Journal of the American Podiatric Medical Association

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Open AccessArticle

by Harold B. Glickman

J. Am. Podiatr. Med. Assoc. 2005, 95(4), 425; https://doi.org/10.7547/0950425 - 1 Jul 2005

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There was quite a bit of uncertainty after the 88th Annual Meeting of the American Podiatric Medical Association, which took place in Philadelphia on August 8–13, 2000 [...] Full article

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Letter to the Editor

by Brian Arnold, Farid Kianifard and Amir Tavakkol

J. Am. Podiatr. Med. Assoc. 2005, 95(4), 421-424; https://doi.org/10.7547/0950421 - 1 Jul 2005

Cited by 11 | Viewed by 56

Abstract

A Comparison of KOH and Culture Results from Two Mycology Laboratories for the Diagnosis of Onychomycosis During a Randomized, Multicenter Clinical Trial: A Subset Study [...] Full article

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American Podiatric Medical Association Best Walking City Competition, 2004

by Allan H. Fisher, George P. Tzamaras, Julia E. Scherer and Amie Haer

J. Am. Podiatr. Med. Assoc. 2005, 95(4), 414-420; https://doi.org/10.7547/0950414 - 1 Jul 2005

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Abstract

In 2004, the American Podiatric Medical Association conducted its third annual “Best Walking City Competition.” This study improved on the 2002 and 2003 studies by increasing the number of cities competing for the title of “Best Walking City” and by including a variety [...] Read more.

In 2004, the American Podiatric Medical Association conducted its third annual “Best Walking City Competition.” This study improved on the 2002 and 2003 studies by increasing the number of cities competing for the title of “Best Walking City” and by including a variety of new measures of walking activities to provide a more comprehensive and equitable basis for comparing cities. The top 20 best walking cities in 2004 were identified from among the 200 largest cities across the United States. Lists of top cities were also developed by city population size and geographic region and by three different types of walking activities prevalent in each city. (J Am Podiatr Med Assoc 95(4): 414–420, 2005). Full article

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Endoscopic Gastrocnemius Recession for the Treatment of Gastrocnemius Equinus

by Lawrence A. DiDomenico, Heiko B. Adams and David Garchar

J. Am. Podiatr. Med. Assoc. 2005, 95(4), 410-413; https://doi.org/10.7547/0950410 - 1 Jul 2005

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Abstract

A prospective analysis was conducted of the amount of correction obtained and number of complications resulting from 31 endoscopic gastrocnemius recessions in 28 patients. The average amount of increase in ankle dorsiflexion was 18°. Few complications were encountered, with mild “soreness” and distal [...] Read more.

A prospective analysis was conducted of the amount of correction obtained and number of complications resulting from 31 endoscopic gastrocnemius recessions in 28 patients. The average amount of increase in ankle dorsiflexion was 18°. Few complications were encountered, with mild “soreness” and distal “bruising” being reported by four patients. The only other complaint was “weakness.” The endoscopic gastrocnemius recession is a minimally invasive technique with a low rate of complications that offers a comparable amount of correction to that of traditional open procedures in the treatment of gastrocnemius equinus. (J Am Podiatr Med Assoc 95(4): 410–413, 2005). Full article

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A New Fixation Technique for the Lapidus Bunionectomy

by James C. Wang and Brendan M. Riley

J. Am. Podiatr. Med. Assoc. 2005, 95(4), 405-409; https://doi.org/10.7547/0950405 - 1 Jul 2005

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Abstract

Presented here is a preliminary report of 102 patients who underwent first metatarsocuneiform joint arthrodeses performed with external fixation for the correction of hallux valgus. The advantages of using external fixation are the ability to initiate early weightbearing, predictable fusion, and removal of [...] Read more.

Presented here is a preliminary report of 102 patients who underwent first metatarsocuneiform joint arthrodeses performed with external fixation for the correction of hallux valgus. The advantages of using external fixation are the ability to initiate early weightbearing, predictable fusion, and removal of all of the hardware postoperatively. In the 102 patients reported here, the average time to initiation of unassisted full weightbearing was 13.1 days. The average time to fusion was 5.3 weeks, with removal of the external fixator at an average of 5.5 weeks postoperatively. There was no incidence of delayed union or nonunion. There was one case of pin-tract irritation, which resolved with appropriate pin care and a short course of oral antibiotics. External fixation is an effective alternative to traditional internal fixation techniques in metatarsocuneiform joint arthrodesis. (J Am Podiatr Med Assoc 95(4): 405–409, 2005). Full article

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Three-Dimensional Reconstruction of Magnetic Resonance Images of a Displaced Flexor Hallucis Longus Tendon in Hallux Valgus

by Antal P. Sanders, René E. Weijers, Christiaan J. Snijders and Lew C. Schon

J. Am. Podiatr. Med. Assoc. 2005, 95(4), 401-404; https://doi.org/10.7547/0950401 - 1 Jul 2005

Cited by 14 | Viewed by 43

Abstract

By using three-dimensional magnetic resonance image reconstruction, lateral displacement of the flexor hallucis longus tendon and sesamoid bones was made clearly visible in a living patient. This finding supports a biomechanical model related to disturbed muscle balance at the first metatarsophalangeal joint, which [...] Read more.

By using three-dimensional magnetic resonance image reconstruction, lateral displacement of the flexor hallucis longus tendon and sesamoid bones was made clearly visible in a living patient. This finding supports a biomechanical model related to disturbed muscle balance at the first metatarsophalangeal joint, which could play an important role in the pathogenesis of hallux valgus and metatarsus primus varus. (J Am Podiatr Med Assoc 95(4): 401–404, 2005). Full article

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Congenital Malalignment of the Great Toenails in a Pair of Monozygotic Twins

by Esin Özdemir, Seher Bostanci, Aynur Akyol, Pelin Ekmekci and Erbak Gürgey

J. Am. Podiatr. Med. Assoc. 2005, 95(4), 398-400; https://doi.org/10.7547/0950398 - 1 Jul 2005

Cited by 10 | Viewed by 45

Abstract

Congenital malalignment of the great toenails is the lateral deviation of the long axis of nail growth relative to the distal phalanx. The nails grow slowly, with thickening, curving, and transverse ridging. We describe a pair of 3-year-old monozygotic female twins with congenital [...] Read more.

Congenital malalignment of the great toenails is the lateral deviation of the long axis of nail growth relative to the distal phalanx. The nails grow slowly, with thickening, curving, and transverse ridging. We describe a pair of 3-year-old monozygotic female twins with congenital malalignment of the great toenails complicated by ingrowing and paronychia. Although there are a few cases without any family history, congenital malalignment is believed to be inherited through an autosomal-dominant gene of variable expression. This report provides further evidence of the heritability of the disease. (J Am Podiatr Med Assoc 95(4): 398–400, 2005). Full article

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Bone Matrix Therapy for Aneurysmal Bone Cysts

by Brian Carpenter and Travis Motley

J. Am. Podiatr. Med. Assoc. 2005, 95(4), 394-397; https://doi.org/10.7547/0950394 - 1 Jul 2005

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Abstract

Aneurysmal bone cysts are unique pathologic entities that cause pain and local osseous destruction. Many surgical treatment modalities have been described. This article reports on the case of a 16-year-old high school athlete with left heel pain due to an aneurysmal bone cyst [...] Read more.

Aneurysmal bone cysts are unique pathologic entities that cause pain and local osseous destruction. Many surgical treatment modalities have been described. This article reports on the case of a 16-year-old high school athlete with left heel pain due to an aneurysmal bone cyst in the calcaneus. Curettage of the bone cyst was performed, and the void was filled with a commercially available mixture of cancellous bone and demineralized bone matrix. Early return to athletic activity was achieved, with no recurrence noted at 3-year follow-up. (J Am Podiatr Med Assoc 95(4): 394–397, 2005). Full article

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Longitudinal Tear of the Tibialis Anterior Tendon

by Graham A. Hamilton and Lawrence A. Ford

J. Am. Podiatr. Med. Assoc. 2005, 95(4), 390-393; https://doi.org/10.7547/0950390 - 1 Jul 2005

Cited by 5 | Viewed by 59

Abstract

Diagnosis and treatment of longitudinal tears of the tibialis anterior tendon are not well documented in the surgical literature. Described here is successful primary surgical repair of a longitudinally torn tibialis anterior tendon in a 60-year-old woman. (J Am Podiatr Med Assoc 95(4): [...] Read more.

Diagnosis and treatment of longitudinal tears of the tibialis anterior tendon are not well documented in the surgical literature. Described here is successful primary surgical repair of a longitudinally torn tibialis anterior tendon in a 60-year-old woman. (J Am Podiatr Med Assoc 95(4): 390–393, 2005). Full article

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Open AccessReview

Low-Molecular-Weight Heparins. An Overview for the Podiatric Physician

by Robert G. Smith

J. Am. Podiatr. Med. Assoc. 2005, 95(4), 383-389; https://doi.org/10.7547/0950383 - 1 Jul 2005

Cited by 1 | Viewed by 48

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Deep venous thrombosis is a common but underdiagnosed medical condition. The epidemiologic features, economic impact, morbidity, and mortality of venous thromboembolism make it imperative that the podiatric physician be familiar with its pathogenesis as well as its pharmacologic treatment. Medical literature rooted in [...] Read more.

Deep venous thrombosis is a common but underdiagnosed medical condition. The epidemiologic features, economic impact, morbidity, and mortality of venous thromboembolism make it imperative that the podiatric physician be familiar with its pathogenesis as well as its pharmacologic treatment. Medical literature rooted in clinical evidence has demonstrated that low-molecular-weight heparins are safe and effective for the prevention and treatment of venous thromboembolism. The primary purpose of this article is to review the pharmacologic characteristics of low-molecular-weight heparins. Dosing recommendations for low-molecular-weight heparins as they apply to the prevention of deep venous thrombosis are presented. Finally, a dosing criteria chart is presented to assist the podiatric physician in prescribing and evaluating low-molecular-weight heparins as a therapeutic class. (J Am Podiatr Med Assoc 95(4): 383–389, 2005) Full article

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The Amount of Rearfoot Motion Used During the Stance Phase of Walking

by Linda Dowdy Youberg, Mark W. Cornwall, Thomas G. McPoil and Patrick R. Hannon

J. Am. Podiatr. Med. Assoc. 2005, 95(4), 376-382; https://doi.org/10.7547/0950376 - 1 Jul 2005

Cited by 9 | Viewed by 44

Abstract

The purpose of this study was to determine the proportion of available passive frontal plane rearfoot motion that is used during the stance phase of walking. Data were collected from 40 healthy, asymptomatic volunteer subjects (20 men and 20 women) aged 23 to [...] Read more.

The purpose of this study was to determine the proportion of available passive frontal plane rearfoot motion that is used during the stance phase of walking. Data were collected from 40 healthy, asymptomatic volunteer subjects (20 men and 20 women) aged 23 to 44 years. Passive inversion and eversion motion was measured in a nonweightbearing position by manually moving the calcaneus. Dynamic rearfoot motion was referenced to a vertical calcaneus and tibia and was measured using a three-dimensional electromagnetic motion-analysis system. The results indicated that individuals used 68.1% of their available passive eversion range of motion and 13.2% of their available passive inversion range of motion during walking. The clinical implication of individuals’ regularly operating at or near the end point of their available rearfoot eversion range of motion is discussed. (J Am Podiatr Med Assoc 95(4): 376–382, 2005) Full article

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Effect of Tube Angulation on the Measurement of Intermetatarsal Angles

by René E. Weijers, Alphons G. H. Kessels, Geert H. I. M. Walenkamp, Henk van Mameren and Gerrit J. Kemerink

J. Am. Podiatr. Med. Assoc. 2005, 95(4), 370-375; https://doi.org/10.7547/0950370 - 1 Jul 2005

Cited by 2 | Viewed by 58

Abstract

We systematically investigated the effect of tube angulation on angular distortion of the anteroposterior radiograph of the foot. Three-dimensional data from the metatarsals originating from computed tomographic scans of ten healthy volunteers were projected onto the supporting surface at various tube angulations to [...] Read more.

We systematically investigated the effect of tube angulation on angular distortion of the anteroposterior radiograph of the foot. Three-dimensional data from the metatarsals originating from computed tomographic scans of ten healthy volunteers were projected onto the supporting surface at various tube angulations to simulate radiography. The distortion of the intermetatarsal angles decreased from 1.2° to 3.5° at 20° tube angulation to 0.4° to 2.7° at 0° tube angulation. The relatively small improvement in angular measurement using 0° instead of 15° tube angulation would not outweigh the adverse effects of changing the standard radiographic technique. Physician awareness of this source of error when planning surgical therapy seems more important. (J Am Podiatr Med Assoc 95(4): 370–375, 2005) Full article

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Treatment of Verruca Plantaris with a Combination of Topical Fluorouracil and Salicylic Acid

by Simon Young and Greg E. Cohen

J. Am. Podiatr. Med. Assoc. 2005, 95(4), 366-369; https://doi.org/10.7547/0950366 - 1 Jul 2005

Cited by 11 | Viewed by 128

Abstract

A medical record review was conducted to determine the clinical outcome and average time to resolution of verruca plantaris in 20 patients treated with twice-daily applications of either 0.5% or 5.0% topical fluorouracil combined with topical 17% and 40% salicylic acid. Seven patients [...] Read more.

A medical record review was conducted to determine the clinical outcome and average time to resolution of verruca plantaris in 20 patients treated with twice-daily applications of either 0.5% or 5.0% topical fluorouracil combined with topical 17% and 40% salicylic acid. Seven patients used 0.5% fluorouracil, and 13 used 5.0% fluorouracil. All of the lesions were sharply debrided at regular 1- or 2-week intervals. All 20 patients achieved full clinical resolution in a mean ± SD of 82.5 ± 56.6 days. Three patients (15%) had recurrent lesions, which subsequently resolved with repeated treatment. Two patients (10%) developed local dermatitis, which resolved with temporary discontinuation of the medication and the addition of a topical corticosteroid. It was observed that the twice-daily application of topical fluorouracil and salicylic acid is a safe and effective treatment for verruca plantaris. (J Am Podiatr Med Assoc 95(4): 366–369, 2005) Full article

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Plantar Pressure and Radiographic Changes to the Forefoot After the Austin Bunionectomy

by Alan R. Bryant, Paul Tinley and Joan H. Cole

J. Am. Podiatr. Med. Assoc. 2005, 95(4), 357-365; https://doi.org/10.7547/0950357 - 1 Jul 2005

Cited by 39 | Viewed by 47

Abstract

We describe the effects of the Austin bunionectomy on plantar pressure distribution and radiographic measurements in the forefoot in 31 subjects (44 feet) with mild-to-moderate hallux valgus deformity and 36 control subjects (36 feet). Plantar pressure measurements before and 24 months after surgery [...] Read more.

We describe the effects of the Austin bunionectomy on plantar pressure distribution and radiographic measurements in the forefoot in 31 subjects (44 feet) with mild-to-moderate hallux valgus deformity and 36 control subjects (36 feet). Plantar pressure measurements before and 24 months after surgery showed peak pressure beneath the hallux reduced to normal values. Peak pressure measurements beneath the first, second, and third metatarsal heads in hallux valgus feet were relatively unchanged after surgery and remained higher than normal values. The operation produced significant decreases in mean preoperative radiographic measurements of hallux abductus, metatarsus primus varus, and first metatarsal protrusion distance in these patients to below-normal values. (J Am Podiatr Med Assoc 95(4): 357–365, 2005) Full article

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Efficacy of Fifth Metatarsal Head Resection for Treatment of Chronic Diabetic Foot Ulceration

by David G. Armstrong, Mark A. Rosales and Agim Gashi

J. Am. Podiatr. Med. Assoc. 2005, 95(4), 353-356; https://doi.org/10.7547/0950353 - 1 Jul 2005

Cited by 67 | Viewed by 74

Abstract

This study compares the potential benefit of fifth metatarsal head resection versus standard conservative treatment of plantar ulcerations in people with diabetes mellitus. Using a retrospective cohort model, we abstracted data from 40 patients (22 cases and 18 controls) treated for uninfected, nonischemic [...] Read more.

This study compares the potential benefit of fifth metatarsal head resection versus standard conservative treatment of plantar ulcerations in people with diabetes mellitus. Using a retrospective cohort model, we abstracted data from 40 patients (22 cases and 18 controls) treated for uninfected, nonischemic diabetic foot wounds beneath the fifth metatarsal head. There were no significant differences in sex, age, duration of diabetes mellitus, or degree of glucose control between cases and controls. Patients who underwent a fifth metatarsal head resection healed significantly faster (mean ± SD, 5.8 ± 2.9 versus 8.7 ± 4.3 weeks). Patients were much less likely to reulcerate during the period of evaluation in the surgical group (4.5% versus 27.8%). The results of this study suggest that fifth metatarsal head resection is a potentially effective treatment in patients at high risk of ulceration and reulceration. (J Am Podiatr Med Assoc 95(4): 353–356, 2005) Full article

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Open AccessArticle

Use of Laterally Wedged Custom Foot Orthoses to Reduce Pain Associated with Medial Knee Osteoarthritis

by Russel Rubin and Hylton B. Menz

J. Am. Podiatr. Med. Assoc. 2005, 95(4), 347-352; https://doi.org/10.7547/0950347 - 1 Jul 2005

Cited by 27 | Viewed by 55

Abstract

Osteoarthritis of the knee is a common condition that can cause considerable pain and disability. Various forms of lateral wedging may be effective in the treatment of medial compartment osteoarthritis, but it is not known whether incorporating a lateral wedge into a custom-molded [...] Read more.

Osteoarthritis of the knee is a common condition that can cause considerable pain and disability. Various forms of lateral wedging may be effective in the treatment of medial compartment osteoarthritis, but it is not known whether incorporating a lateral wedge into a custom-molded foot orthosis will achieve similar results. Therefore, 30 subjects (21 men and 9 women) aged 29 to 77 years (mean ± SD, 58.1 ± 11.6 years) with radiographically confirmed medial compartment knee osteoarthritis were issued custom-molded foot orthoses with a 5° lateral heel wedge. Pain levels were recorded using a 100-mm visual analog pain scale on the date of issue of the orthoses (baseline) and again 3 and 6 weeks later. Mean ± SD pain levels were significantly reduced at 3 weeks (34 ± 22 mm) and 6 weeks (23 ± 22 mm) versus baseline (69 ± 19 mm) (F₂ = 39.57). The degree of pain reduction was greater in patients with less severe osteoarthritis. At 6 weeks, all subjects had achieved at least some reduction in pain, and 28 reported that their orthoses were comfortable. This preliminary study indicates that laterally wedged foot orthoses may be beneficial in the treatment of mild-to-moderate osteoarthritis of the medial compartment of the knee. Further investigations using a larger sample, longer follow-up, and a no-treatment control group seem warranted. (J Am Podiatr Med Assoc 95(4): 347–352, 2005) Full article

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Effect of Regular Exercise on the Radiographic Progression of Foot Osteoarthritis

by Frances V. Wilder, John P. Barrett and Edward J. Farina

J. Am. Podiatr. Med. Assoc. 2005, 95(4), 342-346; https://doi.org/10.7547/0950342 - 1 Jul 2005

Cited by 12 | Viewed by 55

Abstract

Among the elderly, osteoarthritis often causes chronic pain and disability. Although research has addressed the association between exercise and osteoarthritis, few studies have examined the effect of exercise on the radiographic progression of osteoarthritis. We investigated the relationship between ongoing exercise and radiographic [...] Read more.

Among the elderly, osteoarthritis often causes chronic pain and disability. Although research has addressed the association between exercise and osteoarthritis, few studies have examined the effect of exercise on the radiographic progression of osteoarthritis. We investigated the relationship between ongoing exercise and radiographic progression of foot osteoarthritis. The first metatarsophalangeal and medial cuneiform–first tarsometatarsal joints were assessed. Joint-specific osteoarthritis radiographic progression scores were determined using four assessments: joint space narrowing, osteophytes, sclerosis, and a composite score. This cohort study included a subset of 221 men and women aged 40 to 91 years participating in a community-based osteoarthritis study. Adjusted risk estimates (95% confidence intervals) summarizing the relationship between ongoing exercise and radiographic progression in the first metatarsophalangeal joint ranged from 0.34 (0.11–0.99) for osteophytes to 0.66 (0.23–1.92) for sclerosis; because only eight individuals experienced medial cuneiform–first tarsometatarsal joint progression, these estimates were less stable, ranging from 2.41 (0.49–11.83) for composite to 4.29 (0.11–166.52) for osteophytes. Overall, our findings do not suggest that regular exercise is a risk factor for foot osteoarthritis progression. Future replication studies are warranted to confirm these findings. (J Am Podiatr Med Assoc 95(4): 342–346, 2005) Full article

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Partial Calcanectomy for the Treatment of Recalcitrant Heel Ulcerations

by David B. Randall, John Phillips and Goffredo Ianiro

J. Am. Podiatr. Med. Assoc. 2005, 95(4), 335-341; https://doi.org/10.7547/0950335 - 1 Jul 2005

Cited by 25 | Viewed by 53

Abstract

Pressure ulcers of the heel are a major and growing health-care problem. Although prevention and aggressive local wound care and pressure reduction remain the gold standard for treatment of most heel ulcers, recalcitrant wounds may require surgical intervention. Limb salvage when dealing with [...] Read more.

Pressure ulcers of the heel are a major and growing health-care problem. Although prevention and aggressive local wound care and pressure reduction remain the gold standard for treatment of most heel ulcers, recalcitrant wounds may require surgical intervention. Limb salvage when dealing with heel ulcers remains a challenge. Nine feet (eight patients) that underwent partial calcanectomy for chronic nonhealing heel ulcers were evaluated retrospectively. Complete healing occurred in seven of nine feet. Patients who were ambulatory before surgery remained ambulatory after healing. (J Am Podiatr Med Assoc 95(4): 335–341, 2005) Full article

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J. Am. Podiatr. Med. Assoc., Volume 95, Issue 4 (07 2005) – 18 articles , Pages 335-425

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