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Journal of the American Podiatric Medical Association

Mehmet Ali Eren, Ekrem Karakaş, Ayşe Nur Torun, Tevfik Sabuncu
BACKGROUND: Osteomyelitis is a common complication in the diabetic foot which can be concluded with amputation. The purpose of this study was to evaluate the role of diffusion-weighted MRI (DWI) in the diagnosis of osteomyelitis in the diabetic foot ulcer (DFU). METHODS: Thirty patients with type 2 diabetes mellitus having DFU were enrolled. DWI and conventional MRI were obtained. Apparent Diffusion Coefficient (ADC) measurements were made by transferring the images to the workstation...
April 24, 2018: Journal of the American Podiatric Medical Association
Sahar A Abdalbary
BACKGROUND: Few studies have documented the outcome of conservative treatment of hallux valgus deformities on pain and muscle strength. Our objective in this study was to determine the effects of foot mobilization and exercise program, in combination with use of a toe separator, on symptomatic moderate hallux valgus in female patients. METHODS: As part of the randomized clinical trial, 56 adult female patients with moderate hallux valgus were randomly assigned to one of two groups: 36 sessions for 3 months or no intervention (waiting list)...
April 23, 2018: Journal of the American Podiatric Medical Association
Öznur Büyükturan, Serdar Demirci, Buket Büyükturan, Yavuz Yakut
BACKGROUND: Postural stability (PS) problems arise as an individual grows older, and as a result, risk of falling (RoF) increases in older adults. The purpose of this study was to examine the effects of insoles of various thicknesses on PS and RoF in older adults. METHODS: Fifty-six individuals participated in the study. PS and RoF were evaluated both statically and dynamically using Biodex Balance System. PS and RoF assessments were perfomed under five different conditions: 1) barefoot, 2) only shoes, 3) with 5 mm insole, 4) with 10 mm insole, 5) with 15 mm insole...
April 18, 2018: Journal of the American Podiatric Medical Association
Sarita Dillard, Christina Schilero, Sharon Chiang, Peter Pham
BACKGROUND: There are over ten classification systems currently used in the staging of hallux rigidus. This results in confusion and inconsistency with radiographic interpretation and treatment. The reliability of hallux rigidus classification systems has not yet been tested. The purpose of this study was to evaluate intra- and interobserver reliability using three commonly used classifications for hallux rigidus. METHODS: Twenty-one plain radiograph sets were presented to ten ACFAS board-certified foot and ankle surgeons...
April 18, 2018: Journal of the American Podiatric Medical Association
Kürşad Aytekin, Orhan Balta, Göksel G Şahiner, Recep Kurnaz, Murat Danışman, Cem Zeki Esenyel
BACKGROUND: Minimally invasive percutaneous plate osteosynthesis (MIPPO) has begun to be used in fractures of the lateral malleolus surgeries in recent years as for fractures in other regions. However, for MIPPO techniques applied to fractures of the lateral malleolus there is no external guide for plate insertion, determining the incision and inserting the screws as used for fractures in other regions. With the MIPPO technique fluoroscopy exposure is unavoidable. The MIPPO technique is advantageous for patients; however the unavoidable problem with this treatment method for the surgical team is exposure to fluoroscopy with every case...
April 18, 2018: Journal of the American Podiatric Medical Association
Mena Boules, Esam Batayyah, Dvir Froylich, Andrea Zelisko, Colin O'Rourke, Stacy Brethauer, Kevin El-Hayek, Allan Boike, Andrew Strong, Matthew Kroh
BACKGROUND: Plantar fasciitis (PF) is known to be one of the most common causes of heel pain. Obesity is recognized as a significant factor in PF development, possibly due to increased mechanical loading of the foot as a result of excess weight. The benefit of bariatric surgery is documented for other comorbidities but not for PF. METHODS: Retrospective chart review of patients with a diagnosis of PF identified from a prospectively maintained database of the Cleveland Clinic Bariatric and Metabolic Institute...
April 4, 2018: Journal of the American Podiatric Medical Association
Aditya K Gupta, Sarah G Versteeg
Because of the ubiquitous nature of dermatophytes and a lack of an adaptive immune response in the nail plate, recurrence and relapse rates associated with superficial fungal infections are high (10%-53%). Cured or improved dermatophytosis patients could become reinfected if exposed to fungal reservoirs, such as an infected shoe, sock, or textile. To prevent this, footwear, sock, and textile sanitization methods can be used. To provide insight into effective sanitization options, the focus of this article is to review footwear, sock, and textile sanitization studies conducted throughout history (1920-2016)...
March 9, 2018: Journal of the American Podiatric Medical Association
Laura E Sansosti, Amanda Crowell, Whitney Ellis-McConnell, Andrew J Meyr
BACKGROUND: A patient "handoff," or the "sign-out" process, is an episode during which the responsibility of a patient transitions from one health-care provider to another. These are important events that affect patient safety, particularly because a significant proportion of adverse events have been associated with a relative lack of physician communication. The objective of this investigation was to survey podiatric surgical residency programs with respect to patient care handoff and sign-out practices...
March 2018: Journal of the American Podiatric Medical Association
Mualla Bicer, Elif Hocaoglu, Sema Aksoy, Ercan İnci, İlknur Aktaş
BACKGROUND: Extracorporeal shockwave therapy (ESWT) has recently been used as a new treatment modality for plantar fasciitis. We aimed to determine the efficacy of ESWT by magnetic resonance imaging (MRI) findings. METHODS: Thirty patients with plantar fasciitis who had received no treatment for 6 months were included. Extracorporeal shockwave therapy was applied once a week for a total of three sessions (frequency of 12-15 Hz, 2-3 bars, and 2,500 pulses). All of the patients were assessed with the visual analog scale, a 6-point evaluation scale, the Foot and Ankle Outcome Score (FAOS), and MRI findings before and 3 months after ESWT...
March 2018: Journal of the American Podiatric Medical Association
Ahmed Abdelbaki, Sadaf Assani, Neeraj Bhatt, Ian Karol, Alan Feldman
The foot is considered the second most common location for foreign bodies. The most common foreign bodies include needles, metal, glass, wood, and plastic. Although metallic foreign bodies are readily seen on plain film radiographs, radiolucent bodies such as wood are visualized poorly, if at all. Although plain radiography is known to be ineffective for demonstrating radiolucent foreign bodies, it is often the first imaging modality used. In such cases, complete surgical extraction cannot be guaranteed, and other imaging modalities should be considered...
March 2018: Journal of the American Podiatric Medical Association
Ryan S Causby, Lloyd Reed, Michelle N McDonnell, Susan L Hillier
In the podiatric medicine profession, there are a variety of manual tasks that require precision and skill beyond what would be usually expected in everyday living. It is the expectation of employers, regulatory bodies, and the public that graduating podiatric physicians sufficiently meet certain minimum competencies for that profession, including those for manual skills. However, teaching and evaluation methods seem to be inconsistent between countries, institutions, and programs. This may be the consequence of uncertainty regarding the safest and most effective methods to do so...
March 2018: Journal of the American Podiatric Medical Association
Pablo Uribe, Elena Ortiz, Ximena Wortsman, Sergio Gonzalez
Acrokeratoelastoidosis (AKE) is a rare form of focal acral keratoderma of unknown cause that typically begins during childhood and manifests with multiple, small, hyperkeratotic papules located over the lateral margins of the hands and feet. The purpose of this article is to report a pediatric case of AKE with dermoscopic, sonographic, and histopathologic descriptions, contributing to the awareness of this clinical diagnosis. We describe a 7-year-old girl with nonpainful yellowish papules on the lateral and medial aspects of both feet...
March 2018: Journal of the American Podiatric Medical Association
Keiichi Muramatsu, Ryuta Iwanaga, Yasuhiro Tominaga, Takahiro Hashimoto, Toshihiko Taguchi
BACKGROUND: Pigmented villonodular synovitis (PVNS) is a rare disorder around the ankle joint. The optimal treatment for diffuse-type PVNS is still controversial because of the high incidence of recurrence. We present the clinical features of our patients and review the current diagnostic and treatment modalities. METHODS: Five patients with PVNS located around the ankle were surgically treated. In three patients, diffuse PVNS arose from the ankle joint, and in the other two it arose from the calcaneocuboid and intercuneiform joints...
March 2018: Journal of the American Podiatric Medical Association
James M Mahoney, Vassilios Vardaxis, Noreen Anwar, Jacob Hagenbucher
BACKGROUND: This study examined the differences between faculty and trained standardized patient (SP) evaluations on student professionalism during a second-year podiatric medicine standardized simulated patient encounter. METHODS: Forty-nine second-year podiatric medicine students were evaluated for their professionalism behavior. Eleven SPs performed an assessment in real-time, and one faculty member performed a secondary assessment after observing a videotape of the encounter...
March 2018: Journal of the American Podiatric Medical Association
Sylvia McAra, Robert Trevethan
BACKGROUND: Insufficient information exists about the nature of toe-brachial indices (TBIs) and how best to obtain them, yet their validity may be particularly important for the identification and management of peripheral artery disease and cardiovascular disease risk. We explore ways in which valid TBI measurements might be obtained. METHODS: The TBI data were recorded from 97 people with subnormal toe pressures. Most people provided three TBI readings from each foot on six different occasions over a 6-month period...
March 2018: Journal of the American Podiatric Medical Association
Murat Mert, Payam Hacısalihoglu
Lipofibromatous hamartoma (LFH) is a rare, benign, tumor-like soft-tissue lesion that affects the peripheral nerves and forms a palpable neurogenic mass. Lipofibromatous hamartoma is associated with pain and sensory and/or motor deficits in the area of innervation of the affected nerve. This report describes a rare case of LFH of the plantar nerve. A 48-year-old woman presented to our outpatient orthopedic clinic with pain and a burning sensation on her left foot. The patient had a history of Morton's neuroma and had undergone a tarsal tunnel operation 2 years earlier at another center...
March 2018: Journal of the American Podiatric Medical Association
Christopher R Hood, Jason R Miller
Verrucae (warts) are the most common viral infections of the skin, affecting 7% to 10% of the general population. Typically caused by human papillomavirus type 1, plantar warts manifest as benign proliferation of the epithelial cells on the feet. It has been cited that up to one-third of nongenital warts become recalcitrant, and biopsy is often required to confirm diagnosis and direct appropriate treatment. These treatments can vary from various types of oral medications, acids, ablative modalities, and injections...
March 2018: Journal of the American Podiatric Medical Association
Qun Chen, Lijun Song, Jiahu Fang, Xiaodong Qin, Tianrun Lv, Xiang Li
BACKGROUND: Spiral fractures of the tibia are often the result of torsion trauma. In clinical practice, this type of fracture is frequently complicated by posterior malleolus fractures. This study aimed to observe the effectiveness of diagnosis and treatment of these fractures in a single hospital in China. Posterior malleolus fractures are sometimes occult, occurring alongside spiral fractures of the distal third of the tibia; posttraumatic arthritis can result if they are missed. METHODS: This study includes 128 consecutive patients with tibia fractures between May 1, 2008, and April 30, 2012...
March 2018: Journal of the American Podiatric Medical Association
Matthew Garoufalis, Darshan Nagesh, Patrick J Sanchez, Robin Lenz, Sarah J Park, Jake G Ruff, Anna Tien, Justin Goldsmith, Andrea Seat
BACKGROUND: Biochemical properties of the amniotic membrane help modulate inflammation and enhance soft-tissue healing. In controlled trials, the efficacy of dehydrated human amnion/chorion membrane (dHACM) allografts has been established. Our purpose is to describe our experience with using dHACM to treat nonhealing wounds of various etiologies. METHODS: We conducted a retrospective review of deidentified data from 117 consecutive patients treated in an outpatient clinic with dHACM allografts with wounds of various etiologies over 2 years...
March 2018: Journal of the American Podiatric Medical Association
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March 2018: Journal of the American Podiatric Medical Association
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