Journal of the American Podiatric Medical Association

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Public Relations

by Robert D. 'Doug' Sowell

J. Am. Podiatr. Med. Assoc. 2001, 91(3), 161; https://doi.org/10.7547/87507315-91-3-161 - 1 Mar 2001

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In the past few years, APMA has focused increasing attention on pubic relations [...] Full article

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Council on Podiatric Medical Education: Eighty-First Annual Report, 2000

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J. Am. Podiatr. Med. Assoc. 2001, 91(3), 154-160; https://doi.org/10.7547/87507315-91-3-154 - 1 Mar 2001

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The Council on Podiatric Medical Education (CPME) holds recognition as the accrediting body for first professional degree programs in podiatric medicine from the US Department of Education, appearing on the list of nationally recognized accrediting agencies that the US Secretary of Education identifies [...] Read more.

The Council on Podiatric Medical Education (CPME) holds recognition as the accrediting body for first professional degree programs in podiatric medicine from the US Department of Education, appearing on the list of nationally recognized accrediting agencies that the US Secretary of Education identifies as reliable authorities concerning the quality of education offered by educational institutions or programs. The Council has appeared on the Secretary’s list since the recognition process was first legislated in 1952 [...] Full article

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Activity Monitors: Should We Begin Dosing Activity as We Dose a Drug?

by David G. Armstrong and Andrew J.M. Boulton

J. Am. Podiatr. Med. Assoc. 2001, 91(3), 152-153; https://doi.org/10.7547/87507315-91-3-152 - 1 Mar 2001

Cited by 29 | Viewed by 98

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To the Editor: Activity level is a key factor in determining the success or failure of treatment regimes instituted in medicine and surgery [...] Full article

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Smith-Lemli-Opitz Syndrome: A Genetic Disorder with Pedal Manifestations

by Jordan S. Sheff

J. Am. Podiatr. Med. Assoc. 2001, 91(3), 149-152; https://doi.org/10.7547/87507315-91-3-149 - 1 Mar 2001

Cited by 1 | Viewed by 121

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To the Editor: Smith-Lemli-Opitz syndrome is an autosomal recessive disorder due to a defect in cholesterol biosynthesis [...] Full article

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Bilateral Forefoot Gangrene Secondary to Lemierre’s Disease

by Ronald L. Soave and David J. Kuchar

J. Am. Podiatr. Med. Assoc. 2001, 91(3), 147-149; https://doi.org/10.7547/87507315-91-3-147 - 1 Mar 2001

Cited by 4 | Viewed by 113

Abstract

To the Editor: Lemierre’s disease is an acute fulminant disease characterized by an anaerobic oropharyngeal infection leading to septic thrombophlebitis of the internal jugular vein, followed by metastatic foci of infection, most commonly to the lung [...] Full article

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Resection of a Plantar Calcaneal Spur Using the Holmium:Yttrium-Aluminum-Garnet (Ho:YAG) Laser

by William K. Smith, James A. Noriega and William K. Smith, Jr.

J. Am. Podiatr. Med. Assoc. 2001, 91(3), 142-146; https://doi.org/10.7547/87507315-91-3-142 - 1 Mar 2001

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Abstract

Many procedures have been described for the resection of plantar calcaneal spurs as treatment of heel spur syndrome and chronic plantar fasciitis. Most of these techniques involve a medial incision of between 2 and 6 cm for adequate exposure of the calcaneal spur. [...] Read more.

Many procedures have been described for the resection of plantar calcaneal spurs as treatment of heel spur syndrome and chronic plantar fasciitis. Most of these techniques involve a medial incision of between 2 and 6 cm for adequate exposure of the calcaneal spur. This article describes a new technique for resecting a calcaneal spur with a smaller medial incision using the holmium:yttrium-aluminum-garnet (Ho:YAG) laser. This laser permits adequate resection of a plantar calcaneal spur as well as coagulation of the bone and surrounding tissues. This minimally invasive procedure has been used with good results over the past year by the senior author (W.K.S.) for the resection of calcaneal spurs. (J Am Podiatr Med Assoc 91(3): 142-146, 2001) [...] Full article

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Effect of Biofeedback-Assisted Relaxation Training on Foot Ulcer Healing

by Birgitta Rice, Alan J. Kalker, Jay V. Schindler and Russell M. Dixon

J. Am. Podiatr. Med. Assoc. 2001, 91(3), 132-141; https://doi.org/10.7547/87507315-91-3-132 - 1 Mar 2001

Cited by 22 | Viewed by 106

Abstract

A prospective, randomized study was conducted to determine the effect of biofeedback-assisted relaxation training on foot ulcer healing. For patients with chronic nonhealing foot ulcers, medical care was combined with a standardized biofeedback-assisted relaxation training program in the experimental group. The intervention was [...] Read more.

A prospective, randomized study was conducted to determine the effect of biofeedback-assisted relaxation training on foot ulcer healing. For patients with chronic nonhealing foot ulcers, medical care was combined with a standardized biofeedback-assisted relaxation training program in the experimental group. The intervention was designed to increase peripheral perfusion, thereby promoting healing. A total of 32 patients with chronic nonhealing ulcers participated in the study. In the experimental group, 14 out of 16 ulcers (87.5%) healed, as compared with 7 out of 16 ulcers (43.8%) in the control group. (J Am Podiatr Med Assoc 91(3): 132-141, 2001) [...] Full article

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Efficacy of Terbinafine for Toenail Onychomycosis

by Richard Pollak and Stephan A. Billstein

J. Am. Podiatr. Med. Assoc. 2001, 91(3), 127-131; https://doi.org/10.7547/87507315-91-3-127 - 1 Mar 2001

Cited by 21 | Viewed by 369

Abstract

The efficacy of terbinafine (250 mg/day) in the treatment of toenail onychomycosis was evaluated in a large open-label, multicenter trial of 12, 18, and 24 weeks of therapy. All 1,534 patients had onychomycosis, confirmed by either positive potassium hydroxide (KOH) wet mount, positive [...] Read more.

The efficacy of terbinafine (250 mg/day) in the treatment of toenail onychomycosis was evaluated in a large open-label, multicenter trial of 12, 18, and 24 weeks of therapy. All 1,534 patients had onychomycosis, confirmed by either positive potassium hydroxide (KOH) wet mount, positive fungal culture, or both, and all received at least 12 weeks of treatment. Treatment was continued for an additional 6 or 12 weeks, depending on the extent of the disease at follow-up. Mycologic cure rates (negative culture plus negative KOH) at week 72 were 72.1% in the 12- week treatment group, 72.5% in the 18-week group, and 77.0% in the 24-week group. In all groups, clinical cure rates were higher at week 72 than at week 48: 49.5% of the 12-week group, 49.2% of the 18-week group, and 44.6% of the 24-week group experienced clinical cure by the end of the study. Both mycologic and clinical recurrence rates were low in all treatment groups at the 72-week assessment. The results of this study confirm the efficacy of terbinafine in the treatment of toenail onychomycosis as demonstrated in previous registration and large-scale clinical trials. (J Am Podiatr Med Assoc 91(3): 127-131, 2001) [...] Full article

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The Reliability of Clinical and Caliper-Based Calcaneal Bisection Measurements

by Stephan J. LaPointe, Charles Peebles, Aprajita Nakra and Howard Hillstrom

J. Am. Podiatr. Med. Assoc. 2001, 91(3), 121-126; https://doi.org/10.7547/87507315-91-3-121 - 1 Mar 2001

Cited by 17 | Viewed by 126

Abstract

The measurements of subtalar joint neutral position and hindfoot range of motion have been shown to be unreliable. The first step in making these measurements is to determine the calcaneal bisection. This study examines the reliability of bisecting the calcaneus with digital linear [...] Read more.

The measurements of subtalar joint neutral position and hindfoot range of motion have been shown to be unreliable. The first step in making these measurements is to determine the calcaneal bisection. This study examines the reliability of bisecting the calcaneus with digital linear calipers. Five trials on each of six cadavers resulted in a mean absolute angular difference of 0.60° (SD ±1.17°). These results were then compared with results from the typical visual method used clinically. Three raters each performed five trials on six cadavers. Visual bisection was more variable, with a mean absolute error of 3.61° (±3.13°). A mean error of 6° (±1°) is certainly possible when the heel is visually bisected. It was determined that the caliper bisection was a valid technique for bisection of the heel, but that clinical visual bisection was not. (J Am Podiatr Med Assoc 91(3): 121-126, 2001) [...] Full article

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Molecular Quantification of Human β-Glucuronidase Levels in a Patient with Vohwinkel’s Syndrome

by Thomas J. Hughes, Monica L. Hughes and Bryan D. Caldwell

J. Am. Podiatr. Med. Assoc. 2001, 91(3), 114-120; https://doi.org/10.7547/87507315-91-3-114 - 1 Mar 2001

Cited by 1 | Viewed by 98

Abstract

The skin must undergo the process of keratinization in order to perform its functions. During the process of differentiation, certain genes are activated while others are repressed, leading to changes in structural proteins and enzymes and in the synthesis of various lipids. An [...] Read more.

The skin must undergo the process of keratinization in order to perform its functions. During the process of differentiation, certain genes are activated while others are repressed, leading to changes in structural proteins and enzymes and in the synthesis of various lipids. An error in any of these steps can ultimately impair the process of keratinization. Vohwinkel’s syndrome is the direct result of a defect in keratinization. Patients who have this epidermolytic palmoplantar keratoderma present clinically with hyperkeratosis of the stratum corneum. Hyperkeratosis has been linked to an increase in β-glucuronidase levels. The authors studied the absolute concentration of human β-glucuronidase in a patient with Vohwinkel’s syndrome as determined through a doubleantibody sandwich enzyme-linked immunosorbent assay and a Western blot assay of the blood, urine, and skin of the patient. (J Am Podiatr Med Assoc 91(3): 114-120, 2001) [...] Full article

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Pain at the Site of Tarsal Tunnel Incision Due to Neuroma of the Posterior Branch of the Saphenous Nerve

by Jaesuk Kim and A. Lee Dellon

J. Am. Podiatr. Med. Assoc. 2001, 91(3), 109-113; https://doi.org/10.7547/87507315-91-3-109 - 1 Mar 2001

Cited by 34 | Viewed by 124

Abstract

The authors conducted a retrospective review of 16 patients who presented with the complaint of pain at the incision site after tarsal tunnel decompression. Specifically, the pain was located at the proximal aspect of the tarsal tunnel decompression scar. The mean duration of [...] Read more.

The authors conducted a retrospective review of 16 patients who presented with the complaint of pain at the incision site after tarsal tunnel decompression. Specifically, the pain was located at the proximal aspect of the tarsal tunnel decompression scar. The mean duration of pain was 21 months (range, 6 to 34 months). The pain was eliminated by a block of the distal saphenous nerve, demonstrating that the pain was due to a neuroma of this nerve. The pain was treated by resection of the distal saphenous nerve in the distal leg and implantation of the proximal end of this nerve into the soleus muscle. At a mean of 18.5 months after surgery (range, 6 to 33 months), excellent relief of pain was achieved in 76% of cases and good relief of pain in 24% of cases. (J Am Podiatr Med Assoc 91(3): 109-113, 2001) [...] Full article

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J. Am. Podiatr. Med. Assoc., Volume 91, Issue 3 (03 2001) – 11 articles , Pages 109-161

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