Journal of the American Podiatric Medical Association

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Council on Podiatric Medical Education seventy-seventh annual report, 1996

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J. Am. Podiatr. Med. Assoc. 1997, 87(3), 145-151; https://doi.org/10.7547/87507315-87-3-145 - 1 Mar 1997

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A new system for approving sponsors of continuing education in podiatric medicine was implemented by the Council on Podiatric Medical Education (CPME or the Council) and its Continuing Education Committee in February 1996 [...] Full article

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Open AccessCase Report

Bilateral total calcanectomy for the treatment of chronic refractory osteomyelitis

by Keith A. Naftulin, Paul A. Stone and John J. McGarry

J. Am. Podiatr. Med. Assoc. 1997, 87(3), 141-143; https://doi.org/10.7547/87507315-87-3-141 - 1 Mar 1997

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Abstract

Often, in the event of calcaneal osteomyelitis, below the knee amputation is performed. Many practitioners believe that adequate resection of bone to effect a cure cannot be accomplished by calcanectomy and that function will be severely compromised. A review of the literature and [...] Read more.

Often, in the event of calcaneal osteomyelitis, below the knee amputation is performed. Many practitioners believe that adequate resection of bone to effect a cure cannot be accomplished by calcanectomy and that function will be severely compromised. A review of the literature and a case study reveal a different outcome. Full article

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Pediatric aneurysmal bone cyst of the distal tibia

by Larry R. Goss and John H. Walter

J. Am. Podiatr. Med. Assoc. 1997, 87(3), 136-140; https://doi.org/10.7547/87507315-87-3-136 - 1 Mar 1997

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Abstract

A rare, large pediatric aneurysmal bone cyst with pathologic fracture of the distal tibia of a 4-year-old female was presented. Classic radiographic and magnetic resonance imaging findings have been discussed. In a comprehensive review of the literature, aneurysmal bone cysts are an infrequently [...] Read more.

A rare, large pediatric aneurysmal bone cyst with pathologic fracture of the distal tibia of a 4-year-old female was presented. Classic radiographic and magnetic resonance imaging findings have been discussed. In a comprehensive review of the literature, aneurysmal bone cysts are an infrequently reported neoplasm of the foot and ankle bones. Lesions are characteristically seen in patients younger than 20 years of age, but rarely younger than 5 years. The benign cyst has a 2:1 female-to male predilection. In long bones, the lesion is typically metaphyseal in nature. Although the pathogenesis is still unknown, there exists the possibility of two types of aneurysmal bone cysts: a primary type without preexisting lesion and a secondary form associated with some other lesion. The diagnosis of aneurysmal bone cyst can be strongly suspected by correlating the radiographic and magnetic resonance imaging findings. For definitive diagnosis, accurate histologic evaluation is imperative to rule out any confusion or possibility with a malignant tumor. Full article

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Open AccessCase Report

Soft tissue surgery using radiowave techniques

by David F. Hettinger

J. Am. Podiatr. Med. Assoc. 1997, 87(3), 131-135; https://doi.org/10.7547/87507315-87-3-131 - 1 Mar 1997

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Abstract

Numerous types of soft tissue surgical procedures can be performed using radiowave techniques. The Ellman International Surgitron is a versatile surgical instrument capable of making incisions, excisions, dessication, and coagulation. It converts electrical current into controlled energy in the radiowave frequency of the [...] Read more.

Numerous types of soft tissue surgical procedures can be performed using radiowave techniques. The Ellman International Surgitron is a versatile surgical instrument capable of making incisions, excisions, dessication, and coagulation. It converts electrical current into controlled energy in the radiowave frequency of the electromagnetic spectrum. Surgeons can then choose from three surgical currents based on the results they desire. Full article

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Open AccessCase Report

Unusual presentation of calcaneal osteomyelitis. Twenty-five years after inoculation

by Rebecca S. Rogoff, Jon D. Tinkle and David G. Bartis

J. Am. Podiatr. Med. Assoc. 1997, 87(3), 125-130; https://doi.org/10.7547/87507315-87-3-125 - 1 Mar 1997

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Abstract

An unusual presentation of calcaneal osteomyelitis is described, where-by the infection remained undiagnosed for 25 years. The 36-year-old patient recently sought medical treatment for a reported ankle sprain, but the pain was recalcitrant to conservative care. Further investigation yielded a history significant for [...] Read more.

An unusual presentation of calcaneal osteomyelitis is described, where-by the infection remained undiagnosed for 25 years. The 36-year-old patient recently sought medical treatment for a reported ankle sprain, but the pain was recalcitrant to conservative care. Further investigation yielded a history significant for stepping on a chicken bone as a child, which entered the inferior lateral heel. Magnetic resonance imaging revealed what plain radiographs did not: a well demarcated lytic lesion in the body of the calcaneus. Intraoperative findings were consistent with an abscess of chronic osteomyelitis. The treatment included incision and drainage, antibiotic beads, and a tricortical bone graft. Full article

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Open AccessCase Report

Spinal stenosis. A common cause of podiatric symptoms

by Stuart M. Goldman, Joseph D. Funk and Vern M. Christensen

J. Am. Podiatr. Med. Assoc. 1997, 87(3), 117-124; https://doi.org/10.7547/87507315-87-3-117 - 1 Mar 1997

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Abstract

Spinal stenosis, involving pressure on either the central spinal cord or nerve root exiting the spinal canal, can cause a variety of symptoms in the lower extremities. A classic symptom is that of neurogenic claudication, involving leg pain and weakness brought on by [...] Read more.

Spinal stenosis, involving pressure on either the central spinal cord or nerve root exiting the spinal canal, can cause a variety of symptoms in the lower extremities. A classic symptom is that of neurogenic claudication, involving leg pain and weakness brought on by walking. The pain is relieved by sitting or lying down, not by standing and resting as would be seen in arterial insufficiency-induced claudication. Other symptoms of spinal stenosis can involve paresthesia, weakness or cramping in one or both extremities, rest pain, or burning pain, and are commonly misdiagnosed as peripheral neuropathy, especially in patients with diabetes. Symptoms are often chronic, frequently missed, or misdiagnosed in the medical community, and may cause severe disability or reduction in the quality of life. Spinal stenosis is in some patients the unidentified cause of failure of treatment of foot and leg pain. Podiatric physicians, who focus on the patient's lower extremities, are in a unique position to be able to identify spinal stenosis and facilitate appropriate treatment. The authors provide current information regarding symptoms of spinal stenosis, a guide to diagnosis including the anatomical etiologies, and a basic understanding of treatment. Full article

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Open AccessArticle

Podiatry Institute ankle fusion technique

by Kieran T. Mahan, Gerard V. Yu, Stanley R. Kalish and Stephen V. Corey

J. Am. Podiatr. Med. Assoc. 1997, 87(3), 101-116; https://doi.org/10.7547/87507315-87-3-101 - 1 Mar 1997

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Abstract

The authors review the ankle and pantalar fusion literature. The authors performed a retrospective review on 42 ankle and pantalar fusions, emphasizing the role of internal fixation. The Podiatry Institute technique for internal fixation of ankle fusions is described and experience with the [...] Read more.

The authors review the ankle and pantalar fusion literature. The authors performed a retrospective review on 42 ankle and pantalar fusions, emphasizing the role of internal fixation. The Podiatry Institute technique for internal fixation of ankle fusions is described and experience with the technique is reviewed. Complications included delayed union and nonunion at the fusion site or the repaired fibular osteotomy site and tibial fractures at screw stress riser sites. Modifications to reduce these complications are discussed. Experience with internal fixation in ankle and pantalar fusions, both in this study and in current literature, has been positive. Full article

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J. Am. Podiatr. Med. Assoc., Volume 87, Issue 3 (03 1997) – 7 articles , Pages 101-151

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