Journal of the American Podiatric Medical Association

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Open AccessCase Report

Subungual Squamous Cell Carcinoma Mistaken for a Verruca

by John W. Robinette, Fred Day III and Philip Hahn, Jr.

J. Am. Podiatr. Med. Assoc. 1999, 89(8), 435-437; https://doi.org/10.7547/87507315-89-8-435 - 1 Aug 1999

Cited by 14 | Viewed by 58

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Open AccessLetter

Superglue for the Treatment of Heel Fissures

by Hiro Hashimoto

J. Am. Podiatr. Med. Assoc. 1999, 89(8), 434-435; https://doi.org/10.7547/87507315-89-8-434 - 1 Aug 1999

Cited by 4 | Viewed by 75

Abstract

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Open AccessCase Report

Clinical Diagnosis of Posterior Tibial Tendon Rupture

by Steven E. Adelstein, Jeff Bray and Alan J. Schram

J. Am. Podiatr. Med. Assoc. 1999, 89(8), 433-434; https://doi.org/10.7547/87507315-89-8-433 - 1 Aug 1999

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Open AccessArticle

Integrating Strategies for Podiatric Public Health, Clinical Services, and Education

by Arthur E. Helfand

J. Am. Podiatr. Med. Assoc. 1999, 89(8), 427-432; https://doi.org/10.7547/87507315-89-8-427 - 1 Aug 1999

Cited by 4 | Viewed by 58

Abstract

Changes in the health-care system will continue to modify the delivery of podiatric medical care and podiatric medical education. Podiatric medicine and its educational programs will need to focus on the management of care, special populations, and disease prevention. Future providers will need [...] Read more.

Changes in the health-care system will continue to modify the delivery of podiatric medical care and podiatric medical education. Podiatric medicine and its educational programs will need to focus on the management of care, special populations, and disease prevention. Future providers will need to participate as team members and respond to new patterns of care, including the special needs of the older population. This article explores methodologies for professional activities, administration, incentives for change, academic issues, innovation, implementation, outcome measures, and health policy development. Podiatric medicine must be prepared to establish standards, protocols, and guidelines to serve as the benchmark for foot health. Full article

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Open AccessArticle

Onychocryptosis Associated with the Treatment of Onychomycosis

by Laurence K. Connelley, Scott M. Dinehart and Rodney McDonald

J. Am. Podiatr. Med. Assoc. 1999, 89(8), 424-426; https://doi.org/10.7547/87507315-89-8-424 - 1 Aug 1999

Cited by 13 | Viewed by 66

Abstract

With the advent of effective oral therapies for onychomycosis, there have been anecdotal reports of an increased incidence of onychocryptosis associated with the use of these new agents. The authors undertook a chart review of 100 consecutive patients treated for onychomycosis in a [...] Read more.

With the advent of effective oral therapies for onychomycosis, there have been anecdotal reports of an increased incidence of onychocryptosis associated with the use of these new agents. The authors undertook a chart review of 100 consecutive patients treated for onychomycosis in a private medical practice to determine the incidence of onychocryptosis. A total of 37 of these patients (37%) developed paronychia ranging from simple pain to a severe inflammatory response with redness, drainage, and granuloma formation. Of these, 19 patients (19%) required surgical procedures to control onychocryptotic symptoms. Podiatric physicians should be aware that ingrown toenails may be an adverse consequence of effective treatment for onychomycosis. Full article

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Open AccessCase Report

Dermatofibrosarcoma Protuberans. A Rare Case Involving the Pediatric Foot

by Joseph A. Cione, Brian Lynn and Joseph Boylan

J. Am. Podiatr. Med. Assoc. 1999, 89(8), 419-423; https://doi.org/10.7547/87507315-89-8-419 - 1 Aug 1999

Cited by 5 | Viewed by 69

Abstract

Dermatofibrosarcoma protuberans is a rare, slow-growing, locally destructive, intermediate-grade malignancy that originates in the dermal layer of the skin. Dermatofibrosarcoma protuberans rarely metastasizes and has a marked tendency to recur following local surgical excision. The lesion is found most commonly on the trunk, [...] Read more.

Dermatofibrosarcoma protuberans is a rare, slow-growing, locally destructive, intermediate-grade malignancy that originates in the dermal layer of the skin. Dermatofibrosarcoma protuberans rarely metastasizes and has a marked tendency to recur following local surgical excision. The lesion is found most commonly on the trunk, on the proximal aspect of both the lower and upper extremities, and in the head and neck region. Dermatofibrosarcoma protuberans occurs most commonly in people between the ages of 20 and 50. This article describes the clinical and pathologic features of this rare, malignant neoplasm and describes a rare case of dermatofibrosarcoma protuberans involving the pediatric foot. Full article

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Open AccessCase Report

Atypical Heel Pain. Hyperparathyroidism-Induced Stress Fracture of the Calcaneus

by William D. Fishco and Richard G. Stiles

J. Am. Podiatr. Med. Assoc. 1999, 89(8), 413-418; https://doi.org/10.7547/87507315-89-8-413 - 1 Aug 1999

Cited by 8 | Viewed by 78

Abstract

The authors present a case of atypical heel pain masquerading as plantar fasciitis. The patient was subsequently diagnosed with hyperparathyroidism-induced stress fracture of the calcaneus. The clinical entity of hyperparathyroidism and its manifestations in the skeletal system are presented, as well as a [...] Read more.

The authors present a case of atypical heel pain masquerading as plantar fasciitis. The patient was subsequently diagnosed with hyperparathyroidism-induced stress fracture of the calcaneus. The clinical entity of hyperparathyroidism and its manifestations in the skeletal system are presented, as well as a review of stress fractures and pertinent imaging studies. Full article

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Open AccessArticle

Phenol and Alcohol Chemical Matrixectomy in Diabetic versus Nondiabetic Patients. A Retrospective Study

by Patrick M. Felton and Terry D. Weaver

J. Am. Podiatr. Med. Assoc. 1999, 89(8), 410-412; https://doi.org/10.7547/87507315-89-8-410 - 1 Aug 1999

Cited by 32 | Viewed by 77

Abstract

The authors performed a retrospective study of the safety and efficacy of toenail phenol and alcohol chemical matrixectomy in diabetic versus nondiabetic patients. Participating in the study were 66 patients, who underwent 137 nail procedures. The diabetic group consisted of 18 patients who [...] Read more.

The authors performed a retrospective study of the safety and efficacy of toenail phenol and alcohol chemical matrixectomy in diabetic versus nondiabetic patients. Participating in the study were 66 patients, who underwent 137 nail procedures. The diabetic group consisted of 18 patients who underwent 39 procedures; the nondiabetic group consisted of 48 patients who underwent 98 procedures. The mean (+/- SD) healing time was 44 +/- 25 days for the diabetic group and 43 +/- 24 days for the nondiabetic group. The infection rate was 10.3% (4 of 39 procedures) for the diabetic group and 12.2% (12 of 98 procedures) for the nondiabetic group. In addition to validating this procedure for diabetic patients, this study showed no significant differences in the rate of postoperative complications between the two groups. Full article

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Open AccessArticle

The Effect of Pregnancy on Footprint Parameters. A Prospective Investigation

by Adam R. Bird, Hylton B. Menz and Christopher C. Hyde

J. Am. Podiatr. Med. Assoc. 1999, 89(8), 405-409; https://doi.org/10.7547/87507315-89-8-405 - 1 Aug 1999

Cited by 68 | Viewed by 62

Abstract

Pregnancy produces significant alterations in the posture of the pregnant woman; however, gait changes that occur during pregnancy have not been adequately evaluated in the literature. This prospective investigation of the footprints of 25 pregnant women from early pregnancy to just prior to [...] Read more.

Pregnancy produces significant alterations in the posture of the pregnant woman; however, gait changes that occur during pregnancy have not been adequately evaluated in the literature. This prospective investigation of the footprints of 25 pregnant women from early pregnancy to just prior to parturition revealed a significant increase in the base of gait during walking. This change in gait function may be a compensatory mechanism to improve locomotor stability, and may have important implications for foot function and development of lower-extremity pathology in pregnant women. Full article

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Open AccessArticle

Clarifying Proximal Diaphyseal Fifth Metatarsal Fractures. The Acute Fracture versus the Stress Fracture

by Karl B. Landorf

J. Am. Podiatr. Med. Assoc. 1999, 89(8), 398-404; https://doi.org/10.7547/87507315-89-8-398 - 1 Aug 1999

Cited by 22 | Viewed by 72

Abstract

This article discusses the classification and treatment of proximal diaphyseal fifth metatarsal fractures. There are two types of proximal diaphyseal fracture of the fifth metatarsal: the acute proximal diaphyseal fracture and the proximal diaphyseal stress fracture. Confusion between the two types of fractures [...] Read more.

This article discusses the classification and treatment of proximal diaphyseal fifth metatarsal fractures. There are two types of proximal diaphyseal fracture of the fifth metatarsal: the acute proximal diaphyseal fracture and the proximal diaphyseal stress fracture. Confusion between the two types of fractures is probably due to their similar location and the historical practice of referring to all fractures in this location as Jones fractures. Both fractures are prone to delayed union and require long periods of nonweightbearing immobilization or internal fixation for healing. However, because the mechanism of injury is different for each fracture, the treatment plan may need to be tailored to the particular type of fracture. Full article

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Open AccessArticle

Hydroxyapatite as a Bone Substitute

by Kieran T. Mahan and Martin J. Carey

J. Am. Podiatr. Med. Assoc. 1999, 89(8), 392-397; https://doi.org/10.7547/87507315-89-8-392 - 1 Aug 1999

Cited by 22 | Viewed by 65

Abstract

A bone substitute eliminates the need for autogenous and allogeneic bone grafting, along with the complications unique to each. Coralline hydroxyapatite is a synthetic bone void filler manufactured from marine coral, which has a natural trabecular structure similar to that of cancellous bone. [...] Read more.

A bone substitute eliminates the need for autogenous and allogeneic bone grafting, along with the complications unique to each. Coralline hydroxyapatite is a synthetic bone void filler manufactured from marine coral, which has a natural trabecular structure similar to that of cancellous bone. While initial studies have been promising, the use of coralline hydroxyapatite may be limited in the foot and ankle owing to its inherent mechanical weakness and lack of biodegradation. In this retrospective study, 20 patients who received coralline hydroxyapatite implants were reviewed to determine associated complications and host reaction to the material. The results indicate that the material is biologically inert and safe to use as a small-defect filler in low-load applications. Long-term clinical trials are needed to determine the indications for this material in the foot and ankle. Full article

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Open AccessArticle

A model to assess age-related changes in two-point discrimination of plantar skin

by William Lynch and Jean Mooney

J. Am. Podiatr. Med. Assoc. 1999, 89(8), 383-391; https://doi.org/10.7547/87507315-89-8-383 - 1 Aug 1999

Cited by 4 | Viewed by 57

Abstract

A device was constructed to assess two-point discrimination in the plantar skin of younger, middle-aged, and older adults. The device consisted of paired filaments, each delivering a tip force of 4.56 log units (equivalent to 3.63 g), at a fixed distance apart. Statistical [...] Read more.

A device was constructed to assess two-point discrimination in the plantar skin of younger, middle-aged, and older adults. The device consisted of paired filaments, each delivering a tip force of 4.56 log units (equivalent to 3.63 g), at a fixed distance apart. Statistical analysis showed significant differences in two-point discrimination accuracy between these groups of subjects. Younger subjects showed greater accuracy of plantar two-point discrimination than either middle-aged or older subjects, with an apparent inverse linear relationship between subject age and plantar two-point discrimination ability. A model to assess age-related changes in two-point discrimination is presented. Full article

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J. Am. Podiatr. Med. Assoc., Volume 89, Issue 8 (08 1999) – 12 articles , Pages 383-437

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