Journal of the American Podiatric Medical Association

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Diabetic Foot Care: Podiatric Physicians Are the Experts

by Richard B. Viehe

J. Am. Podiatr. Med. Assoc. 2002, 92(8), 477; https://doi.org/10.7547/87507315-92-8-477 - 1 Sep 2002

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The profession of podiatric medicine has made great progress in many areas. One of the most significant is in the treatment of people with diabetes [...] Full article

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Open AccessReview

Boxer's Shorts 3: The Medical Version

by Stephen J. Miller

J. Am. Podiatr. Med. Assoc. 2002, 92(8), 476; https://doi.org/10.7547/87507315-92-8-476 - 1 Sep 2002

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Abstract

When you are drowning in managed-care regulations and fee cutbacks, grab a life preserver by latching onto a little medical field humor, created by a physician on the inside track [...] Full article

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Open AccessReview

Introduction to Podopediatrics

by Philip J. Bresnahan

J. Am. Podiatr. Med. Assoc. 2002, 92(8), 475-476; https://doi.org/10.7547/87507315-92-8-475 - 1 Sep 2002

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Abstract

Introduction to Podopediatrics is intended primarily as a basic textbook on pediatric foot and ankle disorders [...] Full article

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Open AccessArticle

Secondary Erythromelalgia

by Joseph E. Naas

J. Am. Podiatr. Med. Assoc. 2002, 92(8), 472-474; https://doi.org/10.7547/87507315-92-8-472 - 1 Sep 2002

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Abstract

Erythromelalgia is a painful disorder of the feet and sometimes the hands characterized by burning, edema, calor, and erythema [...] Full article

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P-glycoprotein as the Mediator of Itraconazole–Digoxin Interaction

by Arush K. Angirasa and Ada Z. Koch

J. Am. Podiatr. Med. Assoc. 2002, 92(8), 471-472; https://doi.org/10.7547/87507315-92-8-471 - 1 Sep 2002

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Extensor Hallucis Longus Tendon Rupture Repair Using a Fascia Lata Allograft

by Lorne A. Zielaskowski and Jane Pontious

J. Am. Podiatr. Med. Assoc. 2002, 92(8), 467-470; https://doi.org/10.7547/87507315-92-8-467 - 1 Sep 2002

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Abstract

The authors present a case of a traumatic extensor hallucis longus tendon rupture sustained 2 days after hallux valgus and hammer toe correction. The ruptured tendon, separated by a 6-cm defect, was repaired using a fascia lata allograft. This case demonstrates a serious [...] Read more.

The authors present a case of a traumatic extensor hallucis longus tendon rupture sustained 2 days after hallux valgus and hammer toe correction. The ruptured tendon, separated by a 6-cm defect, was repaired using a fascia lata allograft. This case demonstrates a serious complication of a commonly performed procedure and a salvage technique useful for dealing with large tendon defects. (J Am Podiatr Med Assoc 92(8): 467-470, 2002) Full article

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Recognition of the Flexor Digitorum Accessorius Longus

by Alan R. Deroy, Chad C. Clause, Eric S. Baskin and Gary R. Bauer

J. Am. Podiatr. Med. Assoc. 2002, 92(8), 463-466; https://doi.org/10.7547/87507315-92-8-463 - 1 Sep 2002

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Abstract

The flexor digitorum accessorius longus muscle was observed during a cadaveric surgery course on the foot and ankle for third-year podiatric medical students. The cadaveric foot had been amputated just proximal to the ankle level so that the muscle origin could not be [...] Read more.

The flexor digitorum accessorius longus muscle was observed during a cadaveric surgery course on the foot and ankle for third-year podiatric medical students. The cadaveric foot had been amputated just proximal to the ankle level so that the muscle origin could not be determined; its insertion, however, was found to be into the flexor digitorum longus tendon, just before the tendon split into its digital slips. This article reviews the literature on the muscle and its clinical implications and describes and shows the muscle as it was seen in this case. (J Am Podiatr Med Assoc 92(8): 463-466, 2002) Full article

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Diabetic Limb Salvage. A Team Approach at a Teaching Institution

by Chad DeNamur and Guy Pupp

J. Am. Podiatr. Med. Assoc. 2002, 92(8), 457-462; https://doi.org/10.7547/87507315-92-8-457 - 1 Sep 2002

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Abstract

In this retrospective review, 19 diabetic patients with significant lower-extremity pathology were assessed to determine the success of limb salvage in cases of varying complexity. The patients were either scheduled or at risk for below-the-knee amputation before intervention. After the limb-salvage procedure, patients [...] Read more.

In this retrospective review, 19 diabetic patients with significant lower-extremity pathology were assessed to determine the success of limb salvage in cases of varying complexity. The patients were either scheduled or at risk for below-the-knee amputation before intervention. After the limb-salvage procedure, patients were followed for 4 months to 9 years. Eighteen patients went on to have successful procedures, avoiding below-the-knee amputation; one patient had an above-the-knee amputation. The results demonstrate the benefits of an aggressive team approach with limb salvage as a goal. (J Am Podiatr Med Assoc 92(8): 457-462, 2002) Full article

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A Prospective Epidemiologic Survey on the Prevalence of Foot Disease in Hong Kong

by Michael Kam Tim Chan and Lai-Yin Chong

J. Am. Podiatr. Med. Assoc. 2002, 92(8), 450-456; https://doi.org/10.7547/87507315-92-8-450 - 1 Sep 2002

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Abstract

A prospective epidemiologic survey on the prevalence of foot disease in Hong Kong found foot disease in 64% of patients screened. All of the patients were ethnically Chinese. Of the conditions specified in the questionnaire, fungal foot infection, tinea pedis, and toenail onychomycosis [...] Read more.

A prospective epidemiologic survey on the prevalence of foot disease in Hong Kong found foot disease in 64% of patients screened. All of the patients were ethnically Chinese. Of the conditions specified in the questionnaire, fungal foot infection, tinea pedis, and toenail onychomycosis were the most frequently encountered conditions, followed by metatarsal corns, eczema, psoriasis, and pes planus. Vascular disease, osteoarticular pathology, diabetes mellitus, obesity, atopy, and participation in sports were the main factors coexisting with the foot conditions. Of the study population, 17% and 21% reported that their quality of life was affected by pain and discomfort, respectively. These percentages are much lower than those obtained in other studies; it may therefore be inferred that foot complaints are being neglected by the ethnic Chinese population in Hong Kong. (J Am Podiatr Med Assoc 92(8): 450-456, 2002) Full article

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Ultrasonographic Evaluation of Plantar Fascia Bands

by Praveen K. Vohra, Brian R. Kincaid, Christopher J. Japour and Ellen Sobel

J. Am. Podiatr. Med. Assoc. 2002, 92(8), 444-449; https://doi.org/10.7547/87507315-92-8-444 - 1 Sep 2002

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Abstract

The authors measured the thickness of the medial, central, and lateral bands of the plantar fascia using ultrasonographic techniques in 109 symptomatic patients with 211 painful heels. Plantar fasciitis was diagnosed by the presence of plantar heel pain and tenderness of the plantar [...] Read more.

The authors measured the thickness of the medial, central, and lateral bands of the plantar fascia using ultrasonographic techniques in 109 symptomatic patients with 211 painful heels. Plantar fasciitis was diagnosed by the presence of plantar heel pain and tenderness of the plantar fascia on palpation and was correlated with plantar fascia thickness. All of the symptomatic feet had medial band tenderness, with an average thickness of 5.9 mm, 68% had central band tenderness, with an average thickness of 5.3 mm, and 26% had lateral band tenderness, with an average thickness of 4.4 mm. The average thickness of all symptomatic bands was 5.35 mm, which was significantly greater than that for all asymptomatic bands, which was 2.70 mm. There were also significant differences in the thickness of the three plantar fascia bands in symptomatic patients. A plantar fascia index was established consisting of the ratio of the mean thickness of symptomatic medial, central, and lateral plantar fascia bands to that of asymptomatic bands; for this study, the index value is 1.98 (5.35/2.70 mm). (J Am Podiatr Med Assoc 92(8): 444-449, 2002) Full article

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ERRATUM

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J. Am. Podiatr. Med. Assoc. 2002, 92(8), 443; https://doi.org/10.7547/87507315-92-8-443 - 1 Sep 2002

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n/a Full article

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The Biology, Medical Management, and Podiatric Implications of Menopause

by Arthur H. Friedlander and Lester J. Jones

J. Am. Podiatr. Med. Assoc. 2002, 92(8), 437-443; https://doi.org/10.7547/87507315-92-8-437 - 1 Sep 2002

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Abstract

Approximately 36 million women in the United States are in the postmenopausal phase of life, creating unique challenges for the provision of compassionate, comprehensive podiatric medical treatment. Long-term estrogen deprivation arising from menopause in association with age-related factors disproportionately increases the risk of [...] Read more.

Approximately 36 million women in the United States are in the postmenopausal phase of life, creating unique challenges for the provision of compassionate, comprehensive podiatric medical treatment. Long-term estrogen deprivation arising from menopause in association with age-related factors disproportionately increases the risk of ischemic heart disease, osteoporosis, and concomitant podiatric complications. This article discusses the physiologic basis of menopause, hormone replacement therapy and its effects on osteoporosis, and other podiatric implications of menopause. Podiatric physicians caring for larger numbers of peri- and postmenopausal women must formulate a comprehensive management plan for treating fractures that arise from a combination of estrogen-deprivation osteoporosis and abnormal foot biomechanics. (J Am Podiatr Med Assoc 92(8): 437-443, 2002) Full article

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A New Technique for Charcot’s Foot Reconstruction

by James C. Wang, Anthony W. Le and Raymond K. Tsukuda

J. Am. Podiatr. Med. Assoc. 2002, 92(8), 429-436; https://doi.org/10.7547/87507315-92-8-429 - 1 Sep 2002

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Abstract

External fixation was used to reduce or arrest progressive degeneration in 28 patients with Charcot’s foot dislocations. Adjunctive procedures included tendo Achilles lengthening and application of an external bone stimulator. Advantages of using external fixation are that surgeries are usually performed percutaneously and [...] Read more.

External fixation was used to reduce or arrest progressive degeneration in 28 patients with Charcot’s foot dislocations. Adjunctive procedures included tendo Achilles lengthening and application of an external bone stimulator. Advantages of using external fixation are that surgeries are usually performed percutaneously and that most patients are weightbearing in 10 to 14 days. There was no incidence of pin tract infection or further foot collapse, with the longest follow-up period being 24 months. The authors propose that use of external fixation with bone stimulation may be an effective alternative method of treating the Charcot foot. (J Am Podiatr Med Assoc 92(8): 429-436, 2002) Full article

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Decreasing Amputation Rates in Patients with Diabetes Mellitus

by Dessie D. Meltzer, Simon Pels, Wyatt G. Payne, Rudolph J. Mannari, Diane Ochs, Jacquelyn Forbes-Kearns and Martin C. Robson

J. Am. Podiatr. Med. Assoc. 2002, 92(8), 425-428; https://doi.org/10.7547/87507315-92-8-425 - 1 Sep 2002

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Abstract

The lower-extremity amputation rate in people with diabetes mellitus is high, and the wound failure rate at the time of amputation is as high as 28%. Even with successful healing of the primary amputation site, amputation of part of the contralateral limb occurs [...] Read more.

The lower-extremity amputation rate in people with diabetes mellitus is high, and the wound failure rate at the time of amputation is as high as 28%. Even with successful healing of the primary amputation site, amputation of part of the contralateral limb occurs in 50% of patients within 2 to 5 years. The purpose of this study was to provide valid outcome data before (control period) and 18 months after (test period) implementation of a multidisciplinary team approach using verified methods to improve the institutional care of wounds. Retrospective medical chart review was performed for 118 control patients and 116 test patients. The amputation rate was significantly decreased during the test period, and the amputations that were required were at a significantly more distal level. No above-the-knee amputations were required in 45 patients during the test period, compared with 14 of 76 patients during the control period. These outcome data suggest that unified care is an effective approach for the patient with diabetic foot problems. (J Am Podiatr Med Assoc 92(8): 425-428, 2002) Full article

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J. Am. Podiatr. Med. Assoc., Volume 92, Issue 8 (09 2002) – 14 articles , Pages 425-477

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