2005 09 - 19 articles
Understanding the dynamic function of the rearfoot is necessary for recognizing and treating several types of mechanical foot dysfunction. Although the motion of the rearfoot is often measured during treadmill locomotion, the effect of different type...
A newly developed clinical method of indexing tibial torsion uses the medial surface of the tibia as the proximal reference; however, the selection of a specific landmark on the medial surface has not been justified. Three different surfaces relating...
Macrodystrophia lipomatosa is a rare disorder characterized by three-dimensional enlargement of one or more fingers or toes with predominantly fibroadipose tissue. Radiographically, it appears as hypertrophy of soft tissues and bones. The pathologic...
We describe the management of a patient who presented to a family-practice clinic with gangrenous digits. After a thorough evaluation, she was found to have protein C deficiency, which produced a hypercoagulable state. Differential diagnosis in the e...
Osteochondroma of the talus is rare but must be considered as part of the differential diagnosis of any swelling in this part of the skeleton. This article describes the differential diagnosis and treatment of osteochondroma of the talus in a male ad...
This article presents the development, implementation, and evaluation of a national evidence-based medicine faculty-development program for podiatric medical educators. Ten faculty members representing six accredited colleges of podiatric medicine, o...
To the Editor: Numerous surgical procedures have been developed to correct triplanar malalignment of the rearfoot complex for the treatment of collapsing pes planovalgus and pes cavovarus deformities [...]
To the Editor: I recently read the article by Barry R. Mullen, DPM, John V. Guiliana, DPM, MS, and Fawaz Nesheiwat, DPM, published in the May/June 2005 issue of the Journal [...]
One of the most aggressive and forward-looking groups under the APMA umbrella is the Podiatry Political Action Committee (PPAC). It is appropriate that the word “Action” is an integral part of its name, because taking action is what PPAC is all about...
This special section of JAPMA is the first ever devoted to the peripheral nerve. Traditionally, podiatric medical education has focused on bones, ligaments, tendons, and skin [...]
Forefoot pain can have single or multiple etiologies, and frequently pain is attributed solely to a forefoot nerve entrapment. It is well known that forefoot nerve entrapments, such as Morton’s, can be falsely assumed to be the cause of forefoot pain...
It has been hypothesized that in individuals with diabetes mellitus the peripheral nerve is swollen owing to increased water content related to increased aldose reductase conversion of glucose to sorbitol. It has further been hypothesized that the ti...
Measurement of large-fiber peripheral nerve function is critical to the assessment of patients with nerve injury, chronic nerve compression, and neuropathy. We evaluated the Semmes-Weinstein nylon monofilament (SWM), vibrometry, and the Pressure-Spec...
Peripheral neuropathy can be a devastating complication of diabetes mellitus. This article describes surgical decompression as a means of restoring sensation and relieving painful neuropathy symptoms. A prospective study was performed involving patie...
Since 1992 it has been reported that patients with diabetes mellitus recover sensibility and obtain relief of pain from neuropathy symptoms by decompression of lower-extremity peripheral nerves. None of these reports included a series with more than...
Podiatric physicians often encounter patients with dorsal foot pain related to either an exostosis or a ganglion arising at the junction of the first metatarsal and the cuneiform. Removal of the exostosis or ganglion is routine but may not relieve th...
Three patients who originally presented with a mass in the tarsal tunnel are described to develop an algorithm for management of the tarsal ganglion. All three patients had complications from ganglion excision, including complete division of the post...
Forefoot nerve entrapments are common, and they are usually mistakenly categorized under the misnomer of “Morton’s neuroma.” Although the complete etiology of these forefoot entrapments is still not known, exogenous mechanical factors must be conside...
Current recommendations for the prevention of foot ulceration and amputation include screening at-risk individuals by testing for loss of protective sensation at eight sites using 10-g (5.07) nylon monofilaments. Yet measurement of the cutaneous pres...
