Journal of the American Podiatric Medical Association, Volume 116, Issue 5

Lower extremity amputation remains a significant clinical challenge, most commonly resulting from diabetes mellitus and peripheral arterial disease, and is associated with high morbidity and mortality. This review briefly summarizes the burden of low...

Background: Hallux valgus (HV) is a three-dimensional deformity, and preoperative assessment of sesamoid position and first metatarsal rotation is important for surgical planning. Weight-bearing computed tomography (WBCT) enables three-dimensional as...

Background: Pes planus (PP) is a common orthopedic condition in adults, characterized by a reduction in medial longitudinal arch (MLA) height. Reduced MLA height and excessive pronation may alter lower-limb biomechanics and impair balance performance...

Background: The selection of appropriate footwear during childhood is crucial for healthy foot development, gait acquisition, and long-term musculoskeletal health. Despite the wide variety of children’s footwear available, there is no clear con...

Background: The ability to accurately diagnose dermatologic conditions in patients with various skin tones is an essential skill for the podiatric physician, as many lower extremity pathologies present differently depending on skin pigmentation. Our...

Lesser toe malalignment can cause recurrent interdigital skin injury and limit footwear tolerance. We report the clinical course of a 53-year-old man with flexible medial deviation of the left fourth and fifth toes, recurrent pressure lesions, and sh...

Diabetic Peripheral Neuropathy (DPN) is a common and debilitating complication of diabetes, affecting up to 50% of patients. Early identification and management of DPN are crucial to minimize complications and maintain patient quality of life. Multip...

Background: Cottonmouth envenomation typically produces prominent local tissue injury, with systemic toxicity occurring less commonly. We report a limb-threatening presentation with delayed deterioration after initial antivenom therapy. Methods: A ma...

Historically custom implants have been made from metal, bulk allograft, and PEEK, among others. PEKK has seen increased utilization in medicine, specifically in custom implants due to its higher tensile strength and also its molecular composition tha...

Background: Trimalleolar ankle fractures (TMFs) compromise ankle biomechanics; optimal operative strategy is debated. We compared single-stage open reduction and internal fixation (ORIF) with staged external fixation (EF) plus ORIF for outcomes and h...

Introduction: Posterior heel pressure ulcerations are a common problem seen both in the clinic and in the hospital setting. This type of ulceration can cause necrosis of soft tissue and bone to the posterior heel, which can have devastating consequen...

Background: Onychomycosis is a stubborn fungal infection of the nail bed that impacts millions of people worldwide. Severe infections, such as those exhibiting deep dermatophytomas or total dystrophy, are particularly challenging to treat, and are of...

A multidisciplinary team approach has become essential to modern hospital care, bringing together professionals from different specialties to collaborate on patient management. A Podiatric Hospitalist (PH) is a board-eligible or board-certified Docto...

Background: Toenail deformities are a frequent reason for medical consultation. The etiology is not always well understood, particularly in cases without trauma, where abnormal nail growth conditions have been excluded, and microbiological cultures y...

Background: To determine the overall incidence of concomitant neurological symptoms and, if present, their origin. Methods: A clinical review was conducted of 459 patients from a large Podiatric Medical practice, who presented with a diagnosis of pla...

Osteomyelitis involving the pediatric growth plate is uncommon and potentially serious. We present a rare case of methicillin-resistant Staphylococcus aureus (MRSA) osteomyelitis affecting the distal physis of the hallux in a 9-year-old boy occurring...

Background: Plantar fascia embolization (PFE) has emerged as a minimally invasive intervention for patients with chronic plantar fasciitis. Increasing visibility of this procedure has led to growing patient and clinician interest despite a limited ev...

Selection of podiatric medical students relies heavily on grade point average (GPA) and Medical College Admission Test (MCAT) scores, although their relationship to educational outcomes remains uncertain. We conducted a retrospective observational an...

Chronic lower-extremity wounds represent a significant and growing challenge in podiatric practice, particularly among patients with advanced vascular disease, diabetes, malignancy, and medical frailty. Despite substantial advances in wound care tech...

Background: The aim of this study was to investigate the relationship between surgical timing and treatment outcomes in calcaneal fractures treated with the sinus tarsi approach. Methods: Eighty-eight patients with displaced intra-articular calcaneal...

Pyoderma gangrenosum is a rare neutrophilic dermatosis characterized by painful, rapidly progressive ulceration and a marked propensity for pathergy, making lower-extremity wound management particularly challenging. Severe pain, exaggerated inflammat...

We report a case of a 57-year-old male patient who presented with localized redness with possible cellulitis to the third toe. The podiatrist performed a shave biopsy with a Breslow’s depth of at least 1.1 mm. Pathological results confirmed a C...

Background: Foot pain is associated with multiple risk factors like footwear. One factor that can lead to inadequate footwear being chosen is failure to consider the changes in volume that occur in the foot. So, could the establishment of a Footwear...

The surgical procedure currently known as arthroereisis has been performed for decades as a treatment for recurrent talotarsal dislocation sequela in both pediatric and adult populations, yet its name has never been formally challenged despite being...

Background: Diabetes mellitus (DM)-related amputations impose a substantial burden on individuals and healthcare systems. This study aimed to assess the incidence of amputations at different levels (hip and femur, knee and below knee, foot and ankle)...

Freiberg’s disease is a rare condition involving osteochondrosis and collapse of the metatarsal head, often leading to chronic pain and impaired mobility. Traditional surgical treatments such as osteotomies, autografts, and joint replacements c...

Background: Adult acquired flat foot deformity (AAFD) is a triplanar deformity characterised by collapse of the medial longitudinal arch. The most frequently used surgical method is the Evans calcaneal osteotomy. It is usually used in the paediatric...

Pincer nail is a severe variant of nail deformity characterized by excessive transverse curvature of the nail, impinging on both lateral nail folds. The distal end is the most curved and grows inward, squeezing both lateral nail folds, resulting in v...

Calcaneal stress fracture is an uncommon osseous cause of heel and hindfoot pain. A 33-year-old woman with chronic underweight status (body mass index, 16.59 kg/m²) presented with a 2- to 3-week history of right lateral hindfoot pain that reportedly...

First metatarsophalangeal joint (MTPJ) arthrodesis is a powerful surgical option for treatment of hallux rigidus, hallux valgus, and revisional first MTPJ surgery. Joint arthroplasty serves as an alternative to arthrodesis for patients who want to pr...

This case study investigates a pes anserinus anomaly in a male in his seventies who held an occupation in installation, maintenance, or repair. Using whole-body dissection, we found abnormal deposits and synovial tissue in the region of the pes anser...

In foot and ankle surgery, allograft tendons are frequently used in both primary and revision cases to enhance stability and function. However, postoperative complications, such as creep, can compromise the intended correction and stability over time...

Treatment of osteochondral lesions of the talus (OLTs) with bone grafting is an alternative option to osteochondral transplantation for larger OLTs. The purpose of this study is to evaluate treatment of OLTs with bone grafting with continuous functio...

Removal of co-authors post publication: [...]