Journal of the American Podiatric Medical Association

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Management of heel pain syndrome with acetic acid iontophoresis

by Stuart Plotkin

J. Am. Podiatr. Med. Assoc. 1999, 89(10), 543-544; https://doi.org/10.7547/87507315-89-10-543 - 1 Oct 1999

Cited by 1 | Viewed by 119

Abstract

To the Editor: [...] Full article

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Open AccessCase Report

Subungual malignant melanoma mimicking a squamous cell carcinoma

by John W. Robinette, Philip J. Hahn, Jr. and James J. Naples

J. Am. Podiatr. Med. Assoc. 1999, 89(10), 540-542; https://doi.org/10.7547/87507315-89-10-540 - 1 Oct 1999

Viewed by 110

Abstract

When a suspicious lower-extremity lesions is encountered, an appropriate biopsy should be performed. The lesion must then be excised with the proper margins and submitted for pathologic evaluation to ensure complete removal. Full article

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Open AccessCase Report

Complex regional pain syndrome

by William Hernandez, Asim Raja and Cecilia Capuano

J. Am. Podiatr. Med. Assoc. 1999, 89(10), 534-539; https://doi.org/10.7547/87507315-89-10-534 - 1 Oct 1999

Cited by 6 | Viewed by 127

Abstract

Complex regional pain syndrome is a chronic pain syndrome that is often instigated by postoperative or post-traumatic events. The disease process can progress through three stages, the first of which tends to respond best to treatment. A review of the literature is presented, [...] Read more.

Complex regional pain syndrome is a chronic pain syndrome that is often instigated by postoperative or post-traumatic events. The disease process can progress through three stages, the first of which tends to respond best to treatment. A review of the literature is presented, followed by a report of a patient who developed symptoms of complex regional pain syndrome following a water-skiing accident. Full article

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Open AccessCase Report

Treatment of stingray injury with topical becaplermin gel

by Philip J. Baldinger

J. Am. Podiatr. Med. Assoc. 1999, 89(10), 531-533; https://doi.org/10.7547/87507315-89-10-531 - 1 Oct 1999

Cited by 11 | Viewed by 132

Abstract

Stingray injuries are most commonly characterized by localized pain, ulceration, and edema; however, potentially serious sequelae may result, including tissue necrosis and life-threatening infection. This case report describes a stingray injury that had progressed to ulceration and was treated with topical application of [...] Read more.

Stingray injuries are most commonly characterized by localized pain, ulceration, and edema; however, potentially serious sequelae may result, including tissue necrosis and life-threatening infection. This case report describes a stingray injury that had progressed to ulceration and was treated with topical application of recombinant human platelet-derived growth factor-BB (becaplermin gel 0.01%) and a standardized regimen of wound care. Full article

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Open AccessArticle

Teaching clinical biomechanics in the context of uncertainty

by Craig B. Payne and Adam R. Bird

J. Am. Podiatr. Med. Assoc. 1999, 89(10), 525-530; https://doi.org/10.7547/87507315-89-10-525 - 1 Oct 1999

Cited by 7 | Viewed by 109

Abstract

Uncertainty in the theories that provide the underpinnings of the clinical practice of podiatric biomechanics creates a dilemma: How should educators prepare students to make clinical decisions in the context of this uncertainty? Students need to be exposed to all approaches and be [...] Read more.

Uncertainty in the theories that provide the underpinnings of the clinical practice of podiatric biomechanics creates a dilemma: How should educators prepare students to make clinical decisions in the context of this uncertainty? Students need to be exposed to all approaches and be given the tools to make their own clinical decisions. Critical thinking involves the ability to weigh evidence, examine arguments, and construct rational bases for decisions and beliefs. Perry's model of cognitive development provides educators with one model for fostering critical thinking skills in students to guide them through the uncertainty in clinical biomechanics. This article presents the teaching philosophy that is used to teach undergraduate clinical biomechanics in the Department of Podiatry at La Trobe University, Australia. Full article

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Open AccessCase Report

Os Subfibulare. Investigation of an Accessory Bone

by Ian M. Champagne, Deborah L. Cook, S. Christopher Kestner, Jane A. Pontisso and Kathy J. Siesel

J. Am. Podiatr. Med. Assoc. 1999, 89(10), 520-524; https://doi.org/10.7547/87507315-89-10-520 - 1 Oct 1999

Cited by 22 | Viewed by 156

Abstract

During dissection of a cadaver at the Ohio College of Podiatric Medicine, the authors encountered the os subfibulare. The os subfibulare was encased within the peroneus longus and peroneus brevis tendons and initially appeared as though it may have articulated with the left [...] Read more.

During dissection of a cadaver at the Ohio College of Podiatric Medicine, the authors encountered the os subfibulare. The os subfibulare was encased within the peroneus longus and peroneus brevis tendons and initially appeared as though it may have articulated with the left lateral malleolus distally and posteriorly. The ossicle was not associated with any capsular or ligamentous structures. These findings suggest that the os subfibulare is a true sesamoid bone. A review of the literature is presented and the clinical significance of these findings is discussed. Full article

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Open AccessArticle

Effect of Scalpel Debridement on the Pain Associated with Plantar Hyperkeratosis

by Anthony Redmond, Naomi Allen and Wesley Vernon

J. Am. Podiatr. Med. Assoc. 1999, 89(10), 515-519; https://doi.org/10.7547/87507315-89-10-515 - 1 Oct 1999

Cited by 36 | Viewed by 192

Abstract

Seventy-nine subjects from 14 centers in eight English National Health Service Trusts recorded their levels of preoperative and postoperative pain and perceived change in pain on 100-mm visual analog scales before and after scalpel debridement of painful plantar hyperkeratosis. A significant reduction in [...] Read more.

Seventy-nine subjects from 14 centers in eight English National Health Service Trusts recorded their levels of preoperative and postoperative pain and perceived change in pain on 100-mm visual analog scales before and after scalpel debridement of painful plantar hyperkeratosis. A significant reduction in pain was reported following treatment, and there were highly significant differences between the preoperative and postoperative scores. There were no age- or sex-related differences in any of the preoperative, postoperative, or perceived-change scores. The objective data support the anecdotal evidence that scalpel debridement of painful plantar hyperkeratosis is immediately effective in the palliative management of such patients. Full article

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Open AccessArticle

Household-Shoe Wearing and Purchasing Habits. A Survey of People Aged 65 Years and Older

by Bridget J. Munro and Julie R. Steele

J. Am. Podiatr. Med. Assoc. 1999, 89(10), 506-514; https://doi.org/10.7547/87507315-89-10-506 - 1 Oct 1999

Cited by 41 | Viewed by 167

Abstract

A mail survey was conducted to assess the types of household footwear currently being worn by a random sample of independently living men and women aged 65 years and older as well as their needs related to the purchase and wearing of household [...] Read more.

A mail survey was conducted to assess the types of household footwear currently being worn by a random sample of independently living men and women aged 65 years and older as well as their needs related to the purchase and wearing of household footwear. Questionnaires were completed by 128 people. The greatest number of respondents wore slippers all day around the home, purchasing these shoes because of their convenience and comfort. Respondents were not willing to purchase expensive shoes for household wear and infrequently replaced them, despite the fact that such footwear was worn for extended periods each day. It was concluded that further research is required to design a household shoe that fits well and accommodates a variety of foot pathologies typical of the elderly foot; the shoe should be comfortable, relatively inexpensive, and safe for typical household surfaces. Full article

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Open AccessArticle

Ammonium Lactate 12% Lotion versus a Liposome-Based Moisturizing Lotion for Plantar Xerosis. A Double-Blind Comparison Study

by Jonathan J. Uy, Annette M. Joyce, John P. Nelson, Bob West and Jeremy R. Montague

J. Am. Podiatr. Med. Assoc. 1999, 89(10), 502-505; https://doi.org/10.7547/87507315-89-10-502 - 1 Oct 1999

Cited by 16 | Viewed by 142

Abstract

Two emollients, ammonium lactate 12% lotion and a liposome-based moisturizing lotion, were compared in a double-blind test for efficacy in the treatment of plantar xerosis. A total of 43 out of 57 participants (75%) with bilateral plantar xerosis followed instructions completely and applied [...] Read more.

Two emollients, ammonium lactate 12% lotion and a liposome-based moisturizing lotion, were compared in a double-blind test for efficacy in the treatment of plantar xerosis. A total of 43 out of 57 participants (75%) with bilateral plantar xerosis followed instructions completely and applied the lotions (one to each foot) twice daily for 4 weeks. Each participant was evaluated once a week for 6 weeks (the final 2 weeks for evaluation of post-treatment regression) to determine xerotic grade (degree of dryness) and treatment effectiveness. With both lotions, significant improvement began during the second week of treatment and continued into the fourth week. There were no significant differences between the two lotions in the 6-week patterns of either xerotic grade or treatment effectiveness. Full article

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Open AccessArticle

Variability of Plantar Pressure Data. A Comparison of the Two-Step and Midgait Methods

by Thomas G. McPoil, Mark W. Cornwall, Lisa Dupuis and Michelle Cornwell

J. Am. Podiatr. Med. Assoc. 1999, 89(10), 495-501; https://doi.org/10.7547/87507315-89-10-495 - 1 Oct 1999

Cited by 154 | Viewed by 132

Abstract

The number of trials required to obtain a reliable representation of the plantar pressure pattern is an important factor in the assessment of people with insensate feet or the use of plantar pressure data as a basis for fabrication of foot orthoses. Traditionally, [...] Read more.

The number of trials required to obtain a reliable representation of the plantar pressure pattern is an important factor in the assessment of people with insensate feet or the use of plantar pressure data as a basis for fabrication of foot orthoses. Traditionally, the midgait method has been used for the collection of pressure data, but the large number of walking trials required by this method can increase the risk of injury to the plantar surface of the insensate foot. As a result, the two-step method of plantar pressure data collection has been advocated. The purpose of this investigation was to determine the degree of variability in regional plantar pressure measurements using the midgait and two-step methods of data collection. Plantar pressure data were collected from ten volunteers (five men and five women) between the ages of 20 and 35 years in 20 trials using both data-collection protocols. The results of the study indicate that three to five walking trials are needed to obtain reliable regional peak pressure and pressure-time integral values when the two-step data-collection protocol is used. Although either method can be used for pressure data collection, one method should be used consistently when repeated assessments are required. Full article

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J. Am. Podiatr. Med. Assoc., Volume 89, Issue 10 (10 1999) – 10 articles , Pages 495-544

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