Journals Journal of the American Podiat...

Journal of the American Podiatric Medical Association
Oğuzhan Gökalp, Cenk Ermutlu, Mehmet Bartu Sarısözen, Kemal Durak, Ulviye Yalçınkaya, Adnan Çakar
Osteoid osteoma is a benign tumor of the bone which tends to occur in diaphysis or metaphysis of the long bones. The lesion is generally intraosseous with vague clinical symptoms, hence given the name "great mimicker". When located subperiosteally and juxtaarticulary, atypical clinical presentation and radiological may lead to a delayed or missed diagnosis. Performing surgery with a misdiagnosis carries the risk of incomplete resection of the lesion and recurrence. We report the case of a 15-year-old male with a subperiosteal osteoid osteoma of the talus, who was misdiagnosed with pigmented villonodular synovitis and operated through anterior ankle arthrotomy...
April 4, 2024: Journal of the American Podiatric Medical Association
Uğur Yüzügüldü, Lachin Ramazanlı, Harun Yasin Tüzün, Uğur Bozlar, Sönmez Sağlam, Ömer Erşen, Mustafa Taşar
OBJECTIVE: Computed tomography (CT) is superior to plain radiography for evaluating ankle syndesmosis, but anatomic variations can affect the measurements. This study aimed to assess the radiological parameters of incisura fibularis and the factors that could affect these parameters. MATERIALS AND METHODS: Lower extremity CT angiography images were used to evaluate the morphology of the incisura fibularis, anterior/posterior tibiofibular distance, longitudinal/transverse length of the distal fibula, length/depth of the incisura fibularis notch, tibiofibular clear space, tibiofibular overlap, and fibular rotation...
February 27, 2024: Journal of the American Podiatric Medical Association
Tuna Pehlivanoglu, Mehmet Demirel, Daghan Koyuncu, Natiq Valiyev, Turgut Akgül, Onder Ismet Kilicoglu
Background Ankle fractures constitute 10% of all traumatic fractures in clinical practice. Concurrent tibiotalar dislocations form 21-36% of all ankle fractures. Although mechanism of injury is similar to non-dislocated ankle fractures, fracture-dislocations cause more extensive bone and soft tissue damage. Treatment is a challenge for orthopedic surgeons due to concomitant pathologies. It is associated with malreduction, chronic pain and most importantly, posttraumatic osteoarthritis. We aimed to investigate the relationship between ankle osteoarthritis radiographic stage and clinical outcomes...
February 26, 2024: Journal of the American Podiatric Medical Association
Ayfer Peker, Levent Aydin, Berrin Cetinarslan, Zeynep Canturk, Alev Selek
Muscle disorders may cause a change in plantar pressures by the misalignment on the foot during gait phases. Therefore, corns or calluses develop at the plantar regions, and diabetic foot ulcers follow for severe cases although it can be prevented and even treated by podiatric approaches with patient specific therapeutic insole and footwear. Although the importance of a threshold value of 200 kPa in peek plantar pressure reduction has been highlighted as a gold standard to prevent re-ulceration in diabetic foot, it may not be possible to ensure this pressure reduction for each patient...
February 22, 2024: Journal of the American Podiatric Medical Association
Marta García-Madrid, Mateo López-Moral, Aroa Tardáguila-García, Raúl J Molines-Barroso, Yolanda García-Álvarez, José Luis Lázaro-Martínez
BACKGROUND: This article aims to analyze levels of knowledge and behavior about diabetic foot care and prevention in persons with diabetes according to International Working Group (IWGDF) risk stratification system. METHODS: A descriptive study in 83 persons with diabetes at different level of risk for foot ulceration (IWGDF risk 0-3). A previously validated questionnaire, the PIN Questionnaire, was used to analyze their levels of understanding of foot complications...
January 4, 2024: Journal of the American Podiatric Medical Association
Arij M Rashid, Timothy P Cheung, Rumzah Paracha, Glenn C Vitale, Steven D Vyce
BACKGROUND: Bone and periarticular tissue discoloration can be an unexpected finding that is often disconcerting for surgeons and may alter surgical plans and overall patient management. Common causes of bone discoloration include infection, avascular necrosis, and bone inflammation. Minocycline-induced black bone disease is a rare and relatively benign abnormality encountered in foot and ankle surgery that can cause significant black, blue, and gray discoloration of bone. METHODS: Unanticipated intraoperative findings of diffuse black, blue, and gray bone discoloration during an elective forefoot operation raised concern for a metabolically malignant process and prompted the conversion of plans for a first metatarsophalangeal joint implant arthroplasty to a Keller arthroplasty...
2024: Journal of the American Podiatric Medical Association
Christopher M Gill, Mark J Bullock, Andrew H Cohen
Charcot's neuroarthropathy and osteomyelitis can have similar initial presentations. The ability to differentiate between the two pathologic conditions is essential, as each requires different treatment. We present a case of a 53-year-old woman with pain, swelling, and warmth in her left first metatarsophalangeal joint and first tarsometatarsal joint. Radiographs showed comminuted fractures at the base of the first metatarsal. Osteomyelitis was suspected by the primary team based on physical findings and a history of previous first metatarsophalangeal joint arthrodesis...
2024: Journal of the American Podiatric Medical Association
Kushkaran Kaur, Rhonda S Cornell, Andrew J Meyr
BACKGROUND: The objective of this investigation was to evaluate adverse short-term outcomes after partial forefoot amputation with a specific comparison performed based on patient height. METHODS: The American College of Surgeons National Surgical Quality Improvement Program database was analyzed to select patients with a 28805 Current Procedural Terminology code (amputation, foot; transmetatarsal) who underwent the procedure with "all layers of incision (deep and superficial) fully closed...
2024: Journal of the American Podiatric Medical Association
Ramez Sakkab, Varsha Ivanova, Monica Jung, Kristina Corley, Jae Yoon Kim, Gautam Sowda, Kevin Miller
BACKGROUND: Arthroscopy has become increasingly common for diagnosis and treatment of ankle joint pathology. The four most common portals used for ankle arthroscopy are the anteromedial, anterolateral, posteromedial, and posterolateral. Anatomy of neurovascular structures along the ankle can significantly vary. METHODS: The distance of neurovascular structures was compared with anatomical landmarks of ankle arthroscopic portals to verify safe zones for scope insertion...
2024: Journal of the American Podiatric Medical Association
Tze-Woei Tan, Jeffrey P Tolson, Juan C Arias Aristizabal, Diego J Urbina, Sarah A Fermawi, Craig Weinkauf, David G Marrero, David G Armstrong
BACKGROUND: The purpose of this study was to determine the association of preulcerative foot care and outcomes of diabetic foot ulcerations (DFUs). METHODS: This retrospective cohort study using the Mariner all-payers claims data set included participants with a new DFU from 2010 to 2019. Patients were stratified into two cohorts (foot care and control) based on whether they had received any outpatient foot care within 12 months before DFU. Adjusted comparison was performed by propensity matching for age, sex, and the Charlson Comorbidity Index (1:2 ratio)...
2024: Journal of the American Podiatric Medical Association
Ioannis S Vasios, Konstantinos G Makiev, Paraskevas Georgoulas, Athanasios Ververidis, Georgios Drosos, Konstantinos Tilkeridis
The management of complex and severe lower-extremity injuries is challenging for the orthopedic surgeon. When the primary or secondary closure of the defect is not feasible, complex procedures with graft (split-thickness or full-thickness) or flap (pedicled or free) are required. These procedures are performed by specialized plastic surgeons and are at high risk for adverse effects, even high morbidity among both the donor and acceptor sites. Furthermore, split-thickness skin grafts (STSGs) often lead to unsatisfactory results in terms of mechanical stability, flexibility, and aesthetics due to the lack of underlying dermal tissue...
2024: Journal of the American Podiatric Medical Association
LuLu Chai, Jiaju Zhao, Nan Yi, Yong Zhang, Zhicheng Zuo, Jie Shen, Bo Jiang
BACKGROUND: The present study aimed to analyze and compare the efficacy of the anterolateral and posterolateral approaches for surgical treatment of supination-external rotation type IV ankle fractures. METHODS: This retrospective study enrolled 60 patients (60 feet) with supination-external rotation type IV ankle fractures, including 30 patients (30 feet) treated by means of the anterolateral approach and 30 patients (30 feet) treated by means of the posterolateral approach...
2024: Journal of the American Podiatric Medical Association
Derya Ozkan, M Tugba Arslan, Mehmet Burak Eskin, Fatma Ozkan Sipahioglu, Yasemin Ermis, Gokhan Ozkan, Ibrahim Yilmaz, Burak Nalbant, Sinan Yuksel, Kerim Bora Yilmaz
BACKGROUND: Lower-extremity amputation for a diabetic foot is mainly performed under general or central neuraxial anesthesia. Ultrasound-guided peripheral nerve block (PNB) can be a good alternative, especially for patients who require continuous anticoagulation treatment and patients with additional comorbidities. We evaluated bleeding due to PNB application in patients with diabetic foot receiving antiplatelet or anticoagulant therapy. Perioperative morbidity and mortality and the need for intensive care hospitalization were analyzed...
2024: Journal of the American Podiatric Medical Association
Brandon M Brooks, Chia-Ding Shih, Reed W R Bratches, Kevin T Pham, Bradley M Brooks, Lili Hooshivar, Kristina B Wolff
BACKGROUND: Limb preservation surgery affects more than 100,000 Americans annually. Current postoperative pain management prescribing practices of podiatric physicians in the United States are understudied. We examined prescribing practices for limb preservation surgery to identify prescriber characteristics' that may be associated with postoperative opioid-prescribing practices. METHODS: We administered an anonymous online questionnaire consisting of five patient scenarios with limb preservation surgery commonly performed by podiatric physicians...
2024: Journal of the American Podiatric Medical Association
Alex J Bischoff, Ryan Stone, Ross Groeschl, Richard Weiner, Mallory Faherty
BACKGROUND: First metatarsophalangeal joint arthrodesis with isolated dorsal plating without a lag screw and without a compressive mechanism incorporated into the plate is not well studied. Although surface area for bony fusion is increased, there is concern for lower fusion rates and progressive loss of sagittal plane positioning. We present fusion rates and progressive sagittal plane deviation with isolated dorsal plate fixation. METHODS: A retrospective review was performed of 41 patients (43 feet) who underwent first metatarsophalangeal joint arthrodesis with isolated dorsal plate fixation...
2024: Journal of the American Podiatric Medical Association
Hannah J Hughes, Michael J Hurst, Patrick R Burns
BACKGROUND: We sought to determine the rates of reulceration and reamputation in individuals who underwent partial first-ray amputations versus hallux amputations in diabetic and nondiabetic populations. METHODS: Eighty-four amputations were reviewed in a retrospective fashion. A retrospective medical record review was performed to determine patients who underwent a hallux amputation, both partial and complete, and patients who underwent a partial first-ray amputation...
2024: Journal of the American Podiatric Medical Association
Riyad Karmy-Jones, BeeJay Feliciano, Desarom Teso, Jill Sommerset, Yolanda Vea, Mathew Dally
BACKGROUND: Patients with diabetes and diffuse infrageniculate arterial disease who present with chronic limb-threatening ischemia require an exact anatomical plan for revascularization. Advanced pedal duplex can be used to define possible routes for revascularization. In addition, pedal acceleration time (PAT) can predict the success or failure of both medical and surgical interventions. METHODS: A retrospective review of patients who were referred to our group for unilateral limb-threatening ischemia with isolated infrageniculate disease was conducted...
2024: Journal of the American Podiatric Medical Association
Zeynab Soltanzadeh, Saeed Shaikhzadeh Najar, Somayeh Khazaei
BACKGROUND: Socks are mainly used to give the foot more comfort while wearing shoes. Stitch density of the knitted fabric used in socks can significantly affect the sock properties because it is one of the most important fabric structural factors influencing the mechanical properties. Continuous plantar pressures can cause serious damage, particularly under the metatarsal heads, and it is deduced that using socks redistributes and reduces peak plantar pressures. If peak pressure under the metatarsal heads is predicted, then it will be possible to produce socks with the best mechanical properties to reduce the pressure in these critical areas...
2024: Journal of the American Podiatric Medical Association
Shari R Lipner, Tracey Vlahovic, Mahmoud A Ghannoum, Boni Elewski, Warren S Joseph
BACKGROUND: Dermatophytoma, also described as a longitudinal streak/spike, is a form of onychomycosis that presents as yellow/white streaks or patches in the subungual space, with dense fungal masses encased in biofilm. This scoping review of the literature was conducted to address a general lack of information about the epidemiology, pathophysiology, and treatment of dermatophytomas in onychomycosis. METHODS: A search was performed in the PubMed and Embase databases for the terms "longitudinal spike" or "dermatophytoma...
2024: Journal of the American Podiatric Medical Association
Mansingh Jarolia, Sai Krishna Mlv, Vijay Kumar Digge, Arun Kumar Panda
Bony outgrowths of the distal phalanx of the great toe have been described in the literature but rarely. These subungual bony outgrowths can be caused by subungual exostosis or subungual osteochondromas. Both of these abnormalities are bony outgrowths with differences in the cartilage cap wherein the exostoses have fibrocartilage, and osteochondromas have hyaline cartilage. The subungual exostosis and osteochondroma that are protruding present symptoms of pain, redness, and deformed nail bed, whereas the nonprotruding osteochondromas have only a lump as the presenting symptom...
2024: Journal of the American Podiatric Medical Association
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