Journal of the American Podiatric Medical Association

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by Merton I. Root

J. Am. Podiatr. Med. Assoc. 1999, 89(5), 268-269; https://doi.org/10.7547/87507315-89-5-268 - 1 May 1999

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To the Editor: The February 1999 issue of the Journal included an article by Lynn T. Staheli titled “Planovalgus Foot Deformity: Current Status.” [...] Full article

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Planovalgus foot deformity revisited

by Robert D. Phillips

J. Am. Podiatr. Med. Assoc. 1999, 89(5), 265-268; https://doi.org/10.7547/87507315-89-5-265 - 1 May 1999

Cited by 2 | Viewed by 55

Abstract

To the Editor: I would like to thank the Journal for inviting me to respond to the article by Lynn T. Staheli titled “Planovalgus Foot Deformity: Current Status,” which appeared in the February 1999 issue [...] Full article

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Open AccessArticle

Reevaluation of the relaxed calcaneal stance position. Reliability and normal values in children and adults

by Ellen Sobel, Steven J. Levitz, Mark A. Caselli, Michael Tran, Frank Lepore, Erik Lilja, Moshe Sinaie and Elisa Wain

J. Am. Podiatr. Med. Assoc. 1999, 89(5), 258-264; https://doi.org/10.7547/87507315-89-5-258 - 1 May 1999

Cited by 32 | Viewed by 77

Abstract

Reliability and normal values for the relaxed calcaneal stance position were determined in a nonclinic population of healthy adults and children (88 adults and 124 children) ranging in age from 5 to 36 years. The mean relaxed calcaneal stance position for adults was [...] Read more.

Reliability and normal values for the relaxed calcaneal stance position were determined in a nonclinic population of healthy adults and children (88 adults and 124 children) ranging in age from 5 to 36 years. The mean relaxed calcaneal stance position for adults was 6.07 degrees valgus (SD 2.71 degrees) (range, 1 degree varus to 14 degrees valgus). The mean relaxed calcaneal stance position for children was 5.6 degrees valgus (SD 2.9 degrees) (range, 6 degrees varus to 12 degrees valgus). There was no significant difference between the relaxed calcaneal stance positions of adults and children. In children the relaxed calcaneal stance position did not correlate with age, height, or weight and did not decrease with age to the theoretical normal value of 0 degree +/- 2 degrees as postulated by Root et al. The relaxed calcaneal stance position was found to be a reliable measurement; however, the theoretical normal value of 0 degree +/- 2 degrees was not found. The values reported in the present study correspond with the results of other empirical studies; thus the theoretical normal value for the relaxed calcaneal stance position of 0 degree +/- 2 degrees may be invalid. Full article

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Open AccessArticle

Management of heel pain syndrome with acetic acid iontophoresis

by Christopher J. Japour, Richa Vohra, Praveen K. Vohra, Loretta Garfunkel and Nena Chin

J. Am. Podiatr. Med. Assoc. 1999, 89(5), 251-257; https://doi.org/10.7547/87507315-89-5-251 - 1 May 1999

Cited by 28 | Viewed by 54

Abstract

This study was undertaken to determine the effectiveness of acetic acid iontophoresis in the treatment of heel pain. Thirty-five patients with chronic heel pain were treated with acetic acid iontophoresis over a 4-year period. Ninety-four percent of patients had complete or substantial relief [...] Read more.

This study was undertaken to determine the effectiveness of acetic acid iontophoresis in the treatment of heel pain. Thirty-five patients with chronic heel pain were treated with acetic acid iontophoresis over a 4-year period. Ninety-four percent of patients had complete or substantial relief of heel pain after an average of 5.7 sessions of acetic acid iontophoresis over an average period of 2.8 weeks. Heel pain levels were rated from 0 to 10, with 10 representing the most severe pain. Heel pain prior to iontophoresis treatment received an average rating of 7.5; by the end of therapy, the average rating had decreased to 1.8. At an average follow-up time of 27 months, heel pain levels averaged 0.64, indicating continued reduction in heel pain. Ninety-four percent of participants said that they would recommend acetic acid iontophoresis to someone with similar heel pain. Full article

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Open AccessArticle

Use of the ROC anchor in foot and ankle surgery. A retrospective study

by Gerald T. Kuwada

J. Am. Podiatr. Med. Assoc. 1999, 89(5), 247-250; https://doi.org/10.7547/87507315-89-5-247 - 1 May 1999

Cited by 3 | Viewed by 56

Abstract

A retrospective study was conducted on the use of the ROC (Radial Osteo Compression) soft-tissue anchor in foot and ankle surgery. This article describes how the anchor is deployed, problematic aspects of using the anchor, and complications and success rates associated with the [...] Read more.

A retrospective study was conducted on the use of the ROC (Radial Osteo Compression) soft-tissue anchor in foot and ankle surgery. This article describes how the anchor is deployed, problematic aspects of using the anchor, and complications and success rates associated with the anchor in ankle stabilizations, posterior tibial tendon reconstruction, peroneus brevis tendon reconstruction after fracture of the base of the fifth metatarsal, and detachment and reattachment of the Achilles tendon. The ROC anchor consists of the anchor with nonabsorbable suture attached to the shaft, the deployment handle, and drill bits. The anchor and shaft are snapped into the deployment handle and inserted into the drill hole. Compression of the trigger deploys the anchor into the hole. The ROC anchor was found to be reliable, useful, and relatively easy to deploy, with outcomes similar to those of other soft-tissue anchors. Full article

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Open AccessArticle

Biomechanics as a basis for management of intra-articular fractures of the calcaneus

by Gladius Lewis

J. Am. Podiatr. Med. Assoc. 1999, 89(5), 234-246; https://doi.org/10.7547/87507315-89-5-234 - 1 May 1999

Cited by 9 | Viewed by 60

Abstract

This article presents a critical examination of biomechanics studies in the literature that could shed light on or contribute to the development of methods of managing intra-articular calcaneal fractures. An appreciation and understanding of such studies is predicated on a sound knowledge of [...] Read more.

This article presents a critical examination of biomechanics studies in the literature that could shed light on or contribute to the development of methods of managing intra-articular calcaneal fractures. An appreciation and understanding of such studies is predicated on a sound knowledge of a number of germane topics: the anatomy of the normal calcaneus, the pathomechanics of the calcaneus, fracture-classification schemes, and fracture-management methods. The first part of this review presents overviews of these topics. The biomechanics studies are then reviewed in detail. The article concludes with a description of research areas that might close the gaps identified in these studies. Full article

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Open AccessArticle

Orthoses in the treatment of rearfoot problems

by Ellen Sobel, Steven J. Levitz and Mark A. Caselli

J. Am. Podiatr. Med. Assoc. 1999, 89(5), 220-233; https://doi.org/10.7547/87507315-89-5-220 - 1 May 1999

Cited by 40 | Viewed by 56

Abstract

Orthotic management is helpful in the treatment of most orthopedic conditions involving the rearfoot, including plantar fasciitis, Achilles tendon disorders, posterior tibial tendon dysfunction, flatfoot, ankle sprains, and problems associated with diabetes, arthritis, and equinus disorders. A review of the effectiveness of orthoses [...] Read more.

Orthotic management is helpful in the treatment of most orthopedic conditions involving the rearfoot, including plantar fasciitis, Achilles tendon disorders, posterior tibial tendon dysfunction, flatfoot, ankle sprains, and problems associated with diabetes, arthritis, and equinus disorders. A review of the effectiveness of orthoses in the treatment of these conditions is presented here. An in-depth analysis of the orthotic management of plantar fasciitis and a critical review of foot orthoses for the pronated foot are presented. Also discussed are the rationale and effectiveness of the tension night splint in the treatment of plantar fasciitis, orthotic devices for the different stages of posterior tibial tendon dysfunction, and the various categories of orthoses for off-loading the diabetic foot. The modern ankle brace, the effectiveness of prefabricated versus prescription foot orthoses, and recent developments in the ankle-foot orthosis are also reviewed. Full article

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J. Am. Podiatr. Med. Assoc., Volume 89, Issue 5 (05 1999) – 7 articles , Pages 220-269

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