to the previous conventional orthopedic hardware implants. However, a recent emergence of Type IV hypersensitivity reactions to Ti have displayed symptoms that [...] Read more.

INTRODUCTION AND OBJECTIVES: Due to its inert character and desired biocompatibility, titanium (Ti) implants have been universally accepted as safer alternatives to the previous conventional orthopedic hardware implants. However, a recent emergence of Type IV hypersensitivity reactions to Ti have displayed symptoms that include eczema, contact dermatitis, prolonged fever, sterile osteomyelitis, and impaired fracture and wound healing. The following case presents a patient with postoperative incision dehiscence and devascularization of cortical surfaces in contact with Ti hardware after undergoing a medial displacement calcaneal osteotomy and a first metatarsal-cuneiform arthrodesis. To our knowledge, this is the only reported case of an allergic reaction to a Ti implant in the foot or ankle in the United States. Full article

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Open AccessArticle

Minimally-Invasive Repair of Bilateral Calcaneal Fractures with Unilateral External Fixation: A Case Report

by Louis V. DeFazio and Guido A. LaPorta

J. Am. Podiatr. Med. Assoc. 2016, 106(sp1), 10; https://doi.org/10.7547/8750-7315-2016.1.defazio - 1 Jan 2016

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Abstract

INTRODUCTION AND OBJECTIVES: Calcaneal fractures are a serious injury with significant associated morbidity. Bilateral calcaneal fractures complicate issues even further, due to the physical disability that the patient is left with. One of the major issues with any calcaneal fracture is the risk [...] Read more.

INTRODUCTION AND OBJECTIVES: Calcaneal fractures are a serious injury with significant associated morbidity. Bilateral calcaneal fractures complicate issues even further, due to the physical disability that the patient is left with. One of the major issues with any calcaneal fracture is the risk of soft tissue compromise caused by the traumatic nature of the injury. A percutaneous approach allows the soft tissue envelope to remain viable, while still fixating the fractures. The purpose of this presentation is to highlight the use of percutaneous repair, the role of external fixation in calcaneal fractures, and lastly discuss the outcome for this particular patient. Full article

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Open AccessArticle

Corynebacterium Striatum: A Concerning Pathogen of Osteomyelitis in the Diabetic Patient

by Sneha A. Patel, Jackeline Iacovella and Rhonda S. Cornell

J. Am. Podiatr. Med. Assoc. 2016, 106(sp1), 9; https://doi.org/10.7547/8750-7315-2016.1.patel - 1 Jan 2016

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Abstract

INTRODUCTION AND OBJECTIVES: Corynebacterium striatum (C. striatum) is known to colonize the skin and mucous membranes of most normal human hosts. While it is frequently isolated in clinical laboratories, the clinical significance of C. striatum is often unknown with respect to diabetic foot [...] Read more.

INTRODUCTION AND OBJECTIVES: Corynebacterium striatum (C. striatum) is known to colonize the skin and mucous membranes of most normal human hosts. While it is frequently isolated in clinical laboratories, the clinical significance of C. striatum is often unknown with respect to diabetic foot infections with osteomyelitis. There have been very few studies published on this topic, and even fewer that report on treatment courses. To our knowledge, there has been no study published reporting diabetic foot osteomyelitis with isolation of C. striatum from bone culture. Full article

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Open AccessArticle

The Rare Lesser Metatarsal Bipartite Sesamoid – A Case Report and Literature Review

by Christopher R. Hood, Stephanie Eldridge, Matthew Tran and Jason R. Miller

J. Am. Podiatr. Med. Assoc. 2016, 106(sp1), 8; https://doi.org/10.7547/8750-7315-2016.1.hood - 1 Jan 2016

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Abstract

INTRODUCTION AND OBJECTIVES: There are several various accessory ossicles and sesamoid bones that can be seen throughout the foot and ankle, with reported incidence of 21.2% and 9.6%, respectively. Accessory ossicles and sesamoid bones usually remain asymptomatic until an inciting event (trauma, overuse) [...] Read more.

INTRODUCTION AND OBJECTIVES: There are several various accessory ossicles and sesamoid bones that can be seen throughout the foot and ankle, with reported incidence of 21.2% and 9.6%, respectively. Accessory ossicles and sesamoid bones usually remain asymptomatic until an inciting event (trauma, overuse) occurs and can then cause pain or degenerative changes. They can also be found in routine imaging. One of these confusing findings are lesser metatarsal sesamoids, which are a rare occurrence. Here radiographically we demonstrate the first such case of a fifth metatarsal bipartite sesamoid. Full article

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Open AccessArticle

Impact of Arch Height Flexibility on Dynamic Plantar Pressure in Healthy Young Subjects with Planus Feet

by Jinsup Song, Kersti Choe, Michael Neary, Rebecca A. Zifchock, Kenneth Cameron, Michael Trepal, Marian Hannon and Howard J. Hilstrom

J. Am. Podiatr. Med. Assoc. 2016, 106(sp1), 7; https://doi.org/10.7547/8750-7315-2016.1.song - 1 Jan 2016

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Abstract

INTRODUCTION AND OBJECTIVES: Healthy feet are important for overall health and well-being. Previous studies of older subjects showed that those with a lowered arch had an increased odds of having foot deformities, pain, and hyperpronation in gait. (1–3) No investigation to date has [...] Read more.

INTRODUCTION AND OBJECTIVES: Healthy feet are important for overall health and well-being. Previous studies of older subjects showed that those with a lowered arch had an increased odds of having foot deformities, pain, and hyperpronation in gait. (1–3) No investigation to date has comprehensively characterized foot biomechanics in a large sample of healthy active young subjects. Full article

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Open AccessArticle

A Retrospective Study of Onychomycosis, Clinical Diagnosis Versus Laboratory Diagnosis

by Arwa M El-Sayed, Marc Karpo, Aisha Jasani, Ebony Love and Lesly Robinson

J. Am. Podiatr. Med. Assoc. 2016, 106(sp1), 6; https://doi.org/10.7547/8750-7315-2016.1.karpo - 1 Jan 2016

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INTRODUCTION AND OBJECTIVES: Onychomycosis is defined as a fungal infection of the nail usually caused by a dermatophyte. This retrospective study will compare the diagnosis of onychomycosis based on clinical exam findings in comparison to laboratory results. Full article

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Open AccessArticle

Foot Temperature Trends in Normal, Diabetic, and Neuropathic Foot Populations

by Azza Alalwee, Jonathan D. LeSar, Mina Ghassemi, Eugene Cheng, Steven Stuto, Lawrence Osher, Scott Bastian, Vincent J. Hetherington and Jill Kawalec

J. Am. Podiatr. Med. Assoc. 2016, 106(sp1), 5; https://doi.org/10.7547/8750-7315-2016.1.alalwee - 1 Jan 2016

Cited by 1 | Viewed by 50

Abstract

INTRODUCTION AND OBJECTIVES: Patients with underlying peripheral neuropathy are subject to changes in foot temperature. (1,2) Of the many forms of neuropathy that affect the lower extremity, the most notable are those types associated with diabetes. The aim of this study was to [...] Read more.

INTRODUCTION AND OBJECTIVES: Patients with underlying peripheral neuropathy are subject to changes in foot temperature. (1,2) Of the many forms of neuropathy that affect the lower extremity, the most notable are those types associated with diabetes. The aim of this study was to look for differences in temperatures between uncomplicated diabetic, diabetic neuropathic, and non-diabetic neuropathic feet. Full article

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Open AccessArticle

What is the Standard of Treatment for Plantar Psoriasis?

by Thomas B. Birdwell, Sadiah M. Hoque, Mara C. Kennedy, Jane H. Sim and Tracey C. Vlahovic

J. Am. Podiatr. Med. Assoc. 2016, 106(sp1), 4; https://doi.org/10.7547/8750-7315-2016.1.vlahovic - 1 Jan 2016

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Abstract

INTRODUCTION AND OBJECTIVES: Psoriasis is a systemic condition with several dermatological manifestations that affect many individuals on a daily basis. According to Langley et al in a study titled “Psoriasis: epidemiology, clinical features, and quality of life,” psoriasis affects 2% of the American [...] Read more.

INTRODUCTION AND OBJECTIVES: Psoriasis is a systemic condition with several dermatological manifestations that affect many individuals on a daily basis. According to Langley et al in a study titled “Psoriasis: epidemiology, clinical features, and quality of life,” psoriasis affects 2% of the American population, which is approximately 6 million people. Out of these 6 million people, approximately 2–3% are affected by palmoplantar psoriasis (Farber et al). Plantar psoriasis in particular can cause significant functional and social disabilities. To date there is paucity of information regarding the standard of treatment for plantar psoriasis. We will attempt to compile and summarize the research that will help doctors treat patients with plantar psoriasis using evidence-based medicine. Full article

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The Advantages of Dermoscopy in the Diagnosis of Acral Melanoma from Other Podiatric Lesions. A Literature Review

by Mansi Patel, HyunJi Boo, Suganthi Kandasamy, Dhagash Patel and Anthony Iorio

J. Am. Podiatr. Med. Assoc. 2016, 106(sp1), 3; https://doi.org/10.7547/8750-7315-2016.1.iorio - 1 Jan 2016

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Abstract

INTRODUCTION AND OBJECTIVES: Melanoma is one of the most common primary malignant tumors arising in the lower extremity. It is crucial to diagnose melanoma as quickly and as efficiently as possible for a better prognosis. The use of dermoscopy is helpful in diagnosing [...] Read more.

INTRODUCTION AND OBJECTIVES: Melanoma is one of the most common primary malignant tumors arising in the lower extremity. It is crucial to diagnose melanoma as quickly and as efficiently as possible for a better prognosis. The use of dermoscopy is helpful in diagnosing such conditions. Dermoscopy is a non-invasive, in-vivo technique primarily used in the examination of pigmented skin lesions. This procedure allows the visualization of subsurface skin structures in the epidermis, dermoepidermal junction, and upper dermis - structures not visible to the naked eye. This poster presents the advantages of dermoscopy in the field of podiatry by assessing the dermoscopic criteria with positive predictive values for distinguishing acral melanoma from acral nevus. Additionally it analyzes cases of melanomas misdiagnosed as a plantar-pigmented wart and a diabetic ulcer. Full article

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Open AccessArticle

The Effect of Variable Lower Extremity Immobilization Devices on Emergency Brake Response Driving Outcomes

by Laura E. Sansosti, Zinnia M. Rocha, Matthew W. Lawrence and Andrew J. Meyr

J. Am. Podiatr. Med. Assoc. 2016, 106(sp1), 2; https://doi.org/10.7547/8750-7315-2016.1.sansosti - 1 Jan 2016

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Abstract

Immobilization devices such as surgical shoes and walking boots are commonly prescribed by foot and ankle surgeons in the treatment of a variety of lower extremity pathologies and during the post-operative recovery period, but may have the potential to affect a patient’s ability [...] Read more.

Immobilization devices such as surgical shoes and walking boots are commonly prescribed by foot and ankle surgeons in the treatment of a variety of lower extremity pathologies and during the post-operative recovery period, but may have the potential to affect a patient’s ability to maintain a safe level of control over the accelerator and brake pedals while operating an automobile [...] Full article

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J. Am. Podiatr. Med. Assoc., Volume 106, Issue sp1 (01 2016) – 13 articles , Pages 1-14

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