Journal of the American Podiatric Medical Association

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Open AccessArticle

Rosai-Dorfman Disease of the Talus in a Child: A Case Report

by Erhan Okay, Yavuz Yıldız, Tarık Sarı, Ayse Nur Toksoz Yildirim and Korhan Ozkan

J. Am. Podiatr. Med. Assoc. 2021, 111(1), 20050; https://doi.org/10.7547/20-050 - 1 Feb 2021

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Background: Primary Rosai-Dorfman disease of bone is a rare disorder. Radiologic and clinical evaluation is insufficient in differentiating malignancy from these lesions. Methods: We present a talar lesion in a 17-month-old boy who presented with deterioration in gait pattern, limping, pain, and swelling [...] Read more.

Background: Primary Rosai-Dorfman disease of bone is a rare disorder. Radiologic and clinical evaluation is insufficient in differentiating malignancy from these lesions. Methods: We present a talar lesion in a 17-month-old boy who presented with deterioration in gait pattern, limping, pain, and swelling of the left ankle of 4-months' duration. Curettage and demineralized bone matrix grafting were performed. Results: At 1 year after surgery, complete clinical and radiological healing was obtained. Conclusions: Primary RDD of bone may present a diagnostic challenge. The condition must be included in the differential diagnosis of lytic or lucent lesions of the skeleton. Curettage and grafting provide satisfactory outcomes in talar RDD lesion in the pediatric age group. (J Am Podiatr Med Assoc 111(1): 1-6, 2021) Full article

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Open AccessArticle

Aneurysmal Bone Cyst of the Medial Cuneiform: A Case Report

by Olgun Bingol, Guzelali Ozdemir, Niyazi Erdem Yasar and Alper Deveci

J. Am. Podiatr. Med. Assoc. 2021, 111(1), 20011; https://doi.org/10.7547/20-011 - 1 Feb 2021

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Abstract

The aneurysmal bone cysts, usually found in the tibia, femur, pelvis, or humerus, are expansile pseudotumor lesions of unknown etiology. An aneurysmal bone cyst is rarely seen in the medial cuneiform. In this case report, a 43-year-old man with an aneurysmal bone cyst [...] Read more.

The aneurysmal bone cysts, usually found in the tibia, femur, pelvis, or humerus, are expansile pseudotumor lesions of unknown etiology. An aneurysmal bone cyst is rarely seen in the medial cuneiform. In this case report, a 43-year-old man with an aneurysmal bone cyst in the left medial cuneiform is presented. The cyst was curetted, and the defect was filled with an en bloc iliac crest graft. A screw was placed to fix the graft in the proper position. In the 2-year follow-up of the patient, recurrence was not detected radiologically. (J Am Podiatr Med Assoc 111(1): 1-5, 2021) Full article

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Acute-Onset Achilles Tendon Pain and Swelling Treated with an Amniotic Fluid–Derived Allograft: A Case Study

by Chad C. Carroll, Kali Chemelewski, Shivam H. Patel and Donald Curtis

J. Am. Podiatr. Med. Assoc. 2021, 111(1), 20005; https://doi.org/10.7547/20-005 - 1 Feb 2021

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Abstract

Background: Tendinopathies are common musculoskeletal disorders that often develop because of chronic loading and failed healing. Tendinopathy related to systemic inflammation has been less extensively examined. Furthermore, although the use of biological agents to treat tendinopathies continues to gain popularity, the use [...] Read more.

Background: Tendinopathies are common musculoskeletal disorders that often develop because of chronic loading and failed healing. Tendinopathy related to systemic inflammation has been less extensively examined. Furthermore, although the use of biological agents to treat tendinopathies continues to gain popularity, the use of amniotic fluid–derived allografts in outpatient settings to resolve tendinopathies requires further evaluation. Methods: The focus of this case report is a 25-year-old man who presented for a second opinion, having been diagnosed with Haglund deformity and Achilles tendinopathy. At the time of presentation, he complained of 10 of 10 pain to the right Achilles tendon. He was treating the injury conservatively with intermittent use of a controlled ankle motion boot and working with physiotherapy for approximately 5 months before presentation. Diagnostic ultrasound along with magnetic resonance imaging indicated distal thickening of the Achilles tendon, substantial fluid and edema in the Kager fat pad, and retrocalcaneal erosions with bursitis. Conservative management did not resolve the symptoms. As an alternative to surgery, the patient elected to undergo an Achilles tendon injection of an amniotic fluid–derived allograft. Before and after the initial injection, a microdialysis catheter was inserted into the Achilles peritendinous space to sample local levels of extracellular matrix enzymes and growth factors important for tendon remodeling. The patient received considerable relief with the initial injection, but did not return to full strength. Over the subsequent 8 weeks, the patient was followed closely and was able to return to daily activities with minimal pain. He was not able to return to a more active lifestyle without further Achilles pain, so a second amniotic fluid–derived allograft injection was performed 8 weeks after the initial injection. Results: Injection of the initial allograft resulted in significant improvement, but not complete resolution of pain and swelling. Microdialysis findings suggested a reduction in peritendinous levels of the cytokine interlukin-6 in addition to changes in extracellular matrix regulatory enzymes. After 8 weeks of additional conservative therapy and a second injection, no further improvement in pain was noted. Conclusions: Based on the clinical improvement of symptoms in this individual and the changes seen with microdialysis methodology, the authors find the use of amniotic fluid–derived allograft injection for treatment of Achilles pain in this patient to be a viable treatment. Additional comorbidities of systemic inflammatory polyarthritis and possible seronegative disease were addressed after rheumatology consultation with a variety of medications that provided the patient additional relief of his symptoms. The patient ultimately moved and was lost to further follow-up. (J Am Podiatr Med Assoc 111(1): 1-8, 2021) Full article

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Open AccessArticle

Absence of Posttraumatic Bone Marrow Edema in the Setting of Preeclampsia

by Tina Shiang, Ryan Tai and George J. Watts

J. Am. Podiatr. Med. Assoc. 2021, 111(1), 19185; https://doi.org/10.7547/19-185 - 1 Feb 2021

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Abstract

Magnetic resonance imaging is a powerful tool in the diagnosis of missed or occult fractures on radiographic and computed tomographic (CT) imaging, through the detection of bone marrow edema. Although radiologists often rely on bone marrow edema as a guide for diagnosing subtle [...] Read more.

Magnetic resonance imaging is a powerful tool in the diagnosis of missed or occult fractures on radiographic and computed tomographic (CT) imaging, through the detection of bone marrow edema. Although radiologists often rely on bone marrow edema as a guide for diagnosing subtle underlying fractures, it is important to recognize its limitations as a diagnostic metric. We present a rare case demonstrating the absence of bone marrow edema after acute trauma and confirmed Lisfranc fracture in a patient with preeclampsia and propose an interesting physiologic mechanism to explain this manifestation. (J Am Podiatr Med Assoc 111(1): 1-5, 2021) Full article

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Role of Ultrasound in Early Diagnosis of Stress Fracture: A Case Report of Bilateral Distal Fibular Stress Fracture in a Female Recreational Badminton Player

by Hak Jun Kim, Young Hwan Park, Jae Young Kim and Gi Won Choi

J. Am. Podiatr. Med. Assoc. 2021, 111(1), 19146; https://doi.org/10.7547/19-146 - 1 Feb 2021

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Abstract

A 34-year-old female recreational badminton player presented with left ankle pain 1 week after a recreational badminton game. She reported experiencing a similar pattern of pain in her right ankle 4 months before that had persisted for 3 months. On plain radiography, callus [...] Read more.

A 34-year-old female recreational badminton player presented with left ankle pain 1 week after a recreational badminton game. She reported experiencing a similar pattern of pain in her right ankle 4 months before that had persisted for 3 months. On plain radiography, callus formation was evident on the right distal fibula, and a subtle lesion was observed on the left side. Ultrasound was performed with the clinical suspicion of bilateral, nonsimultaneous, distal fibular stress fracture. Focal hyperechoic thickening of the periosteum with irregularity and hypoechoic periosteal edema over the left distal fibula were identified. These findings were consistent with stress fracture, and an early phase of distal fibular stress fracture was diagnosed. This case report highlights that ultrasound can be an alternative modality to magnetic resonance imaging or bone scan scintigraphy for the early diagnosis of stress fracture. (J Am Podiatr Med Assoc 111(1): 1-3, 2021) Full article

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Open AccessArticle

Lateral Collateral Ligament Repair for Hallux Metatarsophalangeal Joint Instability in a Collegiate Sumo Wrestler: A Case Report

by Sadanori Shimizu, Tetsuya Sato, Tomohiko Tateishi, Tsuyoshi Nagase, Teruhiko Nakagawa and Masamitsu Tsuchiya

J. Am. Podiatr. Med. Assoc. 2021, 111(1), 19127; https://doi.org/10.7547/19-127 (registering DOI) - 1 Feb 2021

Cited by 1 | Viewed by 76

Abstract

Although sprains of the hallux metatarsophalangeal (MTP) joint ligaments occur in barefooted martial arts athletes, few studies discuss the surgical treatments for lateral collateral ligament damage. We report herein a case of lateral collateral ligament repair for chronic hallux MTP joint instability. A [...] Read more.

Although sprains of the hallux metatarsophalangeal (MTP) joint ligaments occur in barefooted martial arts athletes, few studies discuss the surgical treatments for lateral collateral ligament damage. We report herein a case of lateral collateral ligament repair for chronic hallux MTP joint instability. A 21-year-old male collegiate sumo wrestler injured his left hallux by snagging it on a sumo straw bale at 14 years of age. After entering university (4 years after the injury), he could no longer put weight on his foot at the left hallux; his athletic performance deteriorated, and he was referred to our department by his doctor. He had instability in the MTP joint of the left hallux, and magnetic resonance imaging revealed a tear in the attachment of the lateral collateral ligament to the metatarsal bone. Conservative treatment, such as taping, did not improve the symptoms; thus, surgery was performed, which consisted of passing a strong suture attached to the capsular ligament through a burr hole made in the metatarsal bone and fixing it to the burr-hole wall using an anchor. Postoperatively, the patient's joint instability improved, and he returned to competitive wrestling 4 months after surgery. He was able to put weight on his left hallux, and his athletic performance improved. The follow-up period after surgery was 2 years. In competitive sumo wrestling, hallux weakness and joint instability lead to a significant reduction in performance. Thus, ligament repair is an effective treatment for hallux MTP joint instability that cannot be treated by conservative means. (J Am Podiatr Med Assoc 111(1): 1-6, 2021) Full article

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Open AccessArticle

Does the Association of Microfractures for the Treatment of Osteochondral Lesions of the Talus Affect the Outcome Following Arthroscopic Treatment for Chronic Ankle Instability?

by Claudio Legnani, Enrico Borgo, Vittorio Macchi and Alberto Ventura

J. Am. Podiatr. Med. Assoc. 2021, 111(1), 19101; https://doi.org/10.7547/19-101 - 1 Feb 2021

Cited by 5 | Viewed by 48

Abstract

Background: The purpose of the present study was to retrospectively compare the outcomes of patients who underwent arthroscopic thermal capsular shrinkage with those who underwent both arthroscopic thermal capsular shrinkage and arthroscopic osteochondral lesion (OCL) treatment with microfractures. Our hypothesis was that [...] Read more.

Background: The purpose of the present study was to retrospectively compare the outcomes of patients who underwent arthroscopic thermal capsular shrinkage with those who underwent both arthroscopic thermal capsular shrinkage and arthroscopic osteochondral lesion (OCL) treatment with microfractures. Our hypothesis was that the simultaneous treatment does not negatively affect the outcome of the combined surgical procedure by influencing the postoperative rehabilitation protocol and does not significantly differ from capsular shrinkage alone in terms of subjective and objective outcomes. Methods: Seventy-six patients with chronic ankle instability were treated at our department from 2004 to 2012 and reviewed retrospectively. Forty-two patients underwent arthroscopic thermal-assisted capsular shrinkage (group A), and 34 patients underwent combined arthroscopic capsular shrinkage and microfractures for OCL lesions of the talus (group B). All patients underwent a four-step surgical procedure including synovectomy, debridement, capsular shrinkage, and bracing and nonweightbearing for 21 days. In patients with OCL lesions, microfractures of the OCL were associated. Clinical assessment included objective examination, the American Orthopaedic Foot and Ankle Society ankle and hindfoot scoring system, Karlsson-Peterson score, Tegner activity level, and Sefton articular stability scale. Results: The median follow-up was 6 years (range, 2–9 years). The median postoperative visual analogue scale score, American Orthopaedic Foot and Ankle Society score, and Tegner score were improved from the preoperative level for both groups (P < .001). No significant difference was found between the two groups for the subjective scores and satisfaction rate (P = not significant). Similarly, no significant difference regarding the incidence of range-of-motion restriction was reported between the two groups (P = not significant). Conclusions: The association of microfractures for the treatment of osteochondral lesions does not affect the outcome following arthroscopic treatment for chronic ankle instability up to 6 years from surgery. Full article

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Open AccessArticle

Schwannoma with Psammoma Body

by Lindsay M. Hummel, Susan Gamble, Robert Krouse, Darshana Jhala, Sharvari Dalal and Opoku Adjapong

J. Am. Podiatr. Med. Assoc. 2021, 111(1), 19094; https://doi.org/10.7547/19-094 - 1 Feb 2021

Cited by 1 | Viewed by 59

Abstract

We present a case of a 59-year-old male veteran with a chronic history of right foot soft-tissue mass that was causing pain in his shoes, but not functional or neurologic symptoms. Excision of the mass and pathologic evaluation resulted in multidisciplinary involvement and [...] Read more.

We present a case of a 59-year-old male veteran with a chronic history of right foot soft-tissue mass that was causing pain in his shoes, but not functional or neurologic symptoms. Excision of the mass and pathologic evaluation resulted in multidisciplinary involvement and evaluation. In this example, the mass was found to be either an unusual schwannoma that happens to be psammoma body–rich or an unusual psammomatous melanocytic schwannoma that deviates from conventional examples, as a diagnostic consensus was unable to be reached. Schwannomas are an uncommon finding in the foot, and even more uncommon are those that contain psammoma bodies. Although rare, these tumors can be concerning for more systemic, life-altering diseases such as Carney complex, for which our patient refused genetic testing. Full article

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Open AccessArticle

DPM Foot and Ankle Fellowship Selection Criteria: Survey of Fellowship Directors

by Paula Gangopadhyay, Michael McCann and John Bonvillian

J. Am. Podiatr. Med. Assoc. 2021, 111(1), 19055; https://doi.org/10.7547/19-055 - 1 Feb 2021

Cited by 1 | Viewed by 99

Abstract

Background: A recent increase in podiatric medicine fellowships has occurred as the field continues to progress. Research regarding selection criteria from a fellowship director's perspective for potential fellows is lacking. This study aimed to examine objective and subjective selection criteria that directors [...] Read more.

Background: A recent increase in podiatric medicine fellowships has occurred as the field continues to progress. Research regarding selection criteria from a fellowship director's perspective for potential fellows is lacking. This study aimed to examine objective and subjective selection criteria that directors consider when selecting applicants for the interview and when ranking prospective fellows after the interview. Methods: We electronically surveyed American College of Foot and Ankle Surgeons fellowship directors with preselected criteria for granting applicants an interview and for compiling their ranking list after the interview. A Likert scale from 1 (most important) to 5 (least important) was used to prioritize each criterion, an average rating was calculated, and the results were placed in order of importance. Results: The most important selection criteria for granting an interview were quality of residency program (1.985), a written personal statement of reasons for attending that fellowship (2.063), and publications/presentations produced as a resident (2.267). The most important criteria in completing the ranking order after the interview were assessment of applicant's personality (1.111), interview performance (1.173), and expressed interest in program (1.563). Conclusions: Knowledge of the selection criteria that fellowship directors seek in applicants can assist those who desire to further their training. The selection criteria that program directors seek differed between being selected for the interview, which combined both objective and subjective criteria, and when compiling their rankings after the interview, which included only subjective criteria. Results show more emphasis on subjective selection criteria when directors select applicants for an interview and when ranking applicants after the interview. Full article

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Open AccessArticle

Do Plantar Pressure and Loading Patterns Vary with Joint Hypermobility in Young Females?

by Şerife Şeyma Torgutalp, Naila Babayeva, Ömer Özkan, Seval Yilmaz, Gürhan Dönmez and Feza Korkusuz

J. Am. Podiatr. Med. Assoc. 2021, 111(1), 18146; https://doi.org/10.7547/18-146 - 1 Feb 2021

Cited by 3 | Viewed by 56

Abstract

Background: Joint hypermobility is a connective tissue disorder that increases joint range of motion. Plantar pressure and foot loading patterns may change with joint hypermobility. We aimed to analyze static plantar pressure in young females with and without joint hypermobility. Methods: [...] Read more.

Background: Joint hypermobility is a connective tissue disorder that increases joint range of motion. Plantar pressure and foot loading patterns may change with joint hypermobility. We aimed to analyze static plantar pressure in young females with and without joint hypermobility. Methods: Joint laxity in 27 young females was assessed cross sectionally using the Beighton and Horan Joint Mobility Index. Participants were divided into the hypermobility (score, 4–9) and no hypermobility (score, 0–3) groups according to their scores. Static plantar pressure and forces were recorded using a pedobarographic mat system. Results: Higher peak pressures (P = .01) and peak pressure gradients (P = .025) were observed in the nondominant foot in the hypermobility group. According to the comparison of dominant and nondominant feet in each group, the hypermobility group showed significantly higher peak pressures (P = .046), peak pressure gradients (P = .041), and total force values (P = .028) in the nondominant foot. Conclusions: The plantar pressure and loading patterns vary in young females with joint hypermobility. Evaluation of plantar loading as an injury prevention tool in individuals with joint hypermobility syndrome can be suggested. Full article

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Open AccessArticle

Does the Application of a Semiocclusive Dressing Alter the Microflora of Healthy Intact Skin on the Foot?

by Rachel Forss, Zoe Hugman, Kelly Ridlington, Marissa Radley, Emma Henry-Toledo and Bill O'Neill

J. Am. Podiatr. Med. Assoc. 2021, 111(1), 18141; https://doi.org/10.7547/18-141 - 1 Feb 2021

Cited by 1 | Viewed by 57

Abstract

Background: The skin on human feet presents unique environments for the proliferation of potentially pathogenic commensals. This study examined microflora changes on healthy intact skin under a semiocclusive dressing on the medial longitudinal arch of the foot to determine changes in growth, [...] Read more.

Background: The skin on human feet presents unique environments for the proliferation of potentially pathogenic commensals. This study examined microflora changes on healthy intact skin under a semiocclusive dressing on the medial longitudinal arch of the foot to determine changes in growth, distribution, and frequency of microflora under the dressing. Methods: Nine human participants wore a low-adherent, absorbent, semiocclusive dressing on the medial longitudinal arch of the left foot for 2 weeks. An identical location on the right foot was swabbed and used as a control. Each foot was swabbed at baseline, week 1, and week 2. The swabs were cultured for 48 hours. Visual identification, Gram staining, DNase test agar, and a latex slide agglutination test were used to identify genera and species. Results: Microflora growth was categorized as scant (0–10 colony-forming units [CFU]), light (11–50 CFU), moderate (51–100 CFU), or heavy (>100 CFU). Scant and light growth decreased and moderate and heavy growth increased under the dressing compared with the control. Seven different genera of bacteria were identified. Coagulase-negative Staphylococcus spp appeared most frequently, followed by Corynebacterium spp. Conclusions: Changes in microflora distribution, frequency, and growth were found under the dressing, supporting historical studies. Microflora changes were identified as an increase in bioburden and reduction in diversity. The application of similar methods, using more sophisticated identification and analysis techniques and a variety of dressings, could lead to a better understanding of bacterial and fungal growth under dressings, informing better dressing selection to assist the healing process of wounds and prevent infection. Full article

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Open AccessArticle

Prevalence of Depression in Podiatric Medical Students

by David W. Shofler, Elizabeth Oh, Karanjot Kaur, Kaitlin Flavin and Peyman Danesh

J. Am. Podiatr. Med. Assoc. 2021, 111(1), 18108; https://doi.org/10.7547/18-108 - 1 Feb 2021

Cited by 2 | Viewed by 48

Abstract

Background: Although depression and depressive symptoms have been previously explored in various medical student cohorts, there has been a lack of formal investigation among podiatric medical students specifically. The purpose of this study was to identify the prevalence and related characteristics of [...] Read more.

Background: Although depression and depressive symptoms have been previously explored in various medical student cohorts, there has been a lack of formal investigation among podiatric medical students specifically. The purpose of this study was to identify the prevalence and related characteristics of depression and depressive symptoms in podiatric medical students. Methods: A mixed-methods approach was used. Students at a podiatric medical college were asked to complete the Center for Epidemiologic Studies Depression Scale Revised survey electronically each year for 4 consecutive years. Focus group sessions were also conducted to further explore topics related to depression and depressive symptoms. Results: Surveys were completed by 271 of 539 potential respondents (50.3%). A total of 34.7% of respondents screened positive for depression or depressive symptoms, defined as meeting or exceeding the criteria for subthreshold depressive symptoms on the Center for Epidemiologic Studies Depression Scale Revised. The prevalence was found to be lower in clinical students (third- and fourth-year students) and in students in committed relationships. Themes from the focus group sessions included the following: coping with stress, general health concerns, self-evaluation, action and preparation, and the use of campus resources. Conclusions: Depression and depressive symptoms were commonly encountered in this podiatric medical student cohort. Future investigations may consider specific treatment and prevention strategies. Full article

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Tarsal Tunnel Syndrome Caused by an Occult Schwannoma of the Posterior Tibial Nerve: Avoidance of Delay in Diagnosis

by Mehmet Burak Yalcin and Utku Erdem Ozer

J. Am. Podiatr. Med. Assoc. 2021, 111(1), 18068; https://doi.org/10.7547/18-068 - 1 Feb 2021

Cited by 1 | Viewed by 53

Abstract

Tarsal tunnel syndrome (TTS), resulting from compression of the posterior tibial nerve (PTN) within the tarsal tunnel, is a relatively uncommon entrapment neuropathy. Many cases of tarsal tunnel syndrome are idiopathic; however, some causes, including space-occupying lesions, may lead to occurrence of TTS [...] Read more.

Tarsal tunnel syndrome (TTS), resulting from compression of the posterior tibial nerve (PTN) within the tarsal tunnel, is a relatively uncommon entrapment neuropathy. Many cases of tarsal tunnel syndrome are idiopathic; however, some causes, including space-occupying lesions, may lead to occurrence of TTS symptoms. Schwannoma, the most common tumor of the sheath of peripheral nerves, is among these space-occupying lesions, and may cause TTS when it arises within the tarsal tunnel, and it may mimic TTS even when it is located outside the tarsal tunnel and cause a significant delay in diagnosis. The possibility of an occult space-occupying lesion compressing the PTN should be kept in mind in the differential diagnosis of TTS, and imaging studies that are usually not used in entrapment neuropathies may be of importance in such patients. This case report presents a 65-year-old woman with TTS symptoms and neurophysiologic findings secondary to an occult schwannoma of the PTN proximal to the tarsal tunnel. Avoidance of delay in diagnosis in secondary cases is emphasized. Full article

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Plantar Pressure Profiles and Possible Foot Syndromes of Taiwanese College Elite Basketball Players

by Tong-Hsien Chow, Yih-Shyuan Chen, Wen-Cheng Tsai and Ming-Hsien Lin

J. Am. Podiatr. Med. Assoc. 2021, 111(1), 18043; https://doi.org/10.7547/18-043 - 1 Feb 2021

Cited by 12 | Viewed by 50

Abstract

Background: Plantar pressure assessments are useful for understanding the functions of the foot and lower limb and for predicting injury incidence rates. Musculoskeletal fatigue is likely to affect plantar pressure profiles. This study aimed to characterize college elite basketball players' plantar pressure [...] Read more.

Background: Plantar pressure assessments are useful for understanding the functions of the foot and lower limb and for predicting injury incidence rates. Musculoskeletal fatigue is likely to affect plantar pressure profiles. This study aimed to characterize college elite basketball players' plantar pressure profiles and pain profiles during static standing and walking. Methods: Fifty-one male elite basketball players and 85 male recreational basketball players participated in this study. An optical plantar pressure measurement system was used to collect the arch index (AI), regional plantar pressure distributions (PPDs), and footprint characteristics during static and dynamic activities. Elite basketball players' pain profiles were examined for evaluating their common musculoskeletal pain areas. Results: The AI values were in the reference range in recreational basketball players and considerably lower in elite basketball players. Elite basketball players' static PPDs of both feet were mainly exerted on the lateral longitudinal arch and the lateral heel and were relatively lower on the medial longitudinal arch and medial and lateral metatarsal bones. The PPDs mainly transferred to the lateral metatarsal bone and lateral longitudinal arch and decreased at the medial heel during the midstance phase of walking. The footprint characteristics of elite basketball players illustrated the features of calcaneal varus (supinated foot) of high arches and dropped cuboid foot. The lateral ankle joints and anterior cruciate ligaments were the common musculoskeletal pain areas. Conclusions: Elite basketball players' AI values indicated high arches, and their PPDs tended to parallel the features of the high-arched supinated and dropped cuboid foot. Their pain profiles resonated with the common basketball injuries and reflected the features of Jones fracture and cuboid syndrome. The potential links among high-arched supinated foot, Jones fracture, and cuboid syndrome are worth further study. Full article

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J. Am. Podiatr. Med. Assoc., Volume 111, Issue 1 (02 2021) – 14 articles

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