Journal of the American Podiatric Medical Association

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Open AccessEditorial

Perspectives

by Robert D. “Doug” Sowell

J. Am. Podiatr. Med. Assoc. 2001, 91(10), 558; https://doi.org/10.7547/87507315-91-10-558 - 1 Nov 2001

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Abstract

It is always important to keep the events of our lives in perspective [...] Full article

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Open AccessLetter

Efficacy of Terbinafine for Toenail Onychomycosis

by George F. Wallace

J. Am. Podiatr. Med. Assoc. 2001, 91(10), 542; https://doi.org/10.7547/87507315-91-10-542 - 1 Nov 2001

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Abstract

In the article “Efficacy of Terbinafine for Toenail Onychomycosis,” [...] Full article

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Open AccessArticle

Terbinafine-Associated Taste Disturbance with Normal Taste Threshold Scores

by Harvey Lemont and Marc Sabo

J. Am. Podiatr. Med. Assoc. 2001, 91(10), 540-541; https://doi.org/10.7547/87507315-91-10-540 - 1 Nov 2001

Cited by 12 | Viewed by 52

Abstract

The medical literature reveals numerous reports of transient taste disturbance associated with the use of oral terbinafine. A review of these reports, however, fails to confirm taste disturbances by formal taste testing. In this article, a case of long-standing taste dysfunction in a [...] Read more.

The medical literature reveals numerous reports of transient taste disturbance associated with the use of oral terbinafine. A review of these reports, however, fails to confirm taste disturbances by formal taste testing. In this article, a case of long-standing taste dysfunction in a patient who exhibited normal formal taste thresholds is described. (J Am Podiatr Med Assoc 91(10): 540-541, 2001) Full article

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Open AccessArticle

Internal Fixation of a Displaced Tibial Sesamoid Fracture

by Jay Riley and Marc Selner

J. Am. Podiatr. Med. Assoc. 2001, 91(10), 536-539; https://doi.org/10.7547/87507315-91-10-536 - 1 Nov 2001

Cited by 12 | Viewed by 69

Abstract

The authors present a surgical technique for the preservation and repair of an acutely fractured sesamoid using internal fixation of the sesamoid. A case report demonstrating the technique for the open reduction and internal fixation of a fractured tibial sesamoid is presented. The [...] Read more.

The authors present a surgical technique for the preservation and repair of an acutely fractured sesamoid using internal fixation of the sesamoid. A case report demonstrating the technique for the open reduction and internal fixation of a fractured tibial sesamoid is presented. The authors recommend this procedure as a viable alternative to surgical excision of the tibial sesamoid. The use of the procedure as an adjunct for the surgical treatment of recalcitrant traumatic sesamoiditis is also discussed. (J Am Podiatr Med Assoc 91(10): 536-539, 2001) Full article

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Open AccessArticle

The Role of Revascularization in Transmetatarsal Amputations

by Javier La Fontaine, Alex Reyzelman, Gary Rothenberg, Khalid Husain and Lawrence B. Harkless

J. Am. Podiatr. Med. Assoc. 2001, 91(10), 533-535; https://doi.org/10.7547/87507315-91-10-533 - 1 Nov 2001

Cited by 30 | Viewed by 64

Abstract

Data from 37 patients who underwent a transmetatarsal amputation from January 1993 to April 1996 were reviewed. The mean age and diabetes duration of the subjects were 54.9 (± 13.2) years and 16.6 (± 8.9) years, respectively. The follow-up period averaged 42.1 (± [...] Read more.

Data from 37 patients who underwent a transmetatarsal amputation from January 1993 to April 1996 were reviewed. The mean age and diabetes duration of the subjects were 54.9 (± 13.2) years and 16.6 (± 8.9) years, respectively. The follow-up period averaged 42.1 (± 11.2) months. At the time of follow-up, 29 (78.4%) of the 37 patients still had foot salvage, 8 (21.6%) had progressed to below-the-knee amputation, and 15 (40.5%) had undergone lower-extremity revascularization. Twelve (80%) of the 15 revascularized patients preserved their transmetatarsal amputation level at a follow-up of 36.4 months. The authors concluded that at a maximum of 3 years follow-up after initial amputation, transmetatarsal amputation was a successful amputation level. (J Am Podiatr Med Assoc 91(10): 533-535, 2001) Full article

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Open AccessArticle

Survey of the Effects of Aerobic Dance on the Lower Extremity in Aerobic Instructors

by Verona du Toit and Richard Smith

J. Am. Podiatr. Med. Assoc. 2001, 91(10), 528-532; https://doi.org/10.7547/87507315-91-10-528 - 1 Nov 2001

Cited by 21 | Viewed by 55

Abstract

The rate of aerobic dance injuries has been high for two decades. To determine the types of lower-extremity injuries to aerobic instructors, a questionnaire was sent to 18 fitness centers in the Sydney, Australia, metropolitan area requesting information on the number and types [...] Read more.

The rate of aerobic dance injuries has been high for two decades. To determine the types of lower-extremity injuries to aerobic instructors, a questionnaire was sent to 18 fitness centers in the Sydney, Australia, metropolitan area requesting information on the number and types of injuries, frequency of activity levels, footwear worn, and treatments sought. The reported rate of injury was 77%. The leg was the most common site of injury, reported by 52.9% of respondents, followed by the foot and ankle (32.8%), and the knee (20%). These figures are comparable to previous studies. Further investigation is warranted into causes and preventive measures, and information on the kinetics and kinematics of the lower extremity may increase understanding of the incidence of lower-extremity injuries to aerobic instructors and participants. (J Am Podiatr Med Assoc 91(10): 528-532, 2001) Full article

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Open AccessArticle

Patient Satisfaction with Oral versus Nonoral Therapeutic Approaches in Onychomycosis

by David M. Stier, Douglas Gause, Warren S. Joseph, Jeffrey R. Schein, Jeanette M. Broering, Karen L. Warolin and Joseph J. Doyle

J. Am. Podiatr. Med. Assoc. 2001, 91(10), 521-527; https://doi.org/10.7547/87507315-91-10-521 - 1 Nov 2001

Cited by 8 | Viewed by 50

Abstract

The follow-up results of a 9-month observational study of 150 onychomycosis patients treated with a variety of mechanical, topical, and oral therapies by podiatric physicians and dermatologists are presented. Changes from baseline in toenail condition and patient satisfaction were assessed at 4- and [...] Read more.

The follow-up results of a 9-month observational study of 150 onychomycosis patients treated with a variety of mechanical, topical, and oral therapies by podiatric physicians and dermatologists are presented. Changes from baseline in toenail condition and patient satisfaction were assessed at 4- and 9-month follow-up. At 9 months, patients who had received oral therapy reported significantly fewer onychomycosis-related problems in social situations, including embarrassment or self-consciousness about the appearance of nails, avoidance of contact by others, being perceived as unclean or untidy, and the desire to keep their nails concealed. Patient-reported satisfaction with the treatment program was significantly higher for those receiving oral therapy than for those receiving nonoral therapy. (J Am Podiatr Med Assoc 91(10): 521-527, 2001) Full article

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Open AccessArticle

The Effect of Customized Insoles on the Reduction of Postwork Discomfort

by Ellen Sobel, Steven J. Levitz, Mark A. Caselli, Paul J. Christos and Jonathan Rosenblum

J. Am. Podiatr. Med. Assoc. 2001, 91(10), 515-520; https://doi.org/10.7547/87507315-91-10-515 - 1 Nov 2001

Cited by 27 | Viewed by 69

Abstract

This study examined the effect of customized insoles in relieving postwork discomfort in healthy individuals whose jobs require long periods of standing and walking. CompuSole insoles were worn by 122 New York City Police Department officers for up to 5 weeks for an [...] Read more.

This study examined the effect of customized insoles in relieving postwork discomfort in healthy individuals whose jobs require long periods of standing and walking. CompuSole insoles were worn by 122 New York City Police Department officers for up to 5 weeks for an average of 7 hours per day. The officers walked an average of 3 miles per day. Before the study, one-fifth of the police officers in this study experienced foot pain or discomfort at the end of their workday; 15% had calluses, corns, or athlete’s foot; 18% had sought treatment for a foot problem in the past; and 20% had worn foot orthoses. There was a significant reduction in tiredness in the feet at the end of the day after wearing the insoles, but no improvement in back or leg discomfort. At the end of the workday, 68% had less foot discomfort and 60% were more comfortable at work when wearing the insoles. (J Am Podiatr Med Assoc 91(10): 515-520, 2001) Full article

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Open AccessArticle

Evaluation of Pressure Threshold Prior to Foot Ulceration. One- versus Two-Point Static Touch

by Mitchell A. Barber, Janice Conolley, Cecily M. Spaulding and A. Lee Dellon

J. Am. Podiatr. Med. Assoc. 2001, 91(10), 508-514; https://doi.org/10.7547/87507315-91-10-508 - 1 Nov 2001

Cited by 19 | Viewed by 74

Abstract

A prospective study of 29 patients with diabetic neuropathy and 47 nondiabetic patients with tarsal tunnel syndrome were evaluated with computer-assisted neurosensory testing at three sites on the foot. The sensitivity and specificity of one-point static touch thresholds for identifying the presence of [...] Read more.

A prospective study of 29 patients with diabetic neuropathy and 47 nondiabetic patients with tarsal tunnel syndrome were evaluated with computer-assisted neurosensory testing at three sites on the foot. The sensitivity and specificity of one-point static touch thresholds for identifying the presence of large fiber axonal loss was done using the calculated thresholds for monofilaments derived from their markings. The sensitivity for one-point static touch in identifying axonal loss was 33% for the 5.07, 38% for the 4.93, 50% for the 4.17, and 60% for the 4.08 monofilament-equivalent, with a specificity of 100% at each level. Therefore, one-point static touch testing, even using monofilaments thinner than 5.07, has a high percentage of false-negative results in identifying patients with axonal loss. (J Am Podiatr Med Assoc 91(10): 508-514, 2001) Full article

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Open AccessArticle

Reduction of Peak Pressure on the Forefoot with a Rigid Rocker-Bottom Postoperative Shoe

by Eric Fuller, Stephen Schroeder and Jenifer Edwards

J. Am. Podiatr. Med. Assoc. 2001, 91(10), 501-507; https://doi.org/10.7547/87507315-91-10-501 - 1 Nov 2001

Cited by 36 | Viewed by 79

Abstract

An ideal postoperative shoe should be comfortable to wear and protect the foot during recovery from surgery or injury. Protection is assumed to be related to peak pressure and force-time integral under the foot. This study compared a commonly used postoperative shoe with [...] Read more.

An ideal postoperative shoe should be comfortable to wear and protect the foot during recovery from surgery or injury. Protection is assumed to be related to peak pressure and force-time integral under the foot. This study compared a commonly used postoperative shoe with a new postoperative shoe that incorporates a rigid sole with an 11° rocker bottom. The new postoperative shoe significantly reduced peak pressures on the forefoot by 20%. The amount of pressure and force-time integral reduction is compared with other values found in the literature for various shoe modifications. Indications for rocker-bottom shoes are also explored. (J Am Podiatr Med Assoc 91(10): 501-507, 2001) Full article

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J. Am. Podiatr. Med. Assoc., Volume 91, Issue 10 (11 2001) – 10 articles , Pages 501-558

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