Journal of the American Podiatric Medical Association

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Open AccessArticle

Acceptance Address APMA House of Delegates, Washington, DC: A Family of Podiatric Physicians

by J. D. Ferritto

J. Am. Podiatr. Med. Assoc. 2003, 93(3), 254-256; https://doi.org/10.7547/87507315-93-3-254 - 1 May 2003

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Thirty years ago, in this city, I attended my first House of Delegates; however, I was not attending the House alone [...] Full article

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The Foot and Ankle

by Stephen J. Miller

J. Am. Podiatr. Med. Assoc. 2003, 93(3), 249; https://doi.org/10.7547/87507315-93-3-249 - 1 May 2003

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Abstract

Dedicated to the late Kenneth A. Johnson, MD, who edited the first edition (1994), and consistent with the goal of the Master Techniques series, this hardcover technical manual is designed to provide practical advice and suggestions concerning the difficult but common problems encountered [...] Read more.

Dedicated to the late Kenneth A. Johnson, MD, who edited the first edition (1994), and consistent with the goal of the Master Techniques series, this hardcover technical manual is designed to provide practical advice and suggestions concerning the difficult but common problems encountered in foot and ankle surgery [...] Full article

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Open AccessArticle

Council on Podiatric Medical Education Eighty-third Annual Report, 2002

by Council on Podiatric Medical Education 2003

J. Am. Podiatr. Med. Assoc. 2003, 93(3), 242-248; https://doi.org/10.7547/87507315-93-3-242 - 1 May 2003

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Abstract

The standards, requirements, and procedures of the Council on Podiatric Medical Education (CPME) are reviewed and revised on a regular basis [...] Full article

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Open AccessArticle

Human Skin Equivalent in the Treatment of Chronic Leg Ulcers in Sickle Cell Disease Patients

by Sloan Gordon and Alex Bui

J. Am. Podiatr. Med. Assoc. 2003, 93(3), 240-241; https://doi.org/10.7547/87507315-93-3-240 - 1 May 2003

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Abstract

Sickle cell disease is a major cause of morbidity and mortality among the black population [...] Full article

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Lichen Planus. A Case Study

by Ramyar Moussavi

J. Am. Podiatr. Med. Assoc. 2003, 93(3), 238-239; https://doi.org/10.7547/87507315-93-3-238 - 1 May 2003

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Abstract

Lichen planus was first described in 1869 by Erasmus Wilson, who reported 50 cases of the disease [...] Full article

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Plantar Fasciitis. A Degenerative Process (Fasciosis) Without Inflammation

by Harvey Lemont, Krista M. Ammirati and Nsima Usen

J. Am. Podiatr. Med. Assoc. 2003, 93(3), 234-237; https://doi.org/10.7547/87507315-93-3-234 - 1 May 2003

Cited by 442 | Viewed by 469

Abstract

The authors review histologic findings from 50 cases of heel spur surgery for chronic plantar fasciitis. Findings include myxoid degeneration with fragmentation and degeneration of the plantar fascia and bone marrow vascular ectasia. Histologic findings are presented to support the thesis that “plantar [...] Read more.

The authors review histologic findings from 50 cases of heel spur surgery for chronic plantar fasciitis. Findings include myxoid degeneration with fragmentation and degeneration of the plantar fascia and bone marrow vascular ectasia. Histologic findings are presented to support the thesis that “plantar fasciitis” is a degenerative fasciosis without inflammation, not a fasciitis. These findings suggest that treatment regimens such as serial corticosteroid injections into the plantar fascia should be reevaluated in the absence of inflammation and in light of their potential to induce plantar fascial rupture. (J Am Podiatr Med Assoc 93(3): 234-237, 2003) Full article

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Charcot-Marie-Tooth Disease and Vincristine

by Ángel M. Orejana-García, Javier Pascual-Huerta and Andrés Pérez-Melero

J. Am. Podiatr. Med. Assoc. 2003, 93(3), 229-233; https://doi.org/10.7547/87507315-93-3-229 - 1 May 2003

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Abstract

This article reports on a case of sensorimotor neuropathy in a 55-year-old man that developed after vincristine therapy. Subsequent biopsy of the sural nerve and electromyographic studies revealed the presence of Charcot-Marie-Tooth disease. Only 17 patients who developed severe neuropathy with very low [...] Read more.

This article reports on a case of sensorimotor neuropathy in a 55-year-old man that developed after vincristine therapy. Subsequent biopsy of the sural nerve and electromyographic studies revealed the presence of Charcot-Marie-Tooth disease. Only 17 patients who developed severe neuropathy with very low accumulated doses of vincristine have been described in the literature. Pain and lateral ankle instability were treated with a functional orthosis. Orthopedic treatment and the biomechanical basis of foot and ankle problems in patients with vincristine therapy–induced Charcot-Marie-Tooth disease are discussed. (J Am Podiatr Med Assoc 93(3): 229-233, 2003) Full article

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The Fitting of Amputated and Nonamputated Diabetic Feet. A French Experience at the Villiers-Saint-Denis Hospital

by Jean-Claude Dupre, Eric Dechamps, Michel Pillu and Lan Despeyroux

J. Am. Podiatr. Med. Assoc. 2003, 93(3), 221-228; https://doi.org/10.7547/87507315-93-3-221 - 1 May 2003

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Abstract

The Villiers-Saint-Denis Hospital in France specializes in the rehabilitation of and fitting of orthoses for lower-limb amputees, who frequently have diabetes mellitus. The percentage of partial-foot amputations has increased relative to the percentage of transtibial or transfemoral amputations. This article describes a complete [...] Read more.

The Villiers-Saint-Denis Hospital in France specializes in the rehabilitation of and fitting of orthoses for lower-limb amputees, who frequently have diabetes mellitus. The percentage of partial-foot amputations has increased relative to the percentage of transtibial or transfemoral amputations. This article describes a complete range of orthoses and prostheses, adapted to each patient, that allow recovery of the standing position, gait ability, and physical activity. (J Am Podiatr Med Assoc 93(3): 221-228, 2003) Full article

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High Plantar Pressure and Callus in Diabetic Adolescents. Incidence and Treatment

by Anthony C. Duffin, Robert Kidd, Albert Chan and Kim C. Donaghue

J. Am. Podiatr. Med. Assoc. 2003, 93(3), 214-220; https://doi.org/10.7547/87507315-93-3-214 - 1 May 2003

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Abstract

This study examined the incidence of high peak plantar pressure and plantar callus in 211 adolescents with diabetes mellitus and 57 nondiabetic controls. The percentage of subjects with these anomalies was the same in both groups. Although diabetic subjects were no more likely [...] Read more.

This study examined the incidence of high peak plantar pressure and plantar callus in 211 adolescents with diabetes mellitus and 57 nondiabetic controls. The percentage of subjects with these anomalies was the same in both groups. Although diabetic subjects were no more likely than nondiabetic controls to have high peak plantar pressure and callus, these anomalies place individuals with diabetes at greater risk of future foot problems. The effects of orthoses, cushioning, and both in combination were monitored in 17 diabetic subjects with high peak plantar pressure and in 17 diabetic subjects with plantar callus; reductions of up to 63% were achieved. Twelve-month follow-up of diabetic subjects fitted with orthoses showed a significant reduction in peak plantar pressure even when the orthoses were removed. The diabetic subjects who had not received any interventions during the same 12-month period showed no significant change in peak plantar pressure. (J Am Podiatr Med Assoc 93(3): 214-220, 2003) Full article

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Reliability of the Foot Posture Index and Traditional Measures of Foot Position

by Angela M. Evans, Alexander W. Copper, Rolf W. Scharfbillig, Sheila D. Scutter and Marie T. Williams

J. Am. Podiatr. Med. Assoc. 2003, 93(3), 203-213; https://doi.org/10.7547/87507315-93-3-203 - 1 May 2003

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Abstract

Repeatable measures are essential for clinicians and researchers alike. Both need baseline measures that are reliable, as intervention effects cannot be accurately identified without consistent measures. The intrarater and interrater reliability of the new Foot Posture Index and current podiatric measures of foot [...] Read more.

Repeatable measures are essential for clinicians and researchers alike. Both need baseline measures that are reliable, as intervention effects cannot be accurately identified without consistent measures. The intrarater and interrater reliability of the new Foot Posture Index and current podiatric measures of foot position were assessed using a same-subject, repeated-measures study design across three age groups. The Foot Posture Index total score showed moderate reliability overall, demonstrating better reliability than most other current measures, although navicular height (normalized for foot length) was the single most reliable measure in adults. None of the tested measures exhibited adequate reliability in young children, and, with less-than-desirable reliability being demonstrated, most measures need to be interpreted accordingly when repeated measures are involved. (J Am Podiatr Med Assoc 93(3): 203-213, 2003) Full article

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Confirmation of Dermatophytes in Nail Specimens Using In-Office Dermatophyte Test Medium Cultures. Insights from a Multispecialty Survey

by Maureen B. Jennings and Michael G. Rinaldi

J. Am. Podiatr. Med. Assoc. 2003, 93(3), 195-202; https://doi.org/10.7547/87507315-93-3-195 - 1 May 2003

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Abstract

Using data from a multicenter nationwide multispecialty survey, the authors investigated the efficacy of in-office dermatophyte test medium (DTM) and central laboratory cultures used to confirm onychomycosis across samples collected by podiatric, dermatologic, and primary-care physicians. The samples collected by podiatric physicians were [...] Read more.

Using data from a multicenter nationwide multispecialty survey, the authors investigated the efficacy of in-office dermatophyte test medium (DTM) and central laboratory cultures used to confirm onychomycosis across samples collected by podiatric, dermatologic, and primary-care physicians. The samples collected by podiatric physicians were both positive or both negative in 43% and 27% of patients, respectively. Samples harvested by dermatologists were both positive in 37% of patients and both negative in 32%, while the samples collected by primary-care physicians were both positive in 28% of patients and both negative in 38%. The accuracy of DTM and central laboratory tests is dependent on the proper collection of nail samples, and the accuracy of mycologic test results varied significantly across nail specimens harvested by podiatric, dermatologic, and primary-care physicians. DTM culture was found to be an effective and convenient method of confirming dermatophyte infections in patients with signs of onychomycosis. The data presented here indicate that the special expertise of podiatric physicians in treating foot-related illnesses translates into more accurate mycologic testing. (J Am Podiatr Med Assoc 93(3): 195-202, 2003) Full article

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A Modified Technique for Morton’s Neuroma. Decompression with Relocation

by George R. Vito and Leonard M. Talarico

J. Am. Podiatr. Med. Assoc. 2003, 93(3), 190-194; https://doi.org/10.7547/87507315-93-3-190 - 1 May 2003

Cited by 35 | Viewed by 55

Abstract

Interdigital nerve decompression with relocation was performed on 82 feet in 78 patients. The primary indication for surgery was chronic neuritic symptoms that did not resolve with conservative treatment. All but four patients (95%) achieved complete resolution of preoperative symptoms within an average [...] Read more.

Interdigital nerve decompression with relocation was performed on 82 feet in 78 patients. The primary indication for surgery was chronic neuritic symptoms that did not resolve with conservative treatment. All but four patients (95%) achieved complete resolution of preoperative symptoms within an average of 7 days following surgery, with full sensation restored at an average of 5 weeks. All of the patients could tolerate a shoe with a wide toe box within 8 days postoperatively. Interdigital nerve decompression with relocation provides for rapid resolution of neuritic symptoms and early return to normal activities. It is also a relatively easy surgical technique. As such, nerve decompression with relocation should be the procedure of choice for the treatment of Morton’s neuroma or interdigital nerve compression syndrome. (J Am Podiatr Med Assoc 93(3): 190-194, 2003) Full article

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The Reliability of the Manual Supination Resistance Test

by Hazel Noakes and Craig Payne

J. Am. Podiatr. Med. Assoc. 2003, 93(3), 185-189; https://doi.org/10.7547/87507315-93-3-185 - 1 May 2003

Cited by 29 | Viewed by 57

Abstract

Several decisions need to be made when prescribing foot orthoses for abnormal foot pronation. One of these decisions is how much force is needed from orthoses to supinate the foot. The supination resistance test has been described as one technique to help determine [...] Read more.

Several decisions need to be made when prescribing foot orthoses for abnormal foot pronation. One of these decisions is how much force is needed from orthoses to supinate the foot. The supination resistance test has been described as one technique to help determine the amount of force needed. The aim of this project was to determine the reliability of the manual supination resistance test. Four clinicians of differing levels of experience performed the test on 44 subjects (88 feet) on 2 separate days. The test had good reliability overall, with an intertester intraclass correlation coefficient of 0.89. For the two more experienced clinicians, the intratester intraclass correlation coefficients were good (0.82 and 0.78), but for the two inexperienced clinicians they were poor (0.56 and 0.62). The supination resistance test may be clinically useful in the prescription of foot orthoses, but more work is needed to determine its validity and its relationship to clinical outcomes. (J Am Podiatr Med Assoc 93(3): 185-189, 2003) Full article

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Neurogenic Positional Pedal Neuritis. Common Pedal Manifestations of Spinal Stenosis

by Stuart M. Goldman

J. Am. Podiatr. Med. Assoc. 2003, 93(3), 174-184; https://doi.org/10.7547/87507315-93-3-174 - 1 May 2003

Cited by 7 | Viewed by 61

Abstract

Neurogenic positional pedal neuritis is a presentation of neuritic symptoms in one or both feet usually affected by body position, specifically, the position of the spine. Its etiology is similar to that of neurogenic-induced claudication caused by spinal stenosis in that the symptoms [...] Read more.

Neurogenic positional pedal neuritis is a presentation of neuritic symptoms in one or both feet usually affected by body position, specifically, the position of the spine. Its etiology is similar to that of neurogenic-induced claudication caused by spinal stenosis in that the symptoms are caused by compression or irritation of nerves of the lower lumbosacral spine, usually the fifth lumbar and first sacral nerve roots. Burning, stabbing, a cold feeling, aching, numbness, paresthesia, or a weak or tired feeling of the feet (during some part of the disease process) depend on spinal position and may occur during standing, walking, or even lying in bed. Symptoms may be severe and are often eliminated by lumbosacral spine flexion, such as by walking with wheeled support such as a grocery cart or walker; less frequently by negative-heel shoe modification, which can change the position of the lumbosacral spine in stance; or by alteration of sleeping position. This condition, which can include loss of protective sensation, is often misdiagnosed as neuropathy (especially in diabetic patients) or less frequently as biomechanical in origin. In diabetic patients, this condition is frequently the cause of failure of monochromatic infrared energy therapy for diabetic peripheral neuropathy. Treatment is aimed at reducing the spinal nerve or nerve root irritation. Clear definition of the pedal symptoms of spinal nerve compression within a single diagnostic category should facilitate identification and treatment. (J Am Podiatr Med Assoc 93(3): 174-184, 2003) Full article

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Autogenous Bone Graft Interpositional Arthrodesis for the Correction of Flail Toe. A Retrospective Analysis of 22 Procedures

by Kieran T. Mahan, Michael S. Downey and Glenn D. Weinfeld

J. Am. Podiatr. Med. Assoc. 2003, 93(3), 167-173; https://doi.org/10.7547/87507315-93-3-167 - 1 May 2003

Cited by 14 | Viewed by 65

Abstract

Digital surgery is one of the most common types of surgery performed by foot and ankle surgeons. Flail toe is a complication that may occur after overaggressive resection arthroplasty of the proximal interphalangeal joint of the lesser toes. Correction of flail toe deformity [...] Read more.

Digital surgery is one of the most common types of surgery performed by foot and ankle surgeons. Flail toe is a complication that may occur after overaggressive resection arthroplasty of the proximal interphalangeal joint of the lesser toes. Correction of flail toe deformity has received little attention and has predominantly involved soft-tissue procedures. The authors’ preferred technique for the surgical correction of flail toe is to place a unicortical autogenous bone graft (harvested from the ipsilateral calcaneus) within the revised proximal interphalangeal joint of the lesser toes to create a distraction arthrodesis. This technique allows restoration of digital length, stability, and purchase. A retrospective review of 22 such procedures in 13 patients is presented, along with a literature review of other procedures and a description of the authors’ current surgical technique and postoperative management protocol. Overall success using the authors’ procedure was 82%. Complications occurred in three patients, with one of the grafts showing complete resorption and two requiring additional surgical intervention owing to nonunion and malunion of toes. (J Am Podiatr Med Assoc 93(3): 167-173, 2003) Full article

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J. Am. Podiatr. Med. Assoc., Volume 93, Issue 3 (05 2003) – 15 articles , Pages 167-256

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