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Journal of the American Podiatric Medical Association

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July 2018: Journal of the American Podiatric Medical Association
Vanessa Cardenas, Kyung Seo, Shyam Sheth, Andrew J Meyr
BACKGROUND: We sought to determine the prevalence of lower-extremity arterial calcification in a cohort of patients with diabetes and associated foot pathology receiving inpatient treatment at an urban US tertiary health-care system. METHODS: The primary outcome measure was defined as either radiographic evidence of vessel calcification or noninvasive vascular testing that resulted in any reporting of vessel noncompressibility or an ankle-brachial index greater than 1...
July 2018: Journal of the American Podiatric Medical Association
Derek S Anselmo, Jennifer Skolnik, Emily Keeter, Arwa M El-Sayed, Ebony Love
BACKGROUND: To date, there is conflicting evidence that high-end "motion control" running shoes can correct and control rearfoot pronation. Many methods have been used to evaluate the efficacy of motion control footwear in reducing hindfoot pronation during gait, including stop-motion photography, three-dimensional camera kinematic analysis, and three-dimensional bone modeling using computed tomography. Until now, there have been no radiographic studies that examined the effect of motion control running shoes on the static posture of the foot...
July 2018: Journal of the American Podiatric Medical Association
Jesse Wolfe, Jenna Wolfe, Kevin Smith, Robert Yoho, Vassilios Vardaxis
BACKGROUND: Scholarly activity among students, residents, and faculty provides the foundation for medical education. However, a decline in the number of physician-scientists has been acknowledged during the past few decades. As a result, institutions have attempted to increase research activity among students and residents through a variety of means. This study describes a replicative model for medical institutions to increase their research enterprises among medical students, residents, and faculty...
July 2018: Journal of the American Podiatric Medical Association
Cynthia Formosa, Christian Ellul, Anabelle Mizzi, Stephen Mizzi, Alfred Gatt
BACKGROUND: Spectral Doppler ultrasound examination of pedal arteries is one of the most frequently used noninvasive assessment methods by health-care professionals for the diagnosis and ongoing monitoring of people at risk for or living with peripheral arterial disease. The aim of this study was to determine the interrater reliability of the interpretation of spectral Doppler waveform analysis. METHODS: An interrater reliability study was conducted among five experienced podiatric physicians at the University of Malta Research Laboratory (Msida, Malta)...
July 2018: Journal of the American Podiatric Medical Association
Dominick J Casciato, Natalie A Builes, Bibi N Singh
BACKGROUND: The increased use of external interventions to diagnose and treat podiatric medical pathologies has warranted a greater understanding of the lower extremity in the transverse plane. Films, prosections, and plastinated cross sections have long been used alongside traditional instruction to assist students in anatomical studies. These methods, however, often fail to provide the tactile component of anatomical dissection and may obscure or exclude the requisite structures for identification by medical students...
July 2018: Journal of the American Podiatric Medical Association
Laura Pérez-Palma, María Cristina Manzanares-Céspedes, Enrique Giralt de Veciana
BACKGROUND: The coexistence of deformity of the nail bed and subungual exostosis (SE) is a frequent finding in podiatric practice in the fourth and fifth decades of life. However, it has been described by other specialists as being an uncommon osteocartilaginous tumor most prevalent during the second and third decades of life. This study attempts to determine the causes of this discrepancy. METHODS: Two authors independently conducted a systematic bibliographic review in multiple databases, podiatry sources and others, and key words were chosen to achieve a broad search strategy...
July 2018: Journal of the American Podiatric Medical Association
Kwang-Bok Lee, Seong-Yup Jeong
Conservative treatment is generally successful in treating early tarsometatarsal joint arthritis. However, if such treatment fails, invasive arthrodesis or arthroplasty may be needed. Arthroscopy is a less invasive alternative and can provide a precise diagnosis of early osteoarthritis or cartilage injury. Furthermore, arthroscopic treatments such as microfracture, chondroplasty, or loose-body removal are expected to delay progression of the osteoarthritis. We describe a 52-year-old man with early tarsometatarsal joint arthritis after calcaneal fracture healing who underwent a successful arthroscopic microfracture for cartilage defects...
July 2018: Journal of the American Podiatric Medical Association
Sarah N Standish, Wendy Goldstein, Chase R Stuart
Mycetoma cases are predominantly found in tropical regions and are a rare finding in the United States. These masses that are fungal or bacterial in origin can result in significant destruction of soft tissue and bone. We present a case of a patient who emigrated from Mexico to Indianapolis. He presented with a soft-tissue mass that was excised and ultimately found to be a eumycetoma of the hallux of his left foot. Successful treatment included surgical resection in combination with postoperative terbinafine, which was pulse dosed to decrease its impact on hepatic function...
July 2018: Journal of the American Podiatric Medical Association
David W Shofler, Kathryn Bosia, Lawrence Harkless
BACKGROUND: The fourth year of podiatric medical school is an important period in the education of the podiatric medical student, a period that consists largely of month-long clerkships. Nonetheless, there has been limited formal study of the quality of learning experiences during this period. Furthermore, there is limited knowledge of how podiatric medical students evaluate residency programs during clerkships. METHODS: An online survey was developed and distributed electronically to fourth-year podiatric medical school students...
July 2018: Journal of the American Podiatric Medical Association
Marc D Jones, Kerry J Sweet
BACKGROUND: Our aim in this study was to compare the long-term outcomes of three different surgical procedures for the treatment of hallux rigidus (ie, cheilectomy, decompressive osteotomy, and arthrodesis) between active duty military and non-active duty patients. METHODS: A retrospective review of 80 patients (95 feet) undergoing surgical treatment for hallux rigidus was performed. Telephone survey was used to obtain postoperative outcome measures and subjective satisfaction...
July 2018: Journal of the American Podiatric Medical Association
Peter Ly
An unusual case of solitary benign schwannoma of the foot is presented. Clinical examination, magnetic resonance imaging, and intraoperative findings all confirm the suspicion of a ganglion cyst. After attempted aspiration failed to produce any aspirate, excisional biopsy was performed. The pathology report confirms schwannoma with hematoxylin and eosin stain and subsequently reaffirmed with positive S100 protein stain. Even though schwannoma of the foot had been reported in the literature, this was an unusual case, as the lesion was presented as a superficial, ganglion cyst-like lesion on the bottom of the foot...
July 2018: Journal of the American Podiatric Medical Association
Salomon Benhamu-Benhamu, Raquel Garcia-de-la-Peña, Gabriel Gijon-Nogueron, Maria Dolores Jimenez-Cristino, Luis M Gordillo-Fernández, Gabriel Dominguez-Maldonado
BACKGROUND: Ligamentous or joint laxity is a clinical entity characterized by increased joint mobility beyond the range of motion regarded as normal, and joint mobility is an effective indicator of the degree of laxity. We examined the influence of ligamentous laxity on the range of ankle dorsiflexion with the knee flexed and extended, comparing lax adults with a control (nonlax) group. METHODS: The sample comprised 400 individuals: 200 in the control group (mean ± SD age, 32...
May 2018: Journal of the American Podiatric Medical Association
Maedeh Farzadi, Zahra Safaeepour, Hoda Nabavi, Masumeh Bagherzadeh Cham, Mohammad Ebrahim Mousavi
BACKGROUND: Rocker shoes are commonly prescribed to healthy and pathologic populations to decrease stress on the lower limbs. An optimal rocker shoe design must consider both toe and heel rockers. Heel rockers are as effective as toe rockers in relieving foot plantar pressures. However, most studies have focused on the position of toe rockers. The aim of this study was to assess the effect of different heel rocker apex placements on lower-limb kinetics and kinematics. METHODS: Eighteen healthy females participated in this study...
May 2018: Journal of the American Podiatric Medical Association
Jeffrey C Karr
BACKGROUND: Over a 74-month period (∼6 years), 143 lower-extremity osteomyelitis locations in 125 patients were treated with a calcium sulfate/hydroxyapatite liquid bone void filler with antibiotic(s). METHODS: The osteomyelitis locations were treated with a percutaneous antibiotic delivery technique delivering intraosseous antibiotic followed by either oral or intravenous antibiotics for 4 weeks. RESULTS: There was no recurrence of osteomyelitis in 96...
May 2018: Journal of the American Podiatric Medical Association
Aneta Bac, Gabriela Bogacz, Katarzyna Ogrodzka-Ciechanowicz, Aleksandra Kulis, Tomasz Szaporów, Renata Woźniacka, Natalia Radlińska
BACKGROUND: The aim of this study was to determine the type of medial longitudinal arch (MLA) in students of Krakow universities, investigate the relationship between physical activity and the shaping of the feet, and examine the relationship between hallux valgus angle and the type of footwear chosen most often. METHODS: The study group consisted of 120 students, of which 56 respondents were students of the University School of Physical Education in Krakow, whereas the remaining 64 respondents were students of the Pedagogical University of Krakow...
May 2018: Journal of the American Podiatric Medical Association
David W Shofler, Bryon McKenna, Johnny Huang, Robert A Christman
BACKGROUND: Tailor's bunion, or bunionette, deformity is a common condition of the lateral forefoot. To aid in assessing the deformity, radiographic angular measurements are frequently used. The objective of this study was to determine the reliability and reproducibility of these angular measurements. METHODS: Thirty unique weightbearing dorsoplantar digital radiographs of pathologic feet were compiled. For these 30 radiographs and for ten repeated radiographs, six practicing clinicians measured the following angles: the fourth to fifth intermetatarsal angle, the lateral deviation angle, and the fifth metatarsophalangeal angle...
May 2018: Journal of the American Podiatric Medical Association
Iona Borg, Stephen Mizzi, Cynthia Formosa
BACKGROUND: Elevated dynamic plantar pressures are a consistent finding in diabetic patients with peripheral neuropathy, with implications for plantar foot ulceration. This study aimed to investigate whether a first-ray amputation affects plantar pressures and plantar pressure distribution patterns in individuals living with diabetes and peripheral neuropathy. METHODS: A nonexperimental matched-subject design was conducted. Twenty patients living with diabetes and peripheral neuropathy were recruited...
May 2018: Journal of the American Podiatric Medical Association
Patrick J Sanchez, John F Grady, Robin C Lenz, Sarah J Park, Jake G Ruff
BACKGROUND: Hallux limitus (HL) is the second-most common pathology associated with the first metatarsophalangeal joint. A common etiology believed to be associated with HL is metatarsus primus elevatus (MPE), although causation has been unsubstantiated by evidence. Historically, correction of MPE is surgically addressed with an osteotomy. However, some believe MPE is a secondary manifestation of HL due to retrograde pressure and lack of dorsiflexion at the first metatarsophalangeal joint...
May 2018: Journal of the American Podiatric Medical Association
Pui W Kong, Wing K Lam, Wei X Ng, Luqman Aziz, Hin F Leong
BACKGROUND: Biomechanical analysis of foot loading characteristics may provide insights into the injury mechanisms and guide orthotic prescription for basketball players. This study aimed to quantify in-shoe plantar pressure profiles in amateur players when executing typical basketball movements. METHODS: Twenty male university basketball players performed four basketball-specific movement tasks-running, maximal forward sprinting, maximal 45° cutting, and layup-in a pair of standardized basketball shoes fitted with an in-shoe plantar pressure measurement system...
May 2018: Journal of the American Podiatric Medical Association
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