Journal of the American Podiatric Medical Association

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The Strength of Podiatric Medicine

by Robert D. "Doug" Sowell

J. Am. Podiatr. Med. Assoc. 2002, 92(3), 180; https://doi.org/10.7547/87507315-92-3-180 - 1 Mar 2002

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Any profession is only as strong as its members [...] Full article

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‘Horses for Courses’: The Differences Between Quantitative and Qualitative Approaches to Research

by Anthony C. Redmond, Anne-Maree Keenan and Karl Landorf

J. Am. Podiatr. Med. Assoc. 2002, 92(3), 159-169; https://doi.org/10.7547/87507315-92-3-159 - 1 Mar 2002

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Abstract

Some clinicians may feel dissociated from, and intimidated by the ever-increasing emphasis on research. However, with an understanding of some of the basic principles and key terms, research can feel less daunting. It is the aim of this article, the second in a [...] Read more.

Some clinicians may feel dissociated from, and intimidated by the ever-increasing emphasis on research. However, with an understanding of some of the basic principles and key terms, research can feel less daunting. It is the aim of this article, the second in a series of three focusing on understanding research, to introduce clinicians to the different approaches to research, to improve understanding of what the approaches mean, and to highlight when a particular approach may be appropriate. Furthermore, the article will provide an explanation of some of the common terms used within clinical research. This should aid the clinician in applying good, simple, scientific principles to evaluating clinical research evidence. (J Am Podiatr Med Assoc 92(3): 159-169, 2002). Full article

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Introduction

by Anthony Redmond

J. Am. Podiatr. Med. Assoc. 2002, 92(3), 158; https://doi.org/10.7547/87507315-92-3-158 - 1 Mar 2002

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The following article is the second in a short series of articles originally published in the Australasian Journal of Podiatric Medicine [...] Full article

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Capillary Hemangioma of the Foot

by Joseph A. Cione and John Cozzarelli

J. Am. Podiatr. Med. Assoc. 2002, 92(3), 155-157; https://doi.org/10.7547/87507315-92-3-155 - 1 Mar 2002

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Abstract

Capillary hemangiomas are benign, vascular lesions of skin and mucous membranes that often occur in infancy and childhood. Capillary hemangiomas are most commonly found in the head and neck region. Capillary hemangiomas that occur in adults and on the lower extremities are uncommon. [...] Read more.

Capillary hemangiomas are benign, vascular lesions of skin and mucous membranes that often occur in infancy and childhood. Capillary hemangiomas are most commonly found in the head and neck region. Capillary hemangiomas that occur in adults and on the lower extremities are uncommon. A clinical case involving surgical treatment of the lesion on an adult foot is presented. (J Am Podiatr Med Assoc 92(3): 155-157, 2002). Full article

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Congenital Absence of the Tibial Sesamoid

by Fred Day, P. Clint Jones and Christi L. Gilbert

J. Am. Podiatr. Med. Assoc. 2002, 92(3), 153-154; https://doi.org/10.7547/87507315-92-3-153 - 1 Mar 2002

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Abstract

Congenital absence of the tibial sesamoid of the hallux is an infrequent occurrence. The authors present a case of congenital absence of the tibial sesamoid and a review of the literature regarding the clinical significance of this anomaly. (J Am Podiatr Med Assoc [...] Read more.

Congenital absence of the tibial sesamoid of the hallux is an infrequent occurrence. The authors present a case of congenital absence of the tibial sesamoid and a review of the literature regarding the clinical significance of this anomaly. (J Am Podiatr Med Assoc 92(3): 153-154, 2002). Full article

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Pedal Gangrene Secondary to Disseminated Intravascular Coagulation with Gastric Carcinoma

by Liza Gragasin-Saviano, Ernest Isaacson and Rodney M. Stuck

J. Am. Podiatr. Med. Assoc. 2002, 92(3), 149-152; https://doi.org/10.7547/87507315-92-3-149 - 1 Mar 2002

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Abstract

Consumptive coagulopathy resulting in a disseminated intravascular coagulation is most often seen in infectious diseases and hematologic malignancies. Solid tumors may be associated with disseminated intravascular coagulation that results in gangrene of the upper extremity. A case report of lower-extremity gangrene as the [...] Read more.

Consumptive coagulopathy resulting in a disseminated intravascular coagulation is most often seen in infectious diseases and hematologic malignancies. Solid tumors may be associated with disseminated intravascular coagulation that results in gangrene of the upper extremity. A case report of lower-extremity gangrene as the pathology for gastric carcinoma is presented. The need for a multidisciplinary approach to this clinical presentation is noted. (J Am Podiatr Med Assoc 92(3): 149-152, 2002). Full article

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A Comparative Study of Lactic Acid 10% and Ammonium Lactate 12% Lotion in the Treatment of Foot Xerosis

by Maureen B. Jennings, Loretta Logan, Donna M. Alfieri, Charles F. Ross, Susan Goodwin and Christine Lesczczynski

J. Am. Podiatr. Med. Assoc. 2002, 92(3), 143-148; https://doi.org/10.7547/87507315-92-3-143 - 1 Mar 2002

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Abstract

Xerotic skin is a pattern of reaction to a variety of disorders that have abnormalities of desquamation in common. This double-blind, randomized clinical trial investigated the effect of Lactinol (Pedinol Pharmaceuticals, Farmingdale, New York) versus Lac-Hydrin 12% (Bristol-Myers Squibb, Princeton, New Jersey) lotion [...] Read more.

Xerotic skin is a pattern of reaction to a variety of disorders that have abnormalities of desquamation in common. This double-blind, randomized clinical trial investigated the effect of Lactinol (Pedinol Pharmaceuticals, Farmingdale, New York) versus Lac-Hydrin 12% (Bristol-Myers Squibb, Princeton, New Jersey) lotion in mild to moderate foot xerosis. Clinical assessment of xerosis was performed at baseline visit, and the designated sites were evaluated at 2 and 4 weeks after treatment began. Of the 53 patients enrolled, 18 were excluded from analysis. Although both treatment groups had significantly improved xerosis scores after 2 and 4 weeks of treatment, no statistically significant difference was observed. Of the 44% of patients who did express a preference, 72% preferred Lactinol, which may account for the 20% increase in its overall use in the study. (J Am Podiatr Med Assoc 92(3): 143-148, 2002). Full article

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Clinical and Dynamic Range-of-Motion Techniques in Subjects With and Without Diabetes Mellitus

by Paul Tinley and Michael Taranto

J. Am. Podiatr. Med. Assoc. 2002, 92(3), 136-142; https://doi.org/10.7547/87507315-92-3-136 - 1 Mar 2002

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Abstract

Thirty subjects with type 1 diabetes, 30 subjects with type 2 diabetes, and 30 age- and sex-matched controls were evaluated through clinical goniometry and two-dimensional motion analysis systems to determine the dynamic and static range of motion of the knee, ankle, and hallux [...] Read more.

Thirty subjects with type 1 diabetes, 30 subjects with type 2 diabetes, and 30 age- and sex-matched controls were evaluated through clinical goniometry and two-dimensional motion analysis systems to determine the dynamic and static range of motion of the knee, ankle, and hallux joints. The purpose of this study was to determine if the knee and ankle joints of patients with diabetes mellitus are affected by limited joint mobility syndrome. The study results support previous medical literature showing significant reduction of range of motion of the hallux in subjects with type 1 diabetes. Significant differences were found between the range of motion of male and female subjects in all lower-limb joints for both subject groups with diabetes compared to the control group, and male subjects in all groups recorded less range of motion than female subjects. (J Am Podiatr Med Assoc 92(3): 136-142, 2002). Full article

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The Mozena Classification System and Treatment Algorithm for Ingrown Hallux Nails

by John D. Mozena

J. Am. Podiatr. Med. Assoc. 2002, 92(3), 131-135; https://doi.org/10.7547/87507315-92-3-131 - 1 Mar 2002

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Abstract

Infected ingrown toenails raise the question of how much nail should be removed and what amount of nail fold reduction should occur. Often, the ungual labia folds are found to be hypertrophic, forcing the nail to push into the flesh and start a [...] Read more.

Infected ingrown toenails raise the question of how much nail should be removed and what amount of nail fold reduction should occur. Often, the ungual labia folds are found to be hypertrophic, forcing the nail to push into the flesh and start a foreign body reaction. A simplified approach to this problem is proposed on the basis of the measurement of 100 normal nail folds and 25 infected nail folds. The results of this study show that the treatment goal should be to achieve an ungual labia fold of less than 3 mm, concluding that there is a correlation between the depth of the ungual labia fold and the severity of the infected ingrown toenail. (J Am Podiatr Med Assoc 92(3): 131-135, 2002). Full article

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Symptomatic Reversal of Peripheral Neuropathy in Patients with Diabetes

by Alan B. Kochman, Dale H. Carnegie and Thomas J. Burke

J. Am. Podiatr. Med. Assoc. 2002, 92(3), 125-130; https://doi.org/10.7547/87507315-92-3-125 - 1 Mar 2002

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Abstract

Forty-nine consecutive subjects with established diabetic peripheral neuropathy were treated with monochromatic near-infrared photo energy (MIRE) to determine if there was an improvement of sensation. Loss of protective sensation characterized by Semmes-Weinstein monofilament values of 4.56 and above was present in 100% of [...] Read more.

Forty-nine consecutive subjects with established diabetic peripheral neuropathy were treated with monochromatic near-infrared photo energy (MIRE) to determine if there was an improvement of sensation. Loss of protective sensation characterized by Semmes-Weinstein monofilament values of 4.56 and above was present in 100% of subjects (range, 4.56 to 6.45), and 42 subjects (86%) had Semmes-Weinstein values of 5.07 or higher. The ability to discriminate between hot and cold sensation was absent (54%) or impaired (46%) in both groups prior to the initiation of MIRE treatment. On the basis of Semmes-Weinstein monofilament values, 48 subjects (98%) exhibited improved sensation after 6 treatments, and all subjects had improved sensation after 12 treatments. Therefore, MIRE may be a safe, drug-free, noninvasive treatment for the consistent and predictable improvement of sensation in diabetic patients with peripheral neuropathy of the feet. (J Am Podiatr Med Assoc 92(3): 125-130, 2002). Full article

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J. Am. Podiatr. Med. Assoc., Volume 92, Issue 3 (03 2002) – 10 articles , Pages 125-180

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