Journal of the American Podiatric Medical Association

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by Richard B. Viehe

J. Am. Podiatr. Med. Assoc. 2002, 92(9), 528-529; https://doi.org/10.7547/87507315-92-9-528 - 1 Oct 2002

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As I have discussed in past columns, advancements have been made by the profession of podiatric medicine in many areas; this column is focused on our educational achievements [...] Full article

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Wound-Care Resources on the Internet. An Update

by Oscar L. Corral, William F. Casey and Charles R. Fikar

J. Am. Podiatr. Med. Assoc. 2002, 92(9), 524-527; https://doi.org/10.7547/87507315-92-9-524 - 1 Oct 2002

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Abstract

This report is intended to update information about Internet wound-care sites presented previously in the Journal [...] Full article

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Open AccessArticle

Podiatric Medical Resources on the Internet. A Fourth Update

by Latrina Keith, Denis Dobrochasov and Charles R. Fikar

J. Am. Podiatr. Med. Assoc. 2002, 92(9), 516-523; https://doi.org/10.7547/87507315-92-9-516 - 1 Oct 2002

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Abstract

Internet access to medical information has increased significantly over the past several years [...] Full article

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Ligamentation of the Adductor Hallucis Tendon in Bunionectomy

by Dale G. Shrum

J. Am. Podiatr. Med. Assoc. 2002, 92(9), 512-515; https://doi.org/10.7547/87507315-92-9-512 - 1 Oct 2002

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Abstract

Several techniques are available for the correction of hallux abducto valgus, but none of them provide a direct and mechanically sound attachment to the lateral aspect of the first metatarsal head. The author describes adductor hallucis tendon ligamentation, a technique that produces direct [...] Read more.

Several techniques are available for the correction of hallux abducto valgus, but none of them provide a direct and mechanically sound attachment to the lateral aspect of the first metatarsal head. The author describes adductor hallucis tendon ligamentation, a technique that produces direct stability between the first and second metatarsals. This stability is achieved by transferring the adductor hallucis tendon. The tendon is attached to the distal aspects of the first and second metatarsals. Adductor hallucis tendon ligamentation is a dependable option in the correction of hallux abducto valgus, providing an excellent outcome with good long-term results. (J Am Podiatr Med Assoc 92(9): 512-515, 2002) Full article

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Fibrosarcoma of the Foot Masquerading as Plantar Fasciitis

by Meilee L. Chen, Peter Graf, Mark Masotto and Nader S. Shihabi

J. Am. Podiatr. Med. Assoc. 2002, 92(9), 507-511; https://doi.org/10.7547/87507315-92-9-507 - 1 Oct 2002

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Abstract

Fibrosarcoma is an uncommon, malignant soft-tissue tumor that is rarely found as a primary neoplasm in the foot. A case report is presented that demonstrates a large, locally invasive fibrosarcoma of the plantar aspect of the foot with initial symptoms consistent with plantar [...] Read more.

Fibrosarcoma is an uncommon, malignant soft-tissue tumor that is rarely found as a primary neoplasm in the foot. A case report is presented that demonstrates a large, locally invasive fibrosarcoma of the plantar aspect of the foot with initial symptoms consistent with plantar fasciitis. Below-the-knee amputation was performed as curative treatment. (J Am Podiatr Med Assoc 92(9): 507-511, 2002) Full article

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Use of the Tissue Stress Model as a Paradigm for Developing an Examination and Management Plan for a Patient with Plantar Fasciitis

by Michael Ross

J. Am. Podiatr. Med. Assoc. 2002, 92(9), 499-506; https://doi.org/10.7547/87507315-92-9-499 - 1 Oct 2002

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Abstract

This case report demonstrates the use of the tissue stress model to develop an examination, evaluation, and management plan for a patient with an 8-week history of plantar fasciitis. The patient history focused on determining which tissues were being excessively stressed, and the [...] Read more.

This case report demonstrates the use of the tissue stress model to develop an examination, evaluation, and management plan for a patient with an 8-week history of plantar fasciitis. The patient history focused on determining which tissues were being excessively stressed, and the physical examination was used to apply controlled stresses to these tissues and to determine factors contributing to the patient’s condition. After it was confirmed that the patient’s plantar fascia was under excessive mechanical stress, treatment first focused on reducing pain, inflammation, and stress on the plantar fascia and then on returning the patient to her running program while maintaining symptoms at a diminished level. The patient reported being free of pain 7 weeks after the initial physical therapy examination and at the 11-week telephone follow-up. Although no experimental evidence is given, this report suggests that this patient responded positively to treatment based on the tissue stress model. (J Am Podiatr Med Assoc 92(9): 499-506, 2002) Full article

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Is the Radiographic Appearance of the Hallucal Tarsometatarsal Joint Representative of Its True Anatomical Structure?

by Shawn M. Sanicola, Thomas B. Arnold and Lawrence Osher

J. Am. Podiatr. Med. Assoc. 2002, 92(9), 491-498; https://doi.org/10.7547/87507315-92-9-491 - 1 Oct 2002

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Abstract

The medial cuneiforms and first metatarsals were identified in 515 randomly selected specimens at the Hamman-Todd osteology collection in the Cleveland Museum of Natural History in Cleveland, Ohio, and the transverse plane angulation of the hallucal tarsometatarsal joint was determined by direct measurement [...] Read more.

The medial cuneiforms and first metatarsals were identified in 515 randomly selected specimens at the Hamman-Todd osteology collection in the Cleveland Museum of Natural History in Cleveland, Ohio, and the transverse plane angulation of the hallucal tarsometatarsal joint was determined by direct measurement of the selected bones. Medial cuneiforms were subsequently separated into three categories corresponding to the amount of measured obliquity. The first tarsometatarsal joint was reassembled, and the paired medial cuneiforms and first metatarsals were radiographed at different declination angles in inverted, everted, and rectus positions. Radiographic evaluation revealed discordance between the appearance of atavism and true atavism in the cuneiform. Specifically, it was determined that the position of the hallucal tarsometatarsal joint significantly influenced the appearance of atavism in the cuneiform. It is concluded that the position of the first ray in an anteroposterior radiograph can produce the appearance of an increased obliquity angle of the medial cuneiform, resulting in an inaccurate representation of the hallucal tarsometatarsal joint. (J Am Podiatr Med Assoc 92(9): 491-498, 2002) Full article

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The Effects of Range-of-Motion Therapy on the Plantar Pressures of Patients with Diabetes Mellitus

by Jon R. Goldsmith, Roy H. Lidtke and Susan Shott

J. Am. Podiatr. Med. Assoc. 2002, 92(9), 483-490; https://doi.org/10.7547/87507315-92-9-483 - 1 Oct 2002

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Abstract

A randomized controlled study of 19 patients with diabetes mellitus (10 men, 9 women) was undertaken to determine the effects of home exercise therapy on joint mobility and plantar pressures. Of the 19 subjects, 9 subjects performed unsupervised active and passive range-of-motion exercises [...] Read more.

A randomized controlled study of 19 patients with diabetes mellitus (10 men, 9 women) was undertaken to determine the effects of home exercise therapy on joint mobility and plantar pressures. Of the 19 subjects, 9 subjects performed unsupervised active and passive range-of-motion exercises of the joints in their feet. Each subject was evaluated for joint stiffness and peak plantar pressures at the beginning and conclusion of the study. After only 1 month of therapy, a statistically significant average decrease of 4.2% in peak plantar pressures was noted in the subjects performing the range-of-motion exercises. In the control group, an average increase of 4.4% in peak plantar pressures was noted. Although the joint mobility data revealed no statistically significant differences between the groups, there was a trend for a decrease in joint stiffness in the treatment group. The results of this study demonstrate that an unsupervised range-of-motion exercise program can reduce peak plantar pressures in the diabetic foot. Given that high plantar pressures have been linked to diabetic neuropathic ulceration, it may be possible to reduce the risk of such ulceration with this therapy. (J Am Podiatr Med Assoc 92(9): 483-490, 2002) Full article

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Ankle Equinus Deformity and Its Relationship to High Plantar Pressure in a Large Population with Diabetes Mellitus

by Lawrence A. Lavery, David G. Armstrong and Andrew J. M. Boulton

J. Am. Podiatr. Med. Assoc. 2002, 92(9), 479-482; https://doi.org/10.7547/87507315-92-9-479 - 1 Oct 2002

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Abstract

The authors undertook a study to evaluate the prevalence of ankle equinus and its potential relationship to high plantar pressure in a large, urban population with diabetes mellitus. The first 1,666 consecutive people with diabetes (50.3% male; mean [±SD] age, 69.1 ± 11.1 [...] Read more.

The authors undertook a study to evaluate the prevalence of ankle equinus and its potential relationship to high plantar pressure in a large, urban population with diabetes mellitus. The first 1,666 consecutive people with diabetes (50.3% male; mean [±SD] age, 69.1 ± 11.1 years) presenting to a large, urban, managed-care outpatient clinic were enrolled in this longitudinal, 2-year outcomes study. Patients received a standardized medical and musculoskeletal assessment at the time of enrollment, including evaluation at an onsite gait laboratory. Equinus was defined as less than 0° of dorsiflexion at the ankle. The overall prevalence of equinus in this population was 10.3%. Patients with equinus had significantly higher peak plantar pressures than those without the deformity and were at nearly three times greater risk for presenting with elevated plantar pressures. There were no significant differences in age, weight, or sex between the two groups. However, patients with equinus had a significantly longer duration of diabetes than those without equinus. Having a high index of suspicion for this deformity and subsequently addressing it through conservative or surgical means may help to reduce the risk of foot ulceration and amputation. (J Am Podiatr Med Assoc 92(9): 479-482, 2002) Full article

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J. Am. Podiatr. Med. Assoc., Volume 92, Issue 9 (10 2002) – 9 articles , Pages 479-529

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