Journal of the American Podiatric Medical Association

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Open AccessArticle

Total Contact Casts and Removable Cast Walkers. Mitigation of Plantar Heel Pressure

by David G. Armstrong and Susan Stacpoole-Shea

J. Am. Podiatr. Med. Assoc. 1999, 89(1), 50-53; https://doi.org/10.7547/87507315-89-1-50 - 1 Jan 1999

Cited by 60 | Viewed by 108

The purpose of this study was to compare the ability of various modalities to reduce pressure in the plantar heel. Twenty-five patients with grade 1A plantar foot ulcerations were evaluated; a repeat measures design comparing plantar pressure was used to evaluate the total contact cast, the Aircast pneumatic walker, the DH pressure relief walker, and depth-inlay shoes. The total contact cast reduced pressure significantly better than the other modalities; however, its pressure reduction was only 33% less than a baseline sneaker. All other modalities reduced significantly more pressure than the depth-inlay shoe. The DH walker had a significantly lower pressure-time integral than other modalities. These data indicate that, while the total contact cast appears to be effective compared with other modalities, the role that limitation of transverse motion of the fat pad on compression at heel strike has yet to be fully explained. Full article

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Open AccessCase Report

Calcaneal Gait. Etiology and Clinical Presentation

by Ellen Sobel and Aaron Glockenberg

J. Am. Podiatr. Med. Assoc. 1999, 89(1), 39-49; https://doi.org/10.7547/87507315-89-1-39 - 1 Jan 1999

Cited by 3 | Viewed by 803

Abstract

Equinus deformities are common in neuromuscular and trauma patients. In contrast, calcaneal gait disorders tend to be overlooked, and few reports characterize and review calcaneal gait problems and disabilities. In the past 3 years, the authors treated 17 patients with calcaneal gait. Six of these cases are reviewed; in addition, the general clinical characteristics of the patient with calcaneal gait pattern are described. Full article

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Open AccessArticle

Problems and Management of the Rearfoot in Neuromuscular Disease. A Report of Ten Cases

by Ellen Sobel and Renato J. Giorgini

J. Am. Podiatr. Med. Assoc. 1999, 89(1), 24-38; https://doi.org/10.7547/87507315-89-1-24 - 1 Jan 1999

Cited by 5 | Viewed by 162

Abstract

Neuromuscular disease commonly affects the rearfoot as equinus, equinovarus, and equinovalgus deformity. Spastic hemiplegia caused by stroke, head injury, and cerebral palsy results in equinovarus deformity of the rearfoot. Spastic diplegia, most frequently caused by cerebral palsy, results in equinovalgus rearfoot deformity. Problems in ambulation, footwear, and bracing, as well as their orthopedic management, in patients with neuromuscular disease are discussed in a case-report format. Full article

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Open AccessArticle

Infectious Causes of Heel Pain

by Mark Kosinski and Erik Lilja

J. Am. Podiatr. Med. Assoc. 1999, 89(1), 20-23; https://doi.org/10.7547/87507315-89-1-20 - 1 Jan 1999

Cited by 8 | Viewed by 141

Abstract

Heel pain is often attributed to a biomechanical etiology or sportsrelated injury. However, failure to recognize an infectious cause can lead to a delay in proper treatment and result in severe patient disability. This article reviews some of the more common infectious etiologies [...] Read more.

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Open AccessArticle

Enthesitis, Arthritis, and Heel Pain

by Thomas J. A. Lehman

J. Am. Podiatr. Med. Assoc. 1999, 89(1), 18-19; https://doi.org/10.7547/87507315-89-1-18 - 1 Jan 1999

Cited by 9 | Viewed by 167

Abstract

Often, individuals who present with “isolated” heel pain but with normal laboratory findings are dismissed without diagnosis. However, if these patients are carefully questioned and examined, a significant proportion are found to have a spondyloarthropathy. The keys to making this diagnosis are obtaining a thorough medical history and performing a complete physical examination. The classic complaints of back pain and enthesitis in other areas are frequently not reported by patients unless specifically sought, because they are thought to be unrelated to the heel pain. Full article

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Open AccessArticle

Evolution of the Rearfoot. A Model of Adaptation with Evidence from the Fossil Record

by Robert Kidd

J. Am. Podiatr. Med. Assoc. 1999, 89(1), 2-17; https://doi.org/10.7547/87507315-89-1-2 - 1 Jan 1999

Cited by 33 | Viewed by 177

Abstract

The evolution of the human foot presents an obfuscation: explanations for its occurrence and the exact nature of mechanisms of change are still not fully understood [...] Full article

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J. Am. Podiatr. Med. Assoc., Volume 89, Issue 1 (01 1999) – 6 articles , Pages 2-53

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