Journal of the American Podiatric Medical Association

7 pages, 3573 KB

Open AccessCase Report

A Combination of Nail Grinding and Nail Fold Resection for a Juvenile’s Pincer Nail Deformity

by Jianhua Huang and Lei Shi

J. Am. Podiatr. Med. Assoc. 2026, 116(5), 63; https://doi.org/10.3390/japma116050063 (registering DOI) - 9 Sep 2026

Abstract

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 varying degrees of [...] Read more.

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 varying degrees of pain and discomfort, making it difficult for patients to wear shoes, hindering walking, and severely impacting the quality of life. Although most previous nail surgical procedures have demonstrated good outcomes, these complicated operations result in a long recovery period and painful nail extraction. Here we present a tissue-preserving combination therapy of nail grinding followed by limited nail fold resection without nail plate extraction. By preserving the integrity of the nail bed and matrix, this approach avoids the extensive dissection and avulsion trauma inherent in conventional procedures, offering reduced postoperative pain, faster recovery, and minimal cosmetic alteration. Full article

► Show Figures

Figure 1

8 pages, 8463 KB

Open AccessCase Report

Calcaneal Stress Fracture Presenting with Lateral Hindfoot Pain in a Young Woman: A Case Report

by Hongseo Hwang, Hyeong Jun Son, Chang Han Lee, Min-Kyun Oh, Eun Shin Lee and Hayoung Byun

J. Am. Podiatr. Med. Assoc. 2026, 116(5), 62; https://doi.org/10.3390/japma116050062 - 3 Sep 2026

Viewed by 143

Abstract

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 began during [...] Read more.

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 began during treadmill walking in association with a perceived twisting event. The medical record documented tenderness in the region of the calcaneofibular ligament and a negative talar tilt test, but heel-specific examination was incompletely documented. Magnetic resonance imaging (MRI) obtained at the initial evaluation was formally interpreted as showing a calcaneal tuberosity stress fracture and quadratus plantae strain, with no abnormality reported in the ankle ligament complexes. On retrospective MRI review, an incomplete, vertically oriented fracture line extending to the cortex without articular extension or osseous displacement was identified, with surrounding marrow signal abnormality meeting the imaging criteria for Nattiv grade 4. Weight-bearing radiographs obtained 4 days later showed a corresponding sclerotic band. This case illustrates MRI–radiographic correlation in a calcaneal tuberosity stress fracture presenting with lateral hindfoot pain and supports inclusion of osseous injury in the differential diagnosis. Full article

► Show Figures

Figure 1

5 pages, 1862 KB

Open AccessCase Report

First Metatarsophalangeal Joint Arthrodesis with Calcaneal Allograft for Failed Joint Arthroplasty

by Payaam Tavakoli, Phoram Vyas and Kevin Huntsman

J. Am. Podiatr. Med. Assoc. 2026, 116(5), 61; https://doi.org/10.3390/japma116050061 - 1 Sep 2026

Viewed by 182

Abstract

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 preserve joint motion. However, joint arthroplasty has a [...] Read more.

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 preserve joint motion. However, joint arthroplasty has a high rate of failure and can lead to significant bone loss, which makes revisional surgery more challenging. In this study, we present the use of a calcaneal bone block allograft and bone marrow aspirate for fusion of a first MTPJ with a previously failed joint implant. Radiographic fusion was achieved after 6 weeks and ambulation has remained pain-free at 1 year follow-up. Full article

► Show Figures

Figure 1

6 pages, 785 KB

Open AccessCase Report

An Anomaly of the Pes Anserinus: A Case Study Using Cadaveric Dissection

by Samreen Mushtaheed, Stephanie Belovich, Ian Farnkopf and Kathy Siesel

J. Am. Podiatr. Med. Assoc. 2026, 116(5), 60; https://doi.org/10.3390/japma116050060 - 27 Aug 2026

Viewed by 207

Abstract

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 anserinus, possibly suggestive of [...] Read more.

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 anserinus, possibly suggestive of chronic overuse or injury which would fit with the patient’s occupation. This study could aid healthcare providers in understanding and diagnosing variations and in managing lower limb pathologies, particularly in patients with occupational or repetitive stress-related injuries. Full article

► Show Figures

Figure 1

9 pages, 1397 KB

Open AccessTechnical Note

Allograft Tendon Pretensioning Technique Guide

by Joseph R. Brown and Robert W. Mendicino

J. Am. Podiatr. Med. Assoc. 2026, 116(5), 59; https://doi.org/10.3390/japma116050059 - 26 Aug 2026

Viewed by 259

Abstract

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. This paper presents a practical guide on [...] Read more.

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. This paper presents a practical guide on pretensioning techniques prior to implantation, aiming to reduce creep and improve long-term outcomes. Using two common allograft specimens, we demonstrate pretensioning methods with specific focus on tendon stitching, techniques for securing the allograft to the graft board, optimal tensioning and time parameters. We recommend pretensioning at 80 N for approximately 30 min to effectively decrease creep and maintain correction. This technique guide offers foot and ankle surgeons streamlined methods for tendon preparation to improve efficiency and consistency in the operating room. Full article

► Show Figures

Figure 1

14 pages, 1451 KB

Open AccessSystematic Review

Autologous Bone Grafting for the Treatment of Osteochondral Lesion of the Talus: A Systematic Review and Meta-Analysis

by Katrina Hoi Kiu Law, Jin Hean Koh and Dexter Seow

J. Am. Podiatr. Med. Assoc. 2026, 116(5), 58; https://doi.org/10.3390/japma116050058 - 26 Aug 2026

Viewed by 266

Abstract

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 functional outcome scores, return-to-play data, and [...] Read more.

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 functional outcome scores, return-to-play data, and meta-analyses of overall complication rates after bone graft treatment for OLT lesions as reported and best- and worst-case scenarios. A systematic review was conducted based on PRISMA guidelines using specific search terms on the PubMed, Embase and Cochrane Library databases. Level and quality of evidence were evaluated by The Journal of Bone & Joint Surgery and the Modified Coleman Methodology Score, respectively. Meta-analysis by fixed-effects models was performed if heterogeneity was low (I2 < 25%) and by random-effects models if heterogeneity was moderate to high (I2 > 25%). Eleven studies were included in this systematic review. The Mean American Orthopaedic Foot and Ankle Society score was 56.0 ± 10.1 (range 40.3–67.3) preoperatively to 88.7 ± 5.7 (range 80.8–95.0) points postoperatively. The mean 10 mm-VAS pain score was 6.5 ± 0.89 (range 5.6–7.7) preoperatively to 1.7 ± 1.1 (range 0.4–3.7) postoperatively. The overall pooled complication rate was 3.82% (95% CI: 0.05–10.92). Limited debilitating complications were noted in these studies, with one case of deep vein thrombosis noted. Autologous bone grafting offered satisfactory outcomes for pain relief, with notable improvement of functional outcomes scores. This review proposed that autologous bone grafting should be considered as the first line of treatment for lesion sizes >150 mm². Studies with longer follow-ups are desirable to determine the longevity of bone grafting and evaluate the durability of bone grafting for larger OLT lesions. Full article

► Show Figures

Figure 1

1 pages, 133 KB

Open AccessCorrection

Correction: Turemis et al. Comparison of Single and Multiple Toe Amputations in Diabetic Patients with Long-Term Follow-Up and Evaluation of Reamputation Risk. J. Am. Podiatr. Med. Assoc. 2025, 115, 23216

by Cihangir Turemis, Firat Erpala, Mahmud Aydin and Serkan Surucu

J. Am. Podiatr. Med. Assoc. 2026, 116(5), 57; https://doi.org/10.3390/japma116050057 - 24 Aug 2026

Viewed by 154

Abstract

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

Journal Menu

Journal Browser

J. Am. Podiatr. Med. Assoc., Volume 116, Issue 5 (October 2026) – 7 articles

Further Information

Guidelines

MDPI Initiatives

Follow MDPI