Journal of the American Podiatric Medical Association

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Open AccessCase Report

Arterial embolus of the lower extremity. An atypical presentation

by Lawrence Hodor and David Ng

J. Am. Podiatr. Med. Assoc. 1999, 89(7), 373-376; https://doi.org/10.7547/87507315-89-7-373 - 1 Jul 1999

Cited by 1 | Viewed by 73

Acute arterial occlusion may be caused by an embolus, thrombosis, or trauma. Vascular diseases can involve complications not limited to vascular-related areas and may require a multidisciplinary approach to diagnosis and treatment. An overview of acute arterial occlusion is presented, as well as [...] Read more.

Acute arterial occlusion may be caused by an embolus, thrombosis, or trauma. Vascular diseases can involve complications not limited to vascular-related areas and may require a multidisciplinary approach to diagnosis and treatment. An overview of acute arterial occlusion is presented, as well as a case study of an atypical presentation of an arterial embolus of the lower extremity. Full article

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Open AccessCase Report

Pedal giant cell tumor of tendon sheath

by Harold Paez, J.C. Vuletin, Ronald L. Soave and Rocco V. Sellitto

J. Am. Podiatr. Med. Assoc. 1999, 89(7), 368-372; https://doi.org/10.7547/87507315-89-7-368 - 1 Jul 1999

Cited by 18 | Viewed by 89

Abstract

The authors present a brief review of giant cell tumor of tendon sheath and three case reports. A discussion emphasizing the histologic characteristics of this lesion demonstrates the benign-to-malignant variability of these neoplastic growths. Special attention is directed to a case with aggressive [...] Read more.

The authors present a brief review of giant cell tumor of tendon sheath and three case reports. A discussion emphasizing the histologic characteristics of this lesion demonstrates the benign-to-malignant variability of these neoplastic growths. Special attention is directed to a case with aggressive histologic characteristics. Reexcision after surgery should be considered in cases where microscopic examination reveals a lesion with characteristics suggestive of potentially aggressive behavior. Full article

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Open AccessCase Report

Magnetic resonance imaging evaluation of heel pain

by Jeffrey C. Karr

J. Am. Podiatr. Med. Assoc. 1999, 89(7), 364-367; https://doi.org/10.7547/87507315-89-7-364 - 1 Jul 1999

Cited by 1 | Viewed by 65

Abstract

Magnetic resonance imaging is superior to radiographic and scintigraphic examination for pathologic evaluation of the musculoskeletal system. Magnetic resonance imaging demonstrates increased sensitivity and specificity compared with radiographic evaluation, and equal sensitivity and increased specificity compared with scintigraphic examination. Two case studies of [...] Read more.

Magnetic resonance imaging is superior to radiographic and scintigraphic examination for pathologic evaluation of the musculoskeletal system. Magnetic resonance imaging demonstrates increased sensitivity and specificity compared with radiographic evaluation, and equal sensitivity and increased specificity compared with scintigraphic examination. Two case studies of magnetic resonance imaging evaluation of heel pain involving a calcaneal stress fracture and a capillary hemangioma are presented. Full article

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Open AccessCase Report

The effect of hallux valgus correction on chronic plantar ulceration. A case report

by Alan R. Bryant, Kevin P. Singer and Paul Tinley

J. Am. Podiatr. Med. Assoc. 1999, 89(7), 358-363; https://doi.org/10.7547/87507315-89-7-358 - 1 Jul 1999

Cited by 3 | Viewed by 85

Abstract

Plantar pressure-measurement technology may provide the clinician with valuable objective information for monitoring the effects of therapeutic intervention on the foot. The use of this technology is described in the preoperative and postoperative assessment of a patient undergoing hallux valgus surgery for the [...] Read more.

Plantar pressure-measurement technology may provide the clinician with valuable objective information for monitoring the effects of therapeutic intervention on the foot. The use of this technology is described in the preoperative and postoperative assessment of a patient undergoing hallux valgus surgery for the treatment of a chronic neuropathic skin ulcer over the medioplantar aspect of her first metatarsophalangeal joint. Full article

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Open AccessArticle

Footwear and postural stability in older people

by Hylton B. Menz and Stephen R. Lord

J. Am. Podiatr. Med. Assoc. 1999, 89(7), 346-357; https://doi.org/10.7547/87507315-89-7-346 - 1 Jul 1999

Cited by 87 | Viewed by 68

Abstract

Accidental falls in the older population are common and often result in serious injury. Although a number of factors have been recognized as risk factors for falling, the effect of footwear on postural stability is often overlooked. This article reviews the literature on [...] Read more.

Accidental falls in the older population are common and often result in serious injury. Although a number of factors have been recognized as risk factors for falling, the effect of footwear on postural stability is often overlooked. This article reviews the literature on the effect of various footwear features on postural stability and suggests areas that warrant further investigation. Full article

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Open AccessArticle

The safety of itraconazole in the diabetic population

by Douglas A. Albreski and Earl G. Gross

J. Am. Podiatr. Med. Assoc. 1999, 89(7), 339-345; https://doi.org/10.7547/87507315-89-7-339 - 1 Jul 1999

Cited by 31 | Viewed by 171

Abstract

This study examined the safety of itraconazole for the treatment of onychomycosis in patients with diabetes mellitus compared with standard palliative treatment. Fifty-two diabetic subjects in a large Veterans Affairs health system who had been diagnosed as having lower-extremity complications and distal dermatophytic [...] Read more.

This study examined the safety of itraconazole for the treatment of onychomycosis in patients with diabetes mellitus compared with standard palliative treatment. Fifty-two diabetic subjects in a large Veterans Affairs health system who had been diagnosed as having lower-extremity complications and distal dermatophytic subungual onychomycosis of the toenail were randomized to receive either intermittent itraconazole, 200 mg twice daily, or standard palliative care, consisting of toenail trimming, cleaning, and soaking. Adverse events were reported in 4 of the 27 itraconazole subjects; no adverse events were reported in the 25 palliative treatment subjects. One itraconazole subject was withdrawn from the study because of elevated liver function test results; the other three adverse events (rash, diarrhea, and pedal edema) were considered self-limiting and did not interfere with protocol completion. Analyses of prestudy and poststudy hemoglobin A1c and liver function test results in both treatment groups were comparable, with no statistically significant differences. Itraconazole was found to be safe for the treatment of distal dermatophytic subungual onychomycosis in diabetic patients with lower-extremity complications having multiple concomitant disorders and requiring concurrent pharmacologic regimens. Full article

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Open AccessArticle

The use of ultrasound in the foot and ankle

by Matthew S. Rockett

J. Am. Podiatr. Med. Assoc. 1999, 89(7), 331-338; https://doi.org/10.7547/87507315-89-7-331 - 1 Jul 1999

Cited by 6 | Viewed by 49

Abstract

Ultrasonography is an underutilized tool in the armamentarium of the foot and ankle surgeon. The purpose of this article is to review and illustrate the different applications of musculoskeletal ultrasonography of the foot and ankle. The advantages and disadvantages of this imaging modality [...] Read more.

Ultrasonography is an underutilized tool in the armamentarium of the foot and ankle surgeon. The purpose of this article is to review and illustrate the different applications of musculoskeletal ultrasonography of the foot and ankle. The advantages and disadvantages of this imaging modality are described. Full article

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J. Am. Podiatr. Med. Assoc., Volume 89, Issue 7 (07 1999) – 7 articles , Pages 331-376

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