Journal of the American Podiatric Medical Association

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Acceptance Address. APMA Annual Meeting. Houston, Texas August 11, 1999

by Ronald S. Lepow

J. Am. Podiatr. Med. Assoc. 1999, 89(9), 488-493; https://doi.org/10.7547/87507315-89-9-488 - 1 Sep 1999

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Open AccessLetter

Hypertrophy of the Extensor Hallucis Brevis

by R. D. Lee Evans and Jeff Biever

J. Am. Podiatr. Med. Assoc. 1999, 89(9), 485-487; https://doi.org/10.7547/87507315-89-9-485 - 1 Sep 1999

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Anterior Tibial Tendon Rupture: An Atypical Presentation

by Jesse B. Burks and Richard O. Lundeen

J. Am. Podiatr. Med. Assoc. 1999, 89(9), 484-485; https://doi.org/10.7547/87507315-89-9-484 - 1 Sep 1999

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Consensus Development Conference on Diabetic Foot Wound Care. 7–8 April 1999, Boston, Massachusetts

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J. Am. Podiatr. Med. Assoc. 1999, 89(9), 475-483; https://doi.org/10.7547/87507315-89-9-475 - 1 Sep 1999

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The Calcaneal Angle in Nigerians. Relationship to Sex, Age, and Side of the Body

by Blessing C. Didia and Joyce Nnena Dimkpa

J. Am. Podiatr. Med. Assoc. 1999, 89(9), 472-474; https://doi.org/10.7547/87507315-89-9-472 - 1 Sep 1999

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Abstract

The authors studied the calcaneal angle in Nigerians and found it to range from 28 degrees to 38 degrees with a mean of 32.83 degrees (SD 2.84 degrees). The calcaneal angle in Nigerians is not significantly related to sex, age, or side of [...] Read more.

The authors studied the calcaneal angle in Nigerians and found it to range from 28 degrees to 38 degrees with a mean of 32.83 degrees (SD 2.84 degrees). The calcaneal angle in Nigerians is not significantly related to sex, age, or side of the body (left or right). Proper alignment of the calcaneus is essential for the maintenance of the arches of the foot, for standing erect, and for walking and running. Thus the calcaneal angle must be borne in mind whenever reconstructive surgery is performed. Full article

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The Use of Low-Dose Trazodone in the Treatment of Painful Diabetic Neuropathy

by Richard C. Wilson

J. Am. Podiatr. Med. Assoc. 1999, 89(9), 468-471; https://doi.org/10.7547/87507315-89-9-468 - 1 Sep 1999

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Abstract

Thirty-one adult diabetic patients with painful distal symmetrical polyneuropathy were treated with low doses of oral trazodone (50 or 100 mg/day). After 2 weeks of therapy, 19 patients (61.3%) experienced symptomatic relief, and 7 (22.6%) experienced complete relief. Although 8 patients (25.8%) discontinued [...] Read more.

Thirty-one adult diabetic patients with painful distal symmetrical polyneuropathy were treated with low doses of oral trazodone (50 or 100 mg/day). After 2 weeks of therapy, 19 patients (61.3%) experienced symptomatic relief, and 7 (22.6%) experienced complete relief. Although 8 patients (25.8%) discontinued the drug because of side effects, these were relatively minor (dizziness, headache, insomnia). Low-dose trazodone is recommended as an effective treatment option for painful diabetic neuropathy. Full article

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Foot Problems, Functional Impairment, and Falls in Older People

by Hylton B. Menz and Stephen R. Lord

J. Am. Podiatr. Med. Assoc. 1999, 89(9), 458-467; https://doi.org/10.7547/87507315-89-9-458 - 1 Sep 1999

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Abstract

Falls in older people are common and may lead to considerable disability. Although a number of risk factors for falling have been identified, the role of foot problems has received relatively little attention in the literature. This article reviews the literature pertaining to [...] Read more.

Falls in older people are common and may lead to considerable disability. Although a number of risk factors for falling have been identified, the role of foot problems has received relatively little attention in the literature. This article reviews the literature pertaining to the prevalence of foot problems in older people and discusses the relationship of foot problems to functional impairment and falls. In addition, a number of theoretical considerations regarding specific foot conditions and postural instability are outlined. Full article

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The Increased Prevalence of Severe Necrotizing Infections Caused by Non–Group A Streptococci

by Alexander M. Reyzelman, Benjamin A. Lipsky, Suhad A. Hadi, Lawrence B. Harkless and David G. Armstrong

J. Am. Podiatr. Med. Assoc. 1999, 89(9), 454-457; https://doi.org/10.7547/87507315-89-9-454 - 1 Sep 1999

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Abstract

The authors report on 20 patients who were admitted to the University of Texas Health Science Center at San Antonio during a recent 4-month period with foot infections caused predominantly by non-group A streptococci. This number of patients was significantly greater than the [...] Read more.

The authors report on 20 patients who were admitted to the University of Texas Health Science Center at San Antonio during a recent 4-month period with foot infections caused predominantly by non-group A streptococci. This number of patients was significantly greater than the number admitted to the same institution with the same diagnosis during the preceding 3 years. All patients had type 2 diabetes mellitus. In each case, a rapidly spreading cellulitis followed trauma to the foot, which necessitated emergent incision and drainage. Five patients required extensive fascial and skin debridement because of soft-tissue destruction, and two patients needed below-the-knee amputation because of uncontrolled infection. These cases suggest that non-group A streptococci, like group A streptococci, can cause serious skin and soft-tissue infections in patients with diabetes that may require aggressive surgical debridement despite appropriate antibiotic therapy. Full article

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Avascular Necrosis of the First Metatarsal Head. A Different Perspective

by Alan S. Banks

J. Am. Podiatr. Med. Assoc. 1999, 89(9), 441-453; https://doi.org/10.7547/87507315-89-9-441 - 1 Sep 1999

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Abstract

Avascular necrosis of the first metatarsal head has been reported as a potential complication associated with osteotomies at the first metatarsal head for repair of hallux abducto valgus deformity. However, most if not all of the radiographic and clinical findings associated with avascular [...] Read more.

Avascular necrosis of the first metatarsal head has been reported as a potential complication associated with osteotomies at the first metatarsal head for repair of hallux abducto valgus deformity. However, most if not all of the radiographic and clinical findings associated with avascular necrosis at this level may also be explained by other processes. A critical review of avascular necrosis of the first metatarsal head is presented in conjunction with a discussion of alternative etiologies for the radiographic and clinical findings that may be noted following capital osteotomies. Full article

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J. Am. Podiatr. Med. Assoc., Volume 89, Issue 9 (09 1999) – 9 articles , Pages 441-493

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