Journal of the American Podiatric Medical Association

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The Publications of APMA

by Richard B. Viehe

J. Am. Podiatr. Med. Assoc. 2003, 93(1), 90; https://doi.org/10.7547/87507315-93-1-90 - 1 Jan 2003

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In my series of columns on accomplishments of the profession of podiatric medicine, I have focused on a variety of activities [...] Full article

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2002 Podiatric Practice Survey. Statistical Results

by Al Fisher Associates, Inc

J. Am. Podiatr. Med. Assoc. 2003, 93(1), 67-86; https://doi.org/10.7547/87507315-93-1-67 - 1 Jan 2003

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This report presents the results of analyses of statistical data from 2,955 members of the American Podiatric Medical Association who responded to the 2002 Podiatric Practice Survey, conducted in April through May 2002. Full article

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Introduction

by Christian A. Robertozzi

J. Am. Podiatr. Med. Assoc. 2003, 93(1), 66; https://doi.org/10.7547/87507315-93-1-66 - 1 Jan 2003

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Abstract

It is with great pleasure that the Education Committee of the American Podiatric Medical Association, in conjunction with the Department of Scientific Affairs, presents the 2002 Podiatric Practice Survey [...] Full article

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An Approach to Foot Orthopedics

by Merton L. Root

J. Am. Podiatr. Med. Assoc. 2003, 93(1), 63-65; https://doi.org/10.7547/87507315-93-1-63 - 1 Jan 2003

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The purpose of this presentation is to acquaint the profession with the type of material the speaker has been presenting at lectures in the Western states [...] Full article

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Merton L. Root: 1922–2002

by Robert D. Phillips

J. Am. Podiatr. Med. Assoc. 2003, 93(1), 62; https://doi.org/10.7547/87507315-93-1-62 - 1 Jan 2003

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On September 25, 2002, the podiatric profession lost one of its most influential members, Dr. Merton L. Root [...] Full article

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Lower-Extremity Wounds Inflicted by Rats

by Jason M. Levy, Richard S. Levin and James T. Clancy

J. Am. Podiatr. Med. Assoc. 2003, 93(1), 58-61; https://doi.org/10.7547/87507315-93-1-58 - 1 Jan 2003

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To the Editor: A study by Hirschhorn and Hodge1 cited a rate of 10 rat bites per 100,000 people per year in large cities according to the Centers for Disease Control and Prevention [...] Full article

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Multiple Schwannomas of the Foot. Case Report and Strategy for Treatment

by Richard C. Mott and A. Lee Dellon

J. Am. Podiatr. Med. Assoc. 2003, 93(1), 51-57; https://doi.org/10.7547/87507315-93-1-51 - 1 Jan 2003

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Abstract

Determining the appropriate treatment of a benign tumor of a peripheral nerve in the foot and ankle region presents a clinical dilemma, as resection of the tumor will cause loss of nerve function and create the possibility of a painful neuroma. Several surgical [...] Read more.

Determining the appropriate treatment of a benign tumor of a peripheral nerve in the foot and ankle region presents a clinical dilemma, as resection of the tumor will cause loss of nerve function and create the possibility of a painful neuroma. Several surgical solutions to this problem were used in the care of a patient who presented with painful bilateral Morton’s neuromas and was found to have bilateral schwannomas on pathologic examination of the resected nerves. Subsequent evaluation for recurrent bilateral foot pain demonstrated multiple tumors along the tibial nerve in one foot. The patient also became aware of a painful mass on the dorsolateral aspect of one foot. Review of the treatment options for this patient with multiple schwannomas provides a framework for decision making in the care of the patient with benign neural tumors of the foot. Full article

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Fall-Contributing Adverse Effects of the Most Frequently Prescribed Drugs

by Robert G. Smith

J. Am. Podiatr. Med. Assoc. 2003, 93(1), 42-50; https://doi.org/10.7547/87507315-93-1-42 - 1 Jan 2003

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Abstract

The 200 most frequently prescribed medications in 2000 were reviewed for adverse effects that have the potential to cause fall injuries. The actual number of different medications reviewed was 169 after eliminating duplicates due to listing of medications by both brand and generic [...] Read more.

The 200 most frequently prescribed medications in 2000 were reviewed for adverse effects that have the potential to cause fall injuries. The actual number of different medications reviewed was 169 after eliminating duplicates due to listing of medications by both brand and generic names. Of these 169 medications, adverse effects of documented traumatic injuries and falls were reported for 9.5% (n = 16). Four hundred forty-eight adverse effects were identified and organized into 13 broad categories representing drug-induced changes in nervous, circulatory, and muscular systems. These changes were reported for 157 medications reviewed (92.9%) and could result in fall injuries. The accompanying list of medications can serve as a ready reference for podiatric physicians and other health-care professionals when monitoring and counseling patients regarding the potential for medication-induced fall injuries, which are especially common in the elderly population. Full article

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Comorbidities Associated with Diabetic Foot Complications Among Asian Americans in Southern California

by Paul Y. Han, Ruben Ezquerro, Kwei-min Pan, Steven Hwang, Yong Chung and Jin-Jou Lu

J. Am. Podiatr. Med. Assoc. 2003, 93(1), 37-41; https://doi.org/10.7547/87507315-93-1-37 - 1 Jan 2003

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Abstract

The comorbidities of diabetes mellitus were evaluated in an Asian American population with podiatric symptoms living in southern California. The three most common nonpedal complaints in men were blurred vision (73.6%), hypertension (64.1%), and erectile dysfunction (52.3%) and in women were blurred vision [...] Read more.

The comorbidities of diabetes mellitus were evaluated in an Asian American population with podiatric symptoms living in southern California. The three most common nonpedal complaints in men were blurred vision (73.6%), hypertension (64.1%), and erectile dysfunction (52.3%) and in women were blurred vision (84.5%), incontinence (71.5%), and low-back pain with radiculopathy-like symptoms (56.5%). The most significant finding was that only 3.2% of all patients had any previous knowledge or understanding of the risks of foot infection, ulceration, and amputation secondary to diabetes mellitus. The prevalence of diabetes mellitus in ethnic populations once considered practically exempt continues to rise steadily, and Asians living in the United States are becoming casualties of diabetes mellitus and its complications. Full article

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Relationship Between Onychocryptosis and Foot Type and Treatment with Toe Spacer. A Preliminary Investigation

by Izge Günal, Can Koşay, Arzu Veziroğlu, Yasemin Balkan and Funda İlhan

J. Am. Podiatr. Med. Assoc. 2003, 93(1), 33-36; https://doi.org/10.7547/87507315-93-1-33 - 1 Jan 2003

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The relationship between onychocryptosis and foot type was investigated in a series of 512 patients. Of these patients, 124 had signs or a history of onychocryptosis. Among the nine foot types identified by digital and metatarsal formulas, the Greek index minus and squared [...] Read more.

The relationship between onychocryptosis and foot type was investigated in a series of 512 patients. Of these patients, 124 had signs or a history of onychocryptosis. Among the nine foot types identified by digital and metatarsal formulas, the Greek index minus and squared index minus types showed the strongest association with onychocryptosis, which was present in more than one-third of such feet. When anteroposterior radiographs of each type of foot were taken after binding the first and second toes together to simulate a tight shoe, the enlargement of bony structures of the second toe at the distal interphalangeal level in the Greek and squared index minus feet moved toward the distal enlargement of the distal phalanx of the first toe where the ingrowing occurs. Ten cases of stage I and four cases of stage II onychocryptosis were treated by placing a toe spacer between the first and second toes; all healed in about 3 weeks, suggesting that counterpressure of the second toe in tight shoes is a factor in the development of onychocryptosis. Full article

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Kinetics of High-Heeled Gait

by Meltem Esenyel, Katlen Walsh, Judith Gail Walden and Andrew Gitter

J. Am. Podiatr. Med. Assoc. 2003, 93(1), 27-32; https://doi.org/10.7547/87507315-93-1-27 - 1 Jan 2003

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A within-subject comparative study of walking while wearing low-heeled sports shoes versus high-heeled dress shoes was performed to identify and describe changes in lower-extremity joint kinetics associated with wearing high-heeled shoes during level overground walking. A volunteer sample of 15 unimpaired female subjects [...] Read more.

A within-subject comparative study of walking while wearing low-heeled sports shoes versus high-heeled dress shoes was performed to identify and describe changes in lower-extremity joint kinetics associated with wearing high-heeled shoes during level overground walking. A volunteer sample of 15 unimpaired female subjects recruited from the local community underwent quantitative measurement of sagittal and frontal plane lower-extremity joint function, including angular motion, muscular moment, power, and work. When walking in high-heeled shoes, a significant reduction in ankle plantar flexor muscle moment, power, and work occurred during the stance phase, whereas increased work was performed by the hip flexor muscles during the transition from stance to swing. In the frontal plane, increased hip and knee varus moments were present. These differences demonstrate that walking in high-heeled shoes alters lower-extremity joint kinetic function. Reduced effectiveness of the ankle plantar flexors during late stance results in a compensatory enhanced hip flexor “pull-off” that assists in limb advancement during the stance-to-swing transition. Larger muscle moments and increased work occur at the hip and knee, which may predispose long-term wearers of high-heeled shoes to musculoskeletal pain. Full article

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Use of a Needleless Injection System for Digital Ring Block Anesthesia

by Michael Dialynas, Simon J. Hollingsworth, David Cooper and Stephen G. E. Barker

J. Am. Podiatr. Med. Assoc. 2003, 93(1), 23-26; https://doi.org/10.7547/87507315-93-1-23 - 1 Jan 2003

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Abstract

Digital ring block anesthesia, which is frequently used before surgery for ingrown toenails, is often extremely uncomfortable for patients and can be the most distressing aspect of the procedure. The authors used a novel needleless injection device to induce digital anesthesia before surgery [...] Read more.

Digital ring block anesthesia, which is frequently used before surgery for ingrown toenails, is often extremely uncomfortable for patients and can be the most distressing aspect of the procedure. The authors used a novel needleless injection device to induce digital anesthesia before surgery and compared it in terms of patient discomfort and preference with use of a standard needle and syringe for injection in individuals undergoing simultaneous bilateral nail procedures. Use of the needleless device significantly reduced the pain associated with this procedure and was preferred over use of a standard needle and syringe by all individuals. Other potential advantages of a needleless injection system are discussed. Full article

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External Thermoregulation of Wounds Associated with Lower-Extremity Osteomyelitis. A Pilot Study

by Jeffrey C. Karr

J. Am. Podiatr. Med. Assoc. 2003, 93(1), 18-22; https://doi.org/10.7547/87507315-93-1-18 - 1 Jan 2003

Cited by 3 | Viewed by 69

Abstract

External thermoregulation using noncontact normothermic wound therapy accelerates wound closure by second intention in areas of existing osteomyelitis before surgical excision compared with standard wound care. This pilot study consisted of two arms. The control arm received standard wound care, which resulted in [...] Read more.

External thermoregulation using noncontact normothermic wound therapy accelerates wound closure by second intention in areas of existing osteomyelitis before surgical excision compared with standard wound care. This pilot study consisted of two arms. The control arm received standard wound care, which resulted in complete ulcer healing at an average of 127 days. The treatment arm received noncontact normothermic wound therapy, which resulted in complete ulcer healing at an average of 59 days, or 54% faster than in the control arm. This new treatment allows the physician to decrease the rate of limb loss and recurrent osteomyelitis by decreasing the morbidity of bone reinfection through the wound bed. There have been no published studies or case presentations addressing thermoregulation in the management of wounds associated with osteomyelitis. Although noncontact normothermic wound therapy is not a direct treatment for osteomyelitis, this new treatment option results in significantly accelerated healing of wounds associated with osteomyelitis. Full article

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Knowledge of Aging and Attitudes Toward Older People. A Survey of Australian Podiatric Medical Students

by Hylton B. Menz, Francis A. Stewart and Matthew J. Oates

J. Am. Podiatr. Med. Assoc. 2003, 93(1), 11-17; https://doi.org/10.7547/87507315-93-1-11 - 1 Jan 2003

Cited by 12 | Viewed by 67

Abstract

Podiatric medical students in Australia were surveyed to evaluate their reasons for entering podiatric medicine, knowledge of aging, attitudes toward older people, perceptions of treatment efficacy, and desire to specialize in geriatrics. Few students plan to specialize in geriatrics upon graduation (4%), with [...] Read more.

Podiatric medical students in Australia were surveyed to evaluate their reasons for entering podiatric medicine, knowledge of aging, attitudes toward older people, perceptions of treatment efficacy, and desire to specialize in geriatrics. Few students plan to specialize in geriatrics upon graduation (4%), with most preferring general practice (25%) or sports medicine (21%). However, knowledge of aging was good, and students had favorable attitudes toward older people and considered treatment of older people to be effective. Few age- or gender-related effects were observed. It is concluded that students’ lack of desire to specialize in geriatrics may be due not to unfavorable perceptions of older people but rather to the low profile and limited development of geriatrics as a specialty area within the podiatric medical profession. (J Am Podiatr Med Assoc 93(1): 11-17, 2003) Full article

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Fracture of the Second Metatarsal Base. An Overlooked Cause of Chronic Midfoot Pain

by Gregory Morris, Kelly Nix and Flair D. Goldman

J. Am. Podiatr. Med. Assoc. 2003, 93(1), 6-10; https://doi.org/10.7547/87507315-93-1-6 - 1 Jan 2003

Cited by 7 | Viewed by 62

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Fracture of the second metatarsal is a cause of chronic midfoot pain that has not been thoroughly examined in the literature. A retrospective review of medical charts and imaging studies was undertaken to investigate this phenomenon. The clinical presentation, differential diagnosis, results of [...] Read more.

Fracture of the second metatarsal is a cause of chronic midfoot pain that has not been thoroughly examined in the literature. A retrospective review of medical charts and imaging studies was undertaken to investigate this phenomenon. The clinical presentation, differential diagnosis, results of imaging studies, and treatment modalities are described for eight patients with midfoot pain who were treated for a mean of 3.7 months (range, 0 to 12 months) before imaging studies showed a nondisplaced transverse fracture of the second metatarsal base. Initial radiographs indicated fracture in only one patient. Two patients later had surgical bone grafting, two patients had asymptomatic nonunion, and three patients eventually healed. At the last follow-up examination, one patient was continuing treatment with immobilization and electrical bone stimulation. For the seven patients in whom symptoms resolved, the mean recovery period was 14 months (range, 5 to 23 months). Further research is needed to improve treatment and outcomes for this condition. (J Am Podiatr Med Assoc 93(1): 6-10, 2003) Full article

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Variability of Neutral-Position Casting of the Foot

by Vivienne Chuter, Craig Payne and Kathryn Miller

J. Am. Podiatr. Med. Assoc. 2003, 93(1), 1-5; https://doi.org/10.7547/87507315-93-1-1 - 1 Jan 2003

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Abstract

Neutral-position casting of the foot is used for the manufacture of functional foot orthoses, and an accurate cast is widely assumed to be a prerequisite for a good orthotic device. The primary aim of this study was to determine the variability of casting [...] Read more.

Neutral-position casting of the foot is used for the manufacture of functional foot orthoses, and an accurate cast is widely assumed to be a prerequisite for a good orthotic device. The primary aim of this study was to determine the variability of casting between inexperienced and experienced clinicians and the variability of one experienced clinician taking multiple casts. Ten inexperienced and ten experienced clinicians took a cast of the right foot of a single subject, and a single experienced clinician took ten casts of the same foot. The frontal plane forefoot-to-rearfoot relationship of each cast was determined, and no difference was found in the mean and variances among the three groups. The range of the forefoot-to-rearfoot relationship across all groups was from 10.0° everted to 6.5° inverted, indicating that there is a wide range in neutral-position casting of the foot. As outcome studies have reported the successful outcomes of functional foot orthoses, this wide variability may not necessarily be a problem. (J Am Podiatr Med Assoc 93(1): 1-5, 2003) Full article

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J. Am. Podiatr. Med. Assoc., Volume 93, Issue 1 (01 2003) – 16 articles , Pages 1-90

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