Journal of the American Podiatric Medical Association

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Open AccessArticle

Leadership: The Key to APMA’s Success

by Harold B. Glickman

J. Am. Podiatr. Med. Assoc. 2006, 96(2), 187; https://doi.org/10.7547/0960187 - 1 Mar 2006

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Abstract

This month will mark the 86th meeting of our association’s House of Delegates [...] Full article

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Open AccessBook Review

Thieme Atlas of Anatomy: General Anatomy and Musculoskeletal System

by Daniel Bareither

J. Am. Podiatr. Med. Assoc. 2006, 96(2), 186; https://doi.org/10.7547/0960186 - 1 Mar 2006

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Abstract

This atlas is the first in the Thieme Atlas of Anatomy series [...] Full article

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Open AccessArticle

Letter to the Editor. Cimetidine as a First-Line Therapy for Pedal Verruca

by Karl B. Landorf

J. Am. Podiatr. Med. Assoc. 2006, 96(2), 184-185; https://doi.org/10.7547/0960184 - 1 Mar 2006

Cited by 1 | Viewed by 495

Abstract

To the Editor [...] Full article

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Open AccessArticle

2005 Podiatric Practice Survey. Statistical Results

by Cooper Research, Inc.

J. Am. Podiatr. Med. Assoc. 2006, 96(2), 168-183; https://doi.org/10.7547/0960168 - 1 Mar 2006

Cited by 2 | Viewed by 512

Abstract

This report presents the results of the 2005 Podiatric Practice Survey conducted from August through September 2005 by the American Podiatric Medical Association. A total of 3,079 members responded to this survey. (J Am Podiatr Med Assoc 96(2): 168–183, 2006) Full article

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Introduction

by Kathleen M. Stone and Matthew G. Garoufalis

J. Am. Podiatr. Med. Assoc. 2006, 96(2), 167; https://doi.org/10.7547/0960167 - 1 Mar 2006

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It is with great satisfaction that the Education Committee and Clinical Practice Advisory Committee of the American Podiatric Medical Association, in conjunction with the Department of Scientific Affairs, present the 2005 Podiatric Practice Survey [...] Full article

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Open AccessArticle

Podiatric Medical Resources on the Internet. A Fifth Update

by Charles R. Fikar

J. Am. Podiatr. Med. Assoc. 2006, 96(2), 162-166; https://doi.org/10.7547/0960162 - 1 Mar 2006

Cited by 3 | Viewed by 512

Abstract

An updated selection of high-quality Internet resources of potential use to the podiatric medical practitioner, educator, resident, and student is presented. Internet search tools and general Internet reference sources are briefly covered, including methods of locating material residing on the “invisible” Web. General [...] Read more.

An updated selection of high-quality Internet resources of potential use to the podiatric medical practitioner, educator, resident, and student is presented. Internet search tools and general Internet reference sources are briefly covered, including methods of locating material residing on the “invisible” Web. General medical and podiatric medical resources are emphasized. These Web sites were judged on the basis of their potential to enhance the practice of podiatric medicine in addition to their contribution to education. Podiatric medical students, educators, residents, and practitioners who require a quick reference guide to the Internet may find this article useful. (J Am Podiatr Med Assoc 96(2): 162–166, 2006) Full article

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Open AccessArticle

Bizarre Parosteal Osteochondromatous Proliferation of the Little Toe

by Baransel Saygi, Evrim Karadag-Saygi, Can Erzik, Murat Erkan and Yakup Yildirim

J. Am. Podiatr. Med. Assoc. 2006, 96(2), 158-161; https://doi.org/10.7547/0960158 - 1 Mar 2006

Cited by 4 | Viewed by 520

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A 19-year-old woman presented with pain at the lateral side of the fifth toe of her left foot, which was separated from the adjacent toe. Initial examination suggested dislocation of the fifth metatarsophalangeal joint due to a past fracture. Radiographs showed a mass [...] Read more.

A 19-year-old woman presented with pain at the lateral side of the fifth toe of her left foot, which was separated from the adjacent toe. Initial examination suggested dislocation of the fifth metatarsophalangeal joint due to a past fracture. Radiographs showed a mass arising from the proximal phalanx of the little toe, with no medullary and cortical continuity. Excisional biopsy of the mass was performed, and a histologic diagnosis of bizarre parosteal osteochondromatous proliferation of bone (Nora’s lesion) was made. (J Am Podiatr Med Assoc 96(2): 158–161, 2006) Full article

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Open AccessArticle

Subungual Osteochondroma. A Diagnostic Dilemma

by Tolga Tuzuner, Ayse Kavak, Ali Haydar Parlak and Nil Ustundag

J. Am. Podiatr. Med. Assoc. 2006, 96(2), 154-157; https://doi.org/10.7547/0960154 - 1 Mar 2006

Cited by 11 | Viewed by 553

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Osteochondroma is the most common skeletal neoplasm of all benign bone tumors. However, it rarely occurs subungually. In this location, the lesion may penetrate the skin, causing nail deformity, and can easily be misdiagnosed. We report two cases of subungual osteochondroma of the [...] Read more.

Osteochondroma is the most common skeletal neoplasm of all benign bone tumors. However, it rarely occurs subungually. In this location, the lesion may penetrate the skin, causing nail deformity, and can easily be misdiagnosed. We report two cases of subungual osteochondroma of the distal phalanges of the first toes with cutaneous penetration and discuss the clinical, histologic, and radiographic features and the treatment options. (J Am Podiatr Med Assoc 96(2): 154–157, 2006) Full article

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Recalcitrant Verrucous Lesion. Verrucous Hyperplasia or Epithelioma Cuniculatum (Verrucous Carcinoma)

by Shahrooz S. Kelishadi, Garrett A. Wirth and Gregory R. D. Evans

J. Am. Podiatr. Med. Assoc. 2006, 96(2), 148-153; https://doi.org/10.7547/0960148 - 1 Mar 2006

Cited by 5 | Viewed by 538

Abstract

A 37-year-old woman originally presented in May 2003 with a nonhealing, painless ulcer on the plantar surface of her right foot that had been slowly increasing in size for the previous 1.5 years. Two weeks before presentation, a biopsy of the lesion, performed [...] Read more.

A 37-year-old woman originally presented in May 2003 with a nonhealing, painless ulcer on the plantar surface of her right foot that had been slowly increasing in size for the previous 1.5 years. Two weeks before presentation, a biopsy of the lesion, performed at another institution, had indicated a probable verrucous carcinoma. After preoperative workup, the patient underwent resection of the lesion, with clear margins and full-thickness skin grafting. The final pathologic findings were not consistent with verrucous carcinoma. A recurrent lesion was noted during a follow-up visit, and a second biopsy revealed a hyperkeratotic papillomatous verrucous lesion, type unclassified. No viral particles were isolated in the random biopsy samples. This recurrent lesion was refractory to treatment with topical acyclovir. Subsequent treatments consisted of imiquimod and CO₂ laser ablation, which succeeded in reducing the lesion. Verrucous lesions can be frustrating, and the diagnosis of epithelioma cuniculatum can be difficult to prove. We report a case highly suggestive of but not definitively diagnosed as epithelioma cuniculatum and summarize the literature on this entity. (J Am Podiatr Med Assoc 96(2): 148–153, 2006) Full article

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Open AccessArticle

Spontaneous Bilateral Ankle and Midfoot Sepsis in a Nonimmunocompromised Patient

by Thomas S. Roukis, Jeffrey R. Baker and Breck Tiernan

J. Am. Podiatr. Med. Assoc. 2006, 96(2), 139-147; https://doi.org/10.7547/0960139 - 1 Mar 2006

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Abstract

We describe a 70-year-old nonimmunocompromised woman with spontaneous bilateral ankle and midfoot sepsis and a deep-space abscess of the right lower leg. Salvage of both limbs was achieved by aggressive bilateral soft-tissue and osseous debridement, including a four-compartment fasciotomy of the right lower [...] Read more.

We describe a 70-year-old nonimmunocompromised woman with spontaneous bilateral ankle and midfoot sepsis and a deep-space abscess of the right lower leg. Salvage of both limbs was achieved by aggressive bilateral soft-tissue and osseous debridement, including a four-compartment fasciotomy of the right lower leg, antibiotic-loaded polymethyl methacrylate bone cement implantation, delayed allogeneic bone grafting of the osseous defects impregnated with autologous platelet-rich plasma bilaterally, and external fixation immobilization, implantable bone growth stimulation, and split-thickness skin graft coverage of the right lower leg, ankle, and foot. Osseous incorporation of the bone grafts bilaterally occurred 8 weeks after surgery. No soft-tissue or osseous complications occurred during the postoperative period or at 18-month follow-up except for arthrofibrosis in the right ankle; there was no evidence of recurrent abscesses, sequestrum, or wound-related problems. A review of the literature regarding bilateral pedal sepsis and the techniques used for limb salvage in this patient are presented in detail. (J Am Podiatr Med Assoc 96(2): 139–147, 2006) Full article

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The Physician’s Attire and Its Influence on Patient Confidence

by Adam M. Budny, Lee C. Rogers, Vincent J. Mandracchia and Steven Lascher

J. Am. Podiatr. Med. Assoc. 2006, 96(2), 132-138; https://doi.org/10.7547/0960132 - 1 Mar 2006

Cited by 37 | Viewed by 79

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Although physician appearance has been a topic of discussion in the medical literature for many years, no objective research has been performed on this topic in the field of podiatric medicine. Our primary objective was to examine patient confidence in physicians as it [...] Read more.

Although physician appearance has been a topic of discussion in the medical literature for many years, no objective research has been performed on this topic in the field of podiatric medicine. Our primary objective was to examine patient confidence in physicians as it relates to professional clinic attire versus casual or scrub outfits. We also assessed the influence of other variables, such as white coat, name tag, age, and sex, on patient confidence. We surveyed 155 podiatric medical patients from a private practice and a hospital-based clinic. The results indicate that 68% of patients surveyed felt that professional attire inspired the most confidence. Ninety-six percent of all patients either preferred white coats or were indifferent to their presence. We conclude that professionally dressed podiatric physicians may inspire more confidence in a significant percentage of their patients. (J Am Podiatr Med Assoc 96(2): 132–138, 2006) Full article

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Quantifying the Quasi-static Angle and Base of Gait. A Preliminary Investigation Comparing Footprints and a Clinical Method

by Sarah A. Curran, Dominic Upton and Ian D. Learmonth

J. Am. Podiatr. Med. Assoc. 2006, 96(2), 125-131; https://doi.org/10.7547/0960125 - 1 Mar 2006

Cited by 3 | Viewed by 81

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Although the angle and base of gait are useful parameters commonly measured in podiatric medical practice, a standardized procedure has yet to be defined. Static footprints and clinical tracings of the perimeters of both feet were investigated in 25 asymptomatic subjects (17 women [...] Read more.

Although the angle and base of gait are useful parameters commonly measured in podiatric medical practice, a standardized procedure has yet to be defined. Static footprints and clinical tracings of the perimeters of both feet were investigated in 25 asymptomatic subjects (17 women and 8 men). The intrarater reliability of each measurement condition was assessed using intraclass correlation coefficients and ranged from 0.965 to 0.981 for the angle of gait and from 0.979 to 0.986 for the base of gait. Both sets of data were compared using paired t-tests and demonstrated no significant differences (p > 0.001) for the angle and base of gait. The results suggest that footprint data and a simple clinical tracing of the foot are similar, providing a useful clinical tool for static assessment of the angle and base of gait. (J Am Podiatr Med Assoc 96(2): 125–131, 2006) Full article

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Open AccessArticle

Immediate Open Reduction and Internal Fixation in Open Ankle Fractures

by Deepak Joshi, Davindar Singh, Juned Ansari and Yadu Lal

J. Am. Podiatr. Med. Assoc. 2006, 96(2), 120-124; https://doi.org/10.7547/0960120 - 1 Mar 2006

Cited by 10 | Viewed by 86

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In this prospective study, 30 patients (28 men and 2 women) with open ankle fractures were treated with early debridement and immediate stable internal fixation after anatomical reduction to achieve better functional results after early mobilization. The procedure was performed an average of [...] Read more.

In this prospective study, 30 patients (28 men and 2 women) with open ankle fractures were treated with early debridement and immediate stable internal fixation after anatomical reduction to achieve better functional results after early mobilization. The procedure was performed an average of 8 hours (range, 6–15 h) after injury. According to the classification system of Gustilo and Anderson, 11 fractures (37%) were grade I, 12 (40%) were grade II, 5 (17%) were grade IIIA, and 2 (7%) were grade IIIB. Six complications occurred: four patients had superficial skin necrosis and two had loss of reduction, resulting in residual ankle stiffness. Twenty patients had excellent results, eight had good results, and two had fair results according to the modified criteria of Ketenjian and Shelton. We found that immediate debridement, anatomical reduction, and internal fixation of open ankle fractures leads to better functional results, especially in grade I and grade II injuries. (J Am Podiatr Med Assoc 96(2): 120–124, 2006) Full article

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Topical and Oral Combination Therapy for Toenail Onychomycosis. An Updated Review

by Ivan R. Bristow and Robert Baran

J. Am. Podiatr. Med. Assoc. 2006, 96(2), 116-119; https://doi.org/10.7547/0960116 - 1 Mar 2006

Cited by 19 | Viewed by 352

Abstract

Although effective, oral antifungal therapy is still not completely successful. Recent studies have shown that combination therapy with oral and topical agents offers an increased cure rate for patients. We review the main drug combinations that have been tested. Additional measures, such as [...] Read more.

Although effective, oral antifungal therapy is still not completely successful. Recent studies have shown that combination therapy with oral and topical agents offers an increased cure rate for patients. We review the main drug combinations that have been tested. Additional measures, such as mechanical intervention, may help improve response rates further. (J Am Podiatr Med Assoc 96(2): 116–119, 2006) Full article

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Open AccessArticle

Gait Analysis with an Integrated System for Functional Assessment of Talocalcaneal Coalition

by Claudia Giacomozzi, Maria Grazia Benedetti, Alberto Leardini, Velio Macellari and Sandro Giannini

J. Am. Podiatr. Med. Assoc. 2006, 96(2), 107-115; https://doi.org/10.7547/0960107 - 1 Mar 2006

Cited by 18 | Viewed by 72

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There is little knowledge of the functional performance of patients with talocalcaneal coalition because of the marginal quantitative information accessible using current motion-analysis and plantar pressure–measurement techniques. A novel system was developed for comprehensively measuring foot–floor interaction during the stance phase of gait [...] Read more.

There is little knowledge of the functional performance of patients with talocalcaneal coalition because of the marginal quantitative information accessible using current motion-analysis and plantar pressure–measurement techniques. A novel system was developed for comprehensively measuring foot–floor interaction during the stance phase of gait that integrates instrumentation for simultaneously measuring bony segment position, ground reaction force, and plantar pressure with synchronization of spatial and temporal variables. An advanced anatomically based analysis of foot joint rotations was also applied. Tracking of numerous anatomical landmarks allowed accurate selection of three footprint subareas and reliable estimation of relevant local forces and moments. Eight patients (11 feet) with talocalcaneal coalition were analyzed. Major impairment of the rearfoot was found in nonsurgical patients, with an everted attitude, limited plantarflexion, and overloading in all three components of ground reaction force. Surgical patients showed more normal loading patterns in each footprint subarea. This measuring system allowed for accurate inspection of the effects of surgical treatment in the entire foot and at several footprint subareas. Surgical treatment of talocalcaneal coalition seems to be effective in restoring more physiologic subtalar and forefoot motion and loading patterns. (J Am Podiatr Med Assoc 96(2): 107–115, 2006) Full article

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Nitinol Compression Staples for Bone Fixation in Foot Surgery

by Trinity M. Mereau and Timothy C. Ford

J. Am. Podiatr. Med. Assoc. 2006, 96(2), 102-106; https://doi.org/10.7547/0960102 - 1 Mar 2006

Cited by 54 | Viewed by 80

Abstract

We reviewed the use of compression staples made of the memory metal alloy nitinol for fixation in foot surgery. A retrospective study was performed of 31 feet in 27 patients who underwent arthrodesis or an osteotomy fixated using compression staples. OSStaples (BME, San [...] Read more.

We reviewed the use of compression staples made of the memory metal alloy nitinol for fixation in foot surgery. A retrospective study was performed of 31 feet in 27 patients who underwent arthrodesis or an osteotomy fixated using compression staples. OSStaples (BME, San Antonio, Texas) were used in 18 feet, and Memodyn staples (Telos Medical, Fallston, Maryland) were used in 13 feet. A total of 48 compression staples were implanted. The following procedures were performed and fixated using compression staples: 15 Akin osteotomies, 2 first metatarsal base epiphysiodeses, 3 first metatarsal–cuneiform fusions, 2 naviculocuneiform fusions, 3 calcaneocuboid fusions, 4 talonavicular fusions, 3 subtalar joint fusions, and 2 Evans osteotomies. In our clinical experience, compression staples provide an adequate source of internal fixation in foot surgery. Good bone apposition and stabilization and compression of the bone surfaces before staple fixation are important when using staple fixation to promote an optimal environment for bone healing. (J Am Podiatr Med Assoc 96(2): 102–106, 2006) Full article

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Frontal Plane Motion of the Rearfoot During a One-Leg Squat in Individuals with Patellofemoral Pain Syndrome

by Pazit Levinger, Wendy L. Gilleard and Karl Sprogis

J. Am. Podiatr. Med. Assoc. 2006, 96(2), 96-101; https://doi.org/10.7547/0960096 - 1 Mar 2006

Cited by 12 | Viewed by 485

Abstract

Abnormal motion of the foot has been suggested to be a potential contributor to the medial collapse of the knee seen in individuals with patellofemoral pain syndrome during a one-leg squat. Rearfoot frontal plane range of motion and peak angle were investigated during [...] Read more.

Abnormal motion of the foot has been suggested to be a potential contributor to the medial collapse of the knee seen in individuals with patellofemoral pain syndrome during a one-leg squat. Rearfoot frontal plane range of motion and peak angle were investigated during a one-leg squat in patients with patellofemoral pain syndrome compared with controls. A significant increase in the peak eversion angle was found for the patellofemoral pain syndrome group compared with controls (p = 0.02). Increased rearfoot eversion may contribute to the knee medial collapse observed in these patients because it may lead to tibial abduction relative to the femur. Nevertheless, further research is required to investigate the causal relationship because it remains unclear whether rearfoot eversion instigates the medial collapse of the knee. (J Am Podiatr Med Assoc 96(2): 96–101, 2006) Full article

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Effect of Diabetes Mellitus on the Material Properties of the Distal Tibia

by John G. Fleischli, Terese J. Laughlin, Kyriacos Athanasiou, Dan R. Lanctot, Lawrence Lavery, Xiaodu Wang and C. Mauli Agrawal

J. Am. Podiatr. Med. Assoc. 2006, 96(2), 91-95; https://doi.org/10.7547/0960091 - 1 Mar 2006

Cited by 12 | Viewed by 485

Abstract

This investigation evaluates the effects of diabetes on the mechanical properties of human bone, specifically, the tibia. Seven diabetic and seven nondiabetic human (male) cadaveric distal tibiae were used in this study. The average age of the diabetic cadaveric samples was 51 years [...] Read more.

This investigation evaluates the effects of diabetes on the mechanical properties of human bone, specifically, the tibia. Seven diabetic and seven nondiabetic human (male) cadaveric distal tibiae were used in this study. The average age of the diabetic cadaveric samples was 51 years (range, 46–61 years), and the average age of the nondiabetic cadaveric samples was 75 years (range, 67–85 years). Three-point bending tests for strength and stiffness were performed on a small sample of each distal tibia. Each specimen was loaded at a constant rate until failure. From the recorded curve of load versus displacement, the ultimate and yield strength of bone and the bending modulus of bone were calculated. The diabetic samples were generally weaker than the older, nondiabetic samples, but no statistically significant differences were found in the elastic modulus (p = 0.29), yield strength (p = 0.90), ultimate strength (p = 0.46), and fracture toughness (p = 0.78), leading to speculation that diabetes has an effect similar to that of aging on the musculoskeletal system. (J Am Podiatr Med Assoc 96(2): 91–95, 2006) Full article

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J. Am. Podiatr. Med. Assoc., Volume 96, Issue 2 (03 2006) – 18 articles , Pages 91-187

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