Journal of the American Podiatric Medical Association

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Open AccessArticle

A Proposed Managed-Care Curriculum for Podiatric Residencies

by Steven D. Chinn

J. Am. Podiatr. Med. Assoc. 1999, 89(4), 199-211; https://doi.org/10.7547/87507315-89-4-199 - 1 Apr 1999

Cited by 1 | Viewed by 106

This article describes a curriculum that could be included in podiatric residencies to help residents function successfully in a managed-care environment. Various groups have identified and implemented the competencies necessary to function within such an environment. Podiatric residents, who are well trained in [...] Read more.

This article describes a curriculum that could be included in podiatric residencies to help residents function successfully in a managed-care environment. Various groups have identified and implemented the competencies necessary to function within such an environment. Podiatric residents, who are well trained in the clinical management of podiatric problems, can succeed in a managed-care environment if residency programs include training objectives and methods to address these competencies. This article describes the managed-care components of two primary-care residency programs and a podiatric program and proposes a managed-care curriculum for podiatric residencies. The author's goal is to educate residency directors and faculty members on possible objectives and methods that can enhance the podiatric resident's educational experience and knowledge of managed care. Full article

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Open AccessArticle

Akin Osteotomy with Horizontal Interosseous Wire-Loop Fixation

by Barbara S. Schlefman

J. Am. Podiatr. Med. Assoc. 1999, 89(4), 194-198; https://doi.org/10.7547/87507315-89-4-194 - 1 Apr 1999

Cited by 16 | Viewed by 111

Abstract

The author has devised a new type of fixation for the Akin osteotomy. The fixation consists of double-stranded monofilament wire that is threaded through drill holes medially to laterally both proximal and distal to the osteotomy, encompassing four cortices. The fixation is placed [...] Read more.

The author has devised a new type of fixation for the Akin osteotomy. The fixation consists of double-stranded monofilament wire that is threaded through drill holes medially to laterally both proximal and distal to the osteotomy, encompassing four cortices. The fixation is placed prior to the cutting of the osteotomy, resulting in less chance of disruption to the lateral cortical hinge. Full article

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Open AccessArticle

Serial Measurement of Calcaneal Pitch During Midstance

by Scott Cameron Wearing, Stephen Urry, Phillip R. Perlman, Philip Dubois and James E. Smeathers

J. Am. Podiatr. Med. Assoc. 1999, 89(4), 188-193; https://doi.org/10.7547/87507315-89-4-188 - 1 Apr 1999

Cited by 13 | Viewed by 128

Abstract

Although emerging evidence suggests a causal relationship between arch structure and musculoskeletal injury, few investigations have adequately assessed arch function during gait. In this study, digitized videofluoroscopy was used to evaluate the sagittal plane motion of the calcaneus during gait. Nine female subjects [...] Read more.

Although emerging evidence suggests a causal relationship between arch structure and musculoskeletal injury, few investigations have adequately assessed arch function during gait. In this study, digitized videofluoroscopy was used to evaluate the sagittal plane motion of the calcaneus during gait. Nine female subjects requiring diagnostic foot radiographs underwent videofluoroscopy. The calcaneal inclination angle, arch height ratio, and tarsal index were digitally analyzed for all radiographic images. Calcaneal pitch was correlated to both the arch height ratio and the tarsal index. Repeated measures analysis of variance helped to identify a significant reduction in the mean calcaneal pitch during the midstance and early propulsive periods of gait. These findings suggest that although calcaneal pitch may be used as an indicator of rearfoot position, biomechanical classification of foot types based on radiographs may result in erroneous conclusions concerning foot function. Full article

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Open AccessCase Report

The Reappearance of Polio. Postpolio Syndrome

by Steven G. Tillett and John D. Mozena

J. Am. Podiatr. Med. Assoc. 1999, 89(4), 183-187; https://doi.org/10.7547/87507315-89-4-183 - 1 Apr 1999

Cited by 7 | Viewed by 124

Abstract

Although polio is often considered a disease of the past, new symptoms are appearing in patients infected with the polio virus many years ago. Many patients who contracted a paralytic form of poliomyelitis 3, 4, or even 7 decades ago are now relieving [...] Read more.

Although polio is often considered a disease of the past, new symptoms are appearing in patients infected with the polio virus many years ago. Many patients who contracted a paralytic form of poliomyelitis 3, 4, or even 7 decades ago are now relieving their childhood symptoms in what is known as postpolio syndrome. Full article

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Open AccessArticle

Tricorrectional Bunionectomy for Hallux Abducto Valgus. A Comprehensive Outcome Study

by Allen J. Selner, Steven A. King, David I. Samuels, Marc D. Selner and Jay Riley

J. Am. Podiatr. Med. Assoc. 1999, 89(4), 174-182; https://doi.org/10.7547/87507315-89-4-174 - 1 Apr 1999

Cited by 9 | Viewed by 150

Abstract

A longitudinal outcome study of the tricorrectional bunionectomy with AO screw fixation for the correction of hallux abducto valgus was undertaken involving 84 consecutive patients (121 feet) with a mean age of 48.4 years who underwent the procedure over a 6-month period. Preoperative [...] Read more.

A longitudinal outcome study of the tricorrectional bunionectomy with AO screw fixation for the correction of hallux abducto valgus was undertaken involving 84 consecutive patients (121 feet) with a mean age of 48.4 years who underwent the procedure over a 6-month period. Preoperative and postoperative measurements of forefoot angles were calculated, with the following mean results obtained: intermetatarsal angle of 14.46 degrees corrected to 5.72 degrees, hallux abductus angle of 26.38 degrees corrected to 11.65 degrees, proximal articular set angle of 19.85 degrees corrected to 6.06 degrees, and tibial sesamoid position of 4.75 corrected to 1.87. The average time to return to athletic shoes was 12.63 days. Postoperative complications were minor, with no delayed unions, malunions, hematomas, bone infections, or hallux varus. Long-term follow-up (mean, 21.33 months) using the American Orthopaedic Foot and Ankle Society's objective Hallux Metatarsophalangeal-Interphalangeal Scale revealed an overall mean score of 88.94 points out of a possible 100. An excellent mean result of 95 points out of a possible 100 on the subjective patient rating scale was also reported. Full article

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Open AccessArticle

Evaluation of Compensation Filters in Pedal Radiographs

by Maureen B. Jennings, Randy E. Cohen, Joseph P. Marino, Mary L. Jensis-Carlson, Angela J. Pollizzi, David M. Schwartz and Shannon L. Gallentine

J. Am. Podiatr. Med. Assoc. 1999, 89(4), 169-173; https://doi.org/10.7547/87507315-89-4-169 - 1 Apr 1999

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Abstract

Compensation filters allow increased visibility of detail in chest, shoulder, spine, hip, knee, and foot radiographs. This study examines use of an anatomic compensation filter to improve imaging in pedal radiographs. Anteroposterior radiographs were obtained of 25 cadaveric feet at two settings with [...] Read more.

Compensation filters allow increased visibility of detail in chest, shoulder, spine, hip, knee, and foot radiographs. This study examines use of an anatomic compensation filter to improve imaging in pedal radiographs. Anteroposterior radiographs were obtained of 25 cadaveric feet at two settings with and without the compensation filter. Densitometer readings were taken at ten forefoot anatomic sites. The compensation filter produced statistically significant reductions in densitometer readings at all anatomic sites and at both radiographic settings. Filtration improved imagery of bony structures, provided excellent soft-tissue visualization, and lowered patient exposure. Full article

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Open AccessArticle

Ganglions of the Foot and Ankle. A Retrospective Analysis of 63 Procedures

by Jane Pontious, James Good and Suzanne H. Maxian

J. Am. Podiatr. Med. Assoc. 1999, 89(4), 163-168; https://doi.org/10.7547/87507315-89-4-163 - 1 Apr 1999

Cited by 41 | Viewed by 253

Abstract

A retrospective study was conducted to evaluate treatment of foot and ankle ganglion cysts seen at the Foot and Ankle Institute at the Pennsylvania College of Podiatric Medicine (now Temple University School of Podiatric Medicine). From 1990 to 1997, 63 patients (63 ganglion [...] Read more.

A retrospective study was conducted to evaluate treatment of foot and ankle ganglion cysts seen at the Foot and Ankle Institute at the Pennsylvania College of Podiatric Medicine (now Temple University School of Podiatric Medicine). From 1990 to 1997, 63 patients (63 ganglion cysts) were treated by conservative or surgical means. Statistical analysis of data collected showed a significant relationship between type of treatment received and recurrence of the cyst. Surgical intervention resulted in significantly less recurrence (11%) than conservative treatment (63%). Regardless of whether treatment was conservative or surgical, there was no significant relationship between location of the cyst and recurrence. The type of conservative treatment was not significantly related to recurrence of the cyst. The surgical recurrence rate reported here is comparable to that reported in other studies of foot and ankle ganglion cysts. The number of foot and ankle ganglion cysts evaluated in this study is the largest in the literature. Full article

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J. Am. Podiatr. Med. Assoc., Volume 89, Issue 4 (04 1999) – 7 articles , Pages 163-211

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