Journal of the American Podiatric Medical Association

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Open AccessArticle

by Terence B. Albright

J. Am. Podiatr. Med. Assoc. 1998, 88(10), 522; https://doi.org/10.7547/87507315-88-10-522 - 1 Oct 1998

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Having recently received the 1998–1999 “Almanac Issue” of the Chronicle of Higher Education, I was not surprised to note the changing demographic patterns in racial and ethnic distributions in the United States [...] Full article

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Open AccessLetter

Commentary. The Impact of Tobacco Use on Podiatric Medicine

by Leonard A. Levy

J. Am. Podiatr. Med. Assoc. 1998, 88(10), 517-518; https://doi.org/10.7547/87507315-88-10-517 - 1 Oct 1998

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Abstract

To the Editor: The use of tobacco is one of the most important causes of preventable morbidity and mortality in the United States [...] Full article

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Open AccessArticle

Location and Indexing of Articles Written by Podiatric Physicians

by Abbubacca Parkinson and Charles R. Fikar

J. Am. Podiatr. Med. Assoc. 1998, 88(10), 514-516; https://doi.org/10.7547/87507315-88-10-514 - 1 Oct 1998

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Abstract

This study was undertaken to determine which biomedical journals contain articles written by podiatric physicians and in which indexing sources such articles are likely to appear. A survey was conducted of the 20 most frequently published podiatrist authors from a selected group of [...] Read more.

This study was undertaken to determine which biomedical journals contain articles written by podiatric physicians and in which indexing sources such articles are likely to appear. A survey was conducted of the 20 most frequently published podiatrist authors from a selected group of podiatric journals during the period from 1990 to 1995. Articles published by these authors during the study period were examined to determine where they had appeared. The MEDLINE^® database was found to contain the largest number of citations to articles written by these podiatric physicians. Both the Podiatry Index^® and Embase^® are also very good sources of citations to podiatric medical literature and should be used to supplement MEDLINE searches. Full article

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Open AccessCase Report

Poroid Hidradenoma. A Case Presentation

by R. Michael Whitmore, Cris J. Anderson and Travis Piper

J. Am. Podiatr. Med. Assoc. 1998, 88(10), 510-513; https://doi.org/10.7547/87507315-88-10-510 - 1 Oct 1998

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Abstract

Poroid hidradenoma is a benign soft-tissue neoplasm with eccrine differentiation. It is the newest addition to a group of neoplasms known as poromas. Although it becomes malignant in less than 1% of cases, its histologic characteristics may resemble those of malignant neoplasms; thus [...] Read more.

Poroid hidradenoma is a benign soft-tissue neoplasm with eccrine differentiation. It is the newest addition to a group of neoplasms known as poromas. Although it becomes malignant in less than 1% of cases, its histologic characteristics may resemble those of malignant neoplasms; thus it is easily misdiagnosed. Twenty-one percent of poroid hidradenomas occur in the extremities. The histologic and clinical features of this tumor are presented here, along with a case report. Full article

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Open AccessCase Report

Extraskeletal Chondroma of the Foot

by Douglas S. Williams and Steven Zichichi

J. Am. Podiatr. Med. Assoc. 1998, 88(10), 506-509; https://doi.org/10.7547/87507315-88-10-506 - 1 Oct 1998

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Abstract

Extraskeletal chondroma is a rare, benign cartilaginous tumor seen most frequently in the soft tissues of the hands and feet. The authors present a case of extraskeletal chondroma in a 52-year-old male patient who had a small mass on the left foot involving [...] Read more.

Extraskeletal chondroma is a rare, benign cartilaginous tumor seen most frequently in the soft tissues of the hands and feet. The authors present a case of extraskeletal chondroma in a 52-year-old male patient who had a small mass on the left foot involving the flexor surface of the second toe. Radiographs showed the presence of a soft-tissue mass with scattered calcified foci. Surgical excision revealed a benign, lobulated cartilaginous tumor with prominent areas of calcification. Histologically, the lesion consisted of cartilage cells with centralized zones of cellular pleomorphism and giant-cell proliferation at the tumor margin consistent with extraskeletal chondroma. Full article

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Open AccessCase Report

Trauma-Induced Kaposi’s Sarcoma of the Hallux. An Unusual Case

by Kevin D. Berkowitz, Alexander C. Bonner, Bradley Makimaa, Jeffrey P. Flash, Harvey Sasken and Joseph F. Blaise

J. Am. Podiatr. Med. Assoc. 1998, 88(10), 500-505; https://doi.org/10.7547/87507315-88-10-500 - 1 Oct 1998

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Abstract

Kaposi’s sarcoma is the most common malignant lesion in patients who test seropositive for the human immunodeficiency virus. Although many cases of this tumor have been described in the literature, only a few cases have been related to Koebner’s phenomenon following trauma. Biopsy [...] Read more.

Kaposi’s sarcoma is the most common malignant lesion in patients who test seropositive for the human immunodeficiency virus. Although many cases of this tumor have been described in the literature, only a few cases have been related to Koebner’s phenomenon following trauma. Biopsy of lesions remains the standard method of diagnosis, but the numerous treatment options available today require treatment to be determined on a case-by-case basis. The authors present an unusual case of trauma-induced, acquired immunodeficiency syndrome–related Kaposi’s sarcoma of the hallux with successful treatment through radiotherapy. Full article

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Open AccessCase Report

Polydactyly of the Foot. Overview with Case Presentations

by James Kleo Kleanthous, Elaine M. Kleanthous and Philip J. Hahn, Jr

J. Am. Podiatr. Med. Assoc. 1998, 88(10), 493-499; https://doi.org/10.7547/87507315-88-10-493 - 1 Oct 1998

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Abstract

The authors offer two unique case presentations of pedal polydactyly as well as a general discussion of this congenital anomaly. This presentation demonstrates how a common condition has very individualized treatment plans that are based on communication between the patient and the podiatric [...] Read more.

The authors offer two unique case presentations of pedal polydactyly as well as a general discussion of this congenital anomaly. This presentation demonstrates how a common condition has very individualized treatment plans that are based on communication between the patient and the podiatric surgeon. Full article

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Open AccessArticle

Antifungal Activity of Melaleuca alternifolia (Tea-Tree) Oil Against Various Pathogenic Organisms

by José M. Concha, Lynn Steele Moore and William J. Holloway

J. Am. Podiatr. Med. Assoc. 1998, 88(10), 489-492; https://doi.org/10.7547/87507315-88-10-489 - 1 Oct 1998

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Abstract

Tea-tree oil (oil of Melaleuca alternifolia) has recently received much attention as a natural remedy for bacterial and fungal infections of the skin and mucosa. As with most naturally occurring agents, claims of effectiveness have been only anecdotal; however, several published studies [...] Read more.

Tea-tree oil (oil of Melaleuca alternifolia) has recently received much attention as a natural remedy for bacterial and fungal infections of the skin and mucosa. As with most naturally occurring agents, claims of effectiveness have been only anecdotal; however, several published studies have recently demonstrated tea-tree oil’s antibacterial activity. This study was conducted to determine the activity of tea-tree oil against 58 clinical isolates: Candida albicans (n = 10), Trichophyton rubrum (n = 8), Trichophyton mentagrophytes (n = 9), Trichophyton tonsurans (n = 10), Aspergillus niger (n = 9), Penicillium species (n = 9), Epidermophyton floccosum (n = 2), and Microsporum gypsum (n = 1). Tea-tree oil showed inhibitory activity against all isolates tested except one strain of E floccosum. These in vitro results suggest that tea-tree oil may be useful in the treatment of yeast and fungal mucosal and skin infections. Full article

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Open AccessBrief Communication

Mechanically Assisted, Delayed Primary Closure of Diabetic Foot Wounds

by David G. Armstrong and Lawrence A. Lavery

J. Am. Podiatr. Med. Assoc. 1998, 88(10), 483-488; https://doi.org/10.7547/87507315-88-10-483 - 1 Oct 1998

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Abstract

The authors evaluated the time to healing and prevalence of complications in patients undergoing mechanically assisted, delayed primary closure of diabetic foot wounds compared with a similar population who received standard wound care. A total of 55 patients were enrolled for study, with [...] Read more.

The authors evaluated the time to healing and prevalence of complications in patients undergoing mechanically assisted, delayed primary closure of diabetic foot wounds compared with a similar population who received standard wound care. A total of 55 patients were enrolled for study, with 25 in the experimental group and 30 in the control group. Patients in the experimental (stretch) group underwent mechanically assisted primary closure of their wounds using a skin-stretching device. There was no difference between the stretch and control groups with regard to any descriptive characteristics, including wound chronicity. Although the wounds were over three times as large on average in the stretch group (P < .001), the stretch group reached full epithelialization approximately 40% sooner than the control group (26.4 ± 16.0 versus 42.5 ± 19.9 days; P < .002). Eighty-eight percent of patients in the stretch group experienced wound dehiscence, at a mean time of 1.8 ± 0.6 weeks following mechanically assisted closure. However, patients who experienced dehiscence in the stretch group healed significantly faster than patients in the control group (27.4 ± 16.7 versus 42.5 ± 19.9 days; P < .007). The results of this study suggest that mechanically assisted closure of diabetic foot wounds may result in reduced healing time compared with healing by secondary intention. Full article

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Open AccessArticle

The Effects of Extrinsic Muscle Forces on the Forefoot-to-Rearfoot Loading Relationship In Vitro. Tibia and Achilles Tendon

by Erin D. Ward, Robert D. Phillips, Patrick E. Patterson and Guy J. Werkhoven

J. Am. Podiatr. Med. Assoc. 1998, 88(10), 471-482; https://doi.org/10.7547/87507315-88-10-471 - 1 Oct 1998

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Abstract

The effects of muscular activity on the distribution of forces under the foot, as well as within the foot, are of great importance for determining the mechanisms of foot pathologies. Limited data exist concerning muscle forces during the gait cycle and the effects [...] Read more.

The effects of muscular activity on the distribution of forces under the foot, as well as within the foot, are of great importance for determining the mechanisms of foot pathologies. Limited data exist concerning muscle forces during the gait cycle and the effects of muscle forces conveyed to the ground-reactive forces of the foot. The authors developed a cadaveric loading system to determine the effects of force applied to the Achilles tendon on the forefoot-to-rearfoot loading relationship in eight cadaveric specimens. The study indicated that, during axial loading of the tibia, force was inherently transferred from the rearfoot to the forefoot. However, the observed forefoot-to-rearfoot loading relationship did not match the predicted loading relationship from a rigid-body diagram, as would be observed in a class I lever. The results indicated that, as the force was increased on the Achilles tendon, the change in loads on the forefoot and rearfoot was not linear. Specimens with calcaneal inclination angles greater than 20° demonstrated a more linear increase as compared with those with inclination angles less than 20°. Full article

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J. Am. Podiatr. Med. Assoc., Volume 88, Issue 10 (10 1998) – 10 articles , Pages 471-522

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