Journal of the American Podiatric Medical Association

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Open AccessCase Report

Free tissue transfer in the treatment of diabetic foot ulcers

by Jean V. Archer, Michael Cooper, Steven Mehl and Nicholas Camarinos

J. Am. Podiatr. Med. Assoc. 1999, 89(6), 325-328; https://doi.org/10.7547/87507315-89-6-325 - 1 Jun 1999

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To the Editor: Until the mid-1980s, reconstruction of large foot wounds in patients with diabetes mellitus was uncommon [...] Full article

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Open AccessCase Report

Lower-extremity gangrene secondary to disseminated intravascular coagulation

by Ana M. Cafengiu, Beth L. Hommel, Michael Demarco and Jihad Slim

J. Am. Podiatr. Med. Assoc. 1999, 89(6), 323-325; https://doi.org/10.7547/87507315-89-6-323 - 1 Jun 1999

Cited by 1 | Viewed by 103

Abstract

To the Editor: Purpura fulminans is a rare multisystem disorder characterized by hemorrhagic skin lesions that progress to gangrene [...] Full article

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Open AccessCase Report

Lipoma of the first metatarsophalangeal joint

by Patrick G. Sesto

J. Am. Podiatr. Med. Assoc. 1999, 89(6), 320-322; https://doi.org/10.7547/87507315-89-6-320 - 1 Jun 1999

Cited by 1 | Viewed by 110

Abstract

To the Editor: The most common benign neoplasm of soft tissue is a lipoma [...] Full article

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Open AccessCase Report

Pasteurella multocida and gout in the first metatarsophalangeal joint

by Craig Shapero and Ira M. Fox

J. Am. Podiatr. Med. Assoc. 1999, 89(6), 318-320; https://doi.org/10.7547/87507315-89-6-318 - 1 Jun 1999

Cited by 7 | Viewed by 102

Abstract

To the Editor: Pasteurella multocida is a small, gram-negative coccobacillary organism that is non–spore-forming and nonmotile [...] Full article

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Open AccessArticle

Effect of podiatric medical care on rates of lower-extremity amputation in a Medicare population

by Robert D. Sowell, Warren B. Mangel, Charles J. Kilczewski and Jill M. Normington

J. Am. Podiatr. Med. Assoc. 1999, 89(6), 312-317; https://doi.org/10.7547/87507315-89-6-312 - 1 Jun 1999

Cited by 15 | Viewed by 107

Abstract

The purpose of this study was to determine whether Medicare patients at risk for lower-extremity amputation due to complications from diabetes, peripheral vascular disease, and/or gangrene who receive the services classified under Level II code M0101 of the Health Care Financing Administration's Common [...] Read more.

The purpose of this study was to determine whether Medicare patients at risk for lower-extremity amputation due to complications from diabetes, peripheral vascular disease, and/or gangrene who receive the services classified under Level II code M0101 of the Health Care Financing Administration's Common Procedure Coding System (cutting or removal of corns, calluses, and/or trimming of nails, application of skin creams and other hygienic and preventive maintenance care) have lower rates of lower-extremity amputation than those who do not receive such services. Analysis of the data suggests that those at-risk beneficiaries who received these services were nearly four times less likely to experience lower-extremity amputation than those who did not receive such services. The study has both methodologic limitations (the study considers only one variable, receipt or nonreceipt of certain types of podiatric medical care, while other variables may affect rates of lower-extremity amputation) and technological limitations (attempts to link the 2 years of per case Medicare Part B data were unsuccessful, limiting the length of the study to 1 year). Further research on this topic is encouraged. Full article

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Open AccessCase Report

Pleomorphic hyalinized angiectatic tumor of soft parts

by Stewart P. Brim, Thomas J. Allerding and Karen Buck

J. Am. Podiatr. Med. Assoc. 1999, 89(6), 307-311; https://doi.org/10.7547/87507315-89-6-307 - 1 Jun 1999

Cited by 12 | Viewed by 101

Abstract

Pleomorphic hyalinized angiectatic tumor of soft parts is a recently described neoplasm that most commonly affects the lower extremities. It is locally aggressive but has not been known to metastasize. This article presents a case of a softball-sized tumor on the dorsum of [...] Read more.

Pleomorphic hyalinized angiectatic tumor of soft parts is a recently described neoplasm that most commonly affects the lower extremities. It is locally aggressive but has not been known to metastasize. This article presents a case of a softball-sized tumor on the dorsum of the foot that was identified as pleomorphic hyalinized angiectatic tumor of soft parts. Previously, it would have been misdiagnosed and treated as either a neurilemoma or a malignant fibrous histiocytoma. Full article

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Open AccessArticle

An update on repair of Achilles tendon rupture. Acute and delayed

by Gerald T. Kuwada

J. Am. Podiatr. Med. Assoc. 1999, 89(6), 302-306; https://doi.org/10.7547/87507315-89-6-302 - 1 Jun 1999

Cited by 13 | Viewed by 117

Abstract

Current surgical treatments for Achilles tendon rupture are thoroughly discussed. New repair techniques, such as the use of soft-tissue anchors, are reviewed, as is the use of synthetic mesh to augment the surgical repair. A classification system devised by the author is presented [...] Read more.

Current surgical treatments for Achilles tendon rupture are thoroughly discussed. New repair techniques, such as the use of soft-tissue anchors, are reviewed, as is the use of synthetic mesh to augment the surgical repair. A classification system devised by the author is presented to make it easier to select the appropriate surgical procedure or combination of procedures in delayed rupture repair. Postoperative physical therapy is paramount in the return to preinjury level of activity for these patients. Full article

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Open AccessArticle

Imaging of the rearfoot

by Serrina Yozsa, Bruce Lehnert and Donald Resnick

J. Am. Podiatr. Med. Assoc. 1999, 89(6), 292-301; https://doi.org/10.7547/87507315-89-6-292 - 1 Jun 1999

Cited by 5 | Viewed by 119

Abstract

The authors review various pedal conditions affecting the rearfoot, including plantar fasciitis, Achilles tendon pathology, fractures, arthritides, coalitions, and tumors. Various diagnostic imaging modalities such as routine radiography, radionuclide bone scanning, computed tomography, and magnetic resonance imaging are discussed. Full article

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Open AccessArticle

Center of pressure and its theoretical relationship to foot pathology

by Eric A. Fuller

J. Am. Podiatr. Med. Assoc. 1999, 89(6), 278-291; https://doi.org/10.7547/87507315-89-6-278 - 1 Jun 1999

Cited by 89 | Viewed by 383

Abstract

The measurement of center of pressure has been widely used in the evaluation of foot function. This article will describe center of pressure and indicate how it can be used to calculate moments about the joint axes of the foot. Various uses of [...] Read more.

The measurement of center of pressure has been widely used in the evaluation of foot function. This article will describe center of pressure and indicate how it can be used to calculate moments about the joint axes of the foot. Various uses of center of pressure described in the literature will be examined. A model based on the use of the location of center of pressure relative to the location of the subtalar joint axis will be proposed as a theoretical explanation of selected foot pathologies and their treatment. Full article

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Open AccessArticle

Effect of ankle dorsiflexion range of motion on rearfoot motion during walking

by Mark W. Cornwall and Thomas G. McPoil

J. Am. Podiatr. Med. Assoc. 1999, 89(6), 272-277; https://doi.org/10.7547/87507315-89-6-272 - 1 Jun 1999

Cited by 54 | Viewed by 124

Abstract

The purpose of this study was to investigate whether the amount of ankle passive dorsiflexion range of motion influences the pattern of frontal plane rearfoot motion during walking. Three-dimensional motion of the rearfoot was measured in two groups of subjects, those with ankle [...] Read more.

The purpose of this study was to investigate whether the amount of ankle passive dorsiflexion range of motion influences the pattern of frontal plane rearfoot motion during walking. Three-dimensional motion of the rearfoot was measured in two groups of subjects, those with ankle passive dorsiflexion range of motion less than or equal to 10 degrees, and those with ankle passive dorsiflexion range of motion greater than 15 degrees, while they walked along a 6.1-m walkway. The results indicated that the only statistically significant differences between the two groups were in the time to reinversion of the rearfoot and the time to heel-off. Slight-to-moderate limitation of ankle passive dorsiflexion range of motion significantly alters the timing, but not the magnitude, of frontal plane rearfoot motion during walking. Full article

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J. Am. Podiatr. Med. Assoc., Volume 89, Issue 6 (06 1999) – 10 articles , Pages 272-328

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