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Journal articles on the topic 'Podiatric pathology'
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1
McCarthy, DJ, and FJ Lagana. "Podiatric pathology of lupus erythematosus." Journal of the American Podiatric Medical Association 79, no. 6 (1989): 281–90. http://dx.doi.org/10.7547/87507315-79-6-281.
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Lupus erythematosus is an enigmatic disease. Its podiatric manifestations are largely cutaneous, but vasculitic involvements may produce complications. The authors review much of the histopathology of lupus erythematosus that is relevant to the podiatric physician and surgeon. Awareness of the serious systemic implications of lupus erythematosus and the internal medications used in treatment is part of the physician's responsibility in understanding the whole patient.
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González-Martín, Cristina, Vanesa Balboa-Barreiro, Mª Teresa Garcia-Rodriguez, Raquel Veiga-Seijo, Teresa Seoane-Pillado, and Estefanía Couceiro-Sanchez. "Podiatric Skin and Nail Involvement and Biomechanical Pathology in Renal Transplant Recipients: Assessment of the Foot as a Contributing Factor to Their Health." Healthcare 11, no. 23 (2023): 3078. http://dx.doi.org/10.3390/healthcare11233078.
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Although several studies show the prevalence of podiatric conditions in people with end-stage renal disease or renal replacement therapy with hemodialysis, there is little scientific literature on this when subjects are undergoing kidney transplantation. The aim of this study is to determine the prevalence of podiatric skin and nail pathology in renal transplant recipients. A descriptive, observational, prevalence study was conducted at the Nephrology Department of the University Hospital of A Coruña. A total of 371 subjects were studied. The variables studied were sociodemographic (age, sex), anthropometric (Body Mass Index), comorbidity (Charlson Comorbidity Index), and podological (skin and nail alterations). A high presence of skin (83.1%) and nail pathology (85.4%) was observed, with hyperkeratosis (68.8%), onychogryphosis (39.4%), and onychocryptosis (36.9%) being the most predominant alterations. Although it was not significant, patients with a higher risk of presenting podiatric pathology were of female sex and had a high BMI, and both age and the Charlson comorbidity index were significantly associated with this risk. There was an increased risk of both skin and nail pathology at older age and in the presence of diabetes mellitus.
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Elena, Violeta Iborra-Palau. "Lesiones podológicas y salud de los pies en pacientes oncológicos." Enfermería Dermatológica 13, no. 38 (2019): 16–22. https://doi.org/10.5281/zenodo.3574457.
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<strong>RESUMEN:</strong> <strong>Objetivo:</strong> Conocer las lesiones podológicas del paciente oncológico, qué importancia dan a mantener una buena salud en sus pies y cuál es su opinión sobre la atención podológica. <strong>Metodología</strong>: Estudio descriptivo transversal realizado en febrero y marzo del 2017 en el Hospital Universitario y Politécnico La Fe, mediante un cuestionario auto cumplimentado elaborado ad-hoc. En el cuestionario se recogen cinco grupos de variables: sociodemográficas, relacionadas con el estado de salud de los pies, relacionadas con la atención podológica recibida, relacionadas con las comorbilidades padecidas y relacionadas con el nivel de conocimientos acerca de la podología y sus profesionales. <strong>Resultados</strong>: De una muestra de n=100 pacientes, 53 mujeres y 47 hombres, un 44% observó algún cambio en sus pies. La parestesia en miembros inferiores fue la alteración más frecuente seguida de la sequedad cutánea. La frecuencia de dolor ungueal y dolor generalizado de pies fue del 27% y 22% respectivamente. Solo el 50% había acudido alguna vez al podólogo para cuidarse los pies. <strong>Conclusiones: </strong>Las parestesias, el entumecimiento, la sequedad y el dolor generalizado son los síntomas que se dan con más frecuencia en los pies de pacientes oncológicos. La atención podológica puede ayudar a abordar adecuadamente los cuidados de la piel en patologías podológicas; sería bueno incluirla en la cartera de servicios de la sanidad pública. <em>[</em><strong><em>PODIATRIC INJURIES AND FOOT HEALTH IN THE CANCER PATIENTS]</em></strong> <strong>ABSTRACT:</strong> <strong>Objective:</strong> To know the podiatric lesions of the cancer patient, how important they are to maintain good health in their feet and what is their opinion about podiatric care. <strong>Methodology:</strong> Cross-sectional descriptive study conducted in February and March 2017 at the La Fe University and Polytechnic Hospital, using a self-completed questionnaire prepared ad-hoc. The questionnaire includes five groups of variables: sociodemographic, related to the state of health of the feet, related to the podiatric care received, related to the comorbidities suffered and related to the level of knowledge about of podiatry and its professionals. <strong>Results:</strong> Of a sample of n=100 patients, 53 women and 47 men, 44% observed some change in their feet. Pairstesia in the lower limbs was the most frequent alteration followed by cutaneous dryness. The frequency of nail pain and generalized foot pain was 27% and 22% respectively. Only 50% had ever visited the podiatrist to take care of their feet. <strong>Conclusions: </strong>Paresthesia, numbness, dryness and generalized pain are the most frequent symptoms in the feet of cancer patients. Podiatric care can help to adequately address skin care in podiatric pathologies; it would be good to include it in the portfolio of public health services.
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Jessup, Rebecca L. "Foot Pathology and Inappropriate Footwear as Risk Factors for Falls in a Subacute Aged-Care Hospital." Journal of the American Podiatric Medical Association 97, no. 3 (2007): 213–17. http://dx.doi.org/10.7547/0970213.
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Background: Falls are a major clinical problem in the hospital setting. This study examined the prevalence of foot pathology and footwear type likely to increase the risk of falls in two subacute-care hospital wards serving elderly patients. Methods: Two wards of a subacute aged-care hospital were selected for study. Patients were assessed for the presence of foot pathology, and their footwear was evaluated for characteristics identified in the literature as placing individuals at increased risk of falls. Results: Of 44 patients assessed, 98% had foot pathology, and 41% had foot pathology requiring podiatric medical management. Eighty-six percent of inpatients wore footwear that was likely to increase their risk of falls, with 66% wearing slippers or moccasins. Conclusions: The results of this study demonstrate the need for hospital inpatients who are identified as being at high risk for falling, or have a history of falls, to undergo an assessment of their foot pathology and footwear so that appropriate measures can be taken to address these risk factors. (J Am Podiatr Med Assoc 97(3): 213–217, 2007)
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Robbins, JM, LS Roth, and MC Villanueva. ""Stand down for the homeless". Podiatric screening of a homeless population in Cleveland." Journal of the American Podiatric Medical Association 86, no. 6 (1996): 275–79. http://dx.doi.org/10.7547/87507315-86-6-275.
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Health care for the homeless is a major public health concern. With the rise in antibiotic-resistant tuberculosis, the increase of human immunodeficiency virus (HIV) diseases, and other health risks, the medical community has begun to recognize the urgency of taking a proactive role in providing care for this population. Lower extremity pathology can result in limb-threatening and, in some cases, life-threatening sequelae for homeless populations. This patient group has limited access to regular hygiene, appropriate shoes, and podiatric medical care. Participation in the "Stand Down for the Homeless" projects provided an opportunity to evaluate the podiatric needs of a homeless population and to project a response to those needs. The authors define and compare this homeless population with the national homeless population, compare the podiatric needs of this homeless populations versus the general population, and respond to those needs.
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O’Quinn, Jonathan C., and Robert Dushin. "Cutaneous Larva Migrans." Journal of the American Podiatric Medical Association 95, no. 3 (2005): 291–94. http://dx.doi.org/10.7547/0950291.
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Cutaneous larva migrans is a common skin pathology that occurs in people who have recently visited tropical or subtropical climates. Given the ubiquity of this condition, the podiatric physician may encounter cutaneous larva migrans during clinical practice and should be cognizant of the presenting signs and typical patient history given in these cases. We describe the case of a 62-year-old man who presented with a pruritic, erythematous, serpiginous lesion on the dorsum of his left foot after having vacationed in Florida for several weeks. The patient was treated successfully with oral thiabendazole, 500 mg after meals 4 times daily for 5 days. (J Am Podiatr Med Assoc 95(3): 291–294, 2005)
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David, Michael G., Jennifer Stumph, and Brianna M. David. "Primary Squamous Cell Carcinoma of the Distal Hallux." Journal of the American Podiatric Medical Association 103, no. 2 (2013): 149–51. http://dx.doi.org/10.7547/1030149.
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Squamous cell carcinoma is a common disease of cutaneous tissue with a great ability to form metastases. Squamous cell carcinoma is found most commonly on sun-damaged skin and has a rare occurrence on the toes and feet. The patient was a 68-year-old woman who was seen at a podiatric specialty office with a complaint of pain in her left great toe and toenail. Radiographs displayed erosion of the distal hallux, and magnetic resonance imaging revealed no further spread of disease in the proximal phalanx. An amputation was performed of the hallux interphalangeal joint, and pathology confirmed squamous cell carcinoma of the verrucous type. (J Am Podiatr Med Assoc 103(2): 149–151, 2013)
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Conway, FJ, SF Boc, and JB Dacus. "Diagnosis of a computer-simulated podiatric patient." Journal of the American Podiatric Medical Association 81, no. 4 (1991): 181–86. http://dx.doi.org/10.7547/87507315-81-4-181.
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The authors discuss the use of computers in medicine. A patient presenting with a condition requiring surgery is represented by a data file in a computer program. The user obtains data from the file by selecting items from a menu. Data are presented on the screen in pop-up windows. By examining the data and making judgments, the user may determine the pathology and make first a provisional and then a definitive diagnosis.
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Blake, RL, and H. Ferguson. "Limb length discrepancies." Journal of the American Podiatric Medical Association 82, no. 1 (1992): 33–38. http://dx.doi.org/10.7547/87507315-82-1-33.
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Examining for a possible limb length discrepancy is an important part of the podiatric biomechanical examination. The authors present a review of the literature pertaining to the definition of and examination for a limb length discrepancy. They present a typical rationale for lift therapy in the treatment of this pathology.
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Gonzalez-Martin, Pertega-Diaz, Seoane-Pillado, Balboa-Barreiro, Soto-Gonzalez, and Veiga-Seijo. "Structural, Dermal and Ungual Characteristics of the Foot in Patients with Type II Diabetes." Medicina 55, no. 10 (2019): 639. http://dx.doi.org/10.3390/medicina55100639.
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Background and Objectives: Diabetes is a chronic and metabolic disease, considered as an important public health problem. The objective of this study was to determine the prevalence of podiatric pathology in type II diabetic patients. Materials and Methods: An observational descriptive study of prevalence in the endocrinology service of Complexo Hospitalario Universitario A Coruña (CHUAC) (A Coruña-Spain) was carried out (n = 153). Type II diabetic patients included, of legal age who signed the informed consent. Sociodemographic variables were studied (age, sex, body mass index (BMI), smoking habit, alcohol consumption, family history), disease variables (time of evolution of diabetes, treatments, low-density lipoprotein (LDL), high-density lipoprotein (HDL), glucose), podiatric variables: measurement of the footprint, metatarsal and digital formula, nail, skin, hindfoot and forefoot alterations. The data collection was done in 2018 and the data analysis was carried out in 2019. Results: The patients with type II diabetes had greater age, obesity and arterial hypertension it compared to the general population. Diabetic patients had a higher prevalence of flat feet than the general population (71.2% vs. 20.7%, p < 0.001), with a predominance of normal foot according to the podoscope. The predominant podological pathology was the presence of claw toes (94.8%), followed by dermal (78.4%) and nail (71.9%) alterations, and the Hallux Valgus (66.0%). The Clarke angle and the Chippaux index showed a Kappa concordance index of 0.26 with the type of footprint measured with the podoscope. The Staheli index showed a Kappa index of 0.27 associated with an observed agreement of 54%. Conclusions: This study shows that foot problems continue to be prevalent in subjects with type II diabetes mellitus and for this reason, podiatry is essential in its treatment.
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Osher, Lawrence S., Matthew DeMore, Said Atway, and Matthew K. Thomson. "Extended Pedal Imaging via Modifications of the Traditional Forefoot Axial Radiographic Study." Journal of the American Podiatric Medical Association 98, no. 3 (2008): 171–88. http://dx.doi.org/10.7547/0980171.
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Background: The plain film forefoot axial radiographic view is a specialized view in podiatric imaging. In everyday office practice, an axial orthoposer is used, and the study is nonweightbearing. Largely useless for imaging functional pathology, the forefoot axial view’s main use centers around imaging of the plantar metatarsal heads and the hallucal sesamoid complex. To this end, the name “forefoot” is somewhat of a misnomer, and the view is also known as the sesamoid axial study. Methods: We report on the initial use of oblique sesamoid or “skyline” axial studies for juxtacortical lesions of the sesamoid bones and more proximal dorsolateral tarsal structures, an area traditionally difficult to assess accurately with plain film imaging. Results: Rather simple, empiric modifications in the forefoot axial technique allowed for 1) “skyline” imaging of exostotic surface lesions involving the dorsal, medial, and lateral midfoot bones, and 2) significant improvement in imaging hallucal sesamoid pathology. Conclusions: Although the proposed oblique forefoot axial modifications empirically add two additional plain film radiographic studies to a standard forefoot axial study, our initial study suggests that the imaging benefits far outweigh the liabilities. This is especially true when one considers the difficulties encountered when employing standard plain film pedal in an effort to clarify or delineate pathologic processes involving the midfoot bones or metatarsal bases. It is hoped that this study will spawn further use and research of these “novel” views. (J Am Podiatr Med Assoc 98(3): 171–188, 2008)
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Hill, RS. "Ankle equinus. Prevalence and linkage to common foot pathology." Journal of the American Podiatric Medical Association 85, no. 6 (1995): 295–300. http://dx.doi.org/10.7547/87507315-85-6-295.
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One hundred seventy-six of 209 consecutive new patients were examined over a 6-week period for the presence or absence of equinus deformity in the course of their workup for their primary complaint. Of the patients examined, 96.5% exhibited restricted ankle dorsiflexion requiring compensation during gait. Foot complaints were categorized into medial, lateral, and rearfoot problems. The high incidence of equinus reflects "acquired deformity" related to factors of lifestyle that leave the posterior muscles at a physiologic disadvantage toward maintaining flexibility. There is a significant relation between compensation for ankle equinus and podiatric pathology. More attention should be directed at the evaluation of ankle range of motion during examination of common foot problems. Gastrosoleal stretching is an important treatment modality that can lead to a higher success rate of conservative treatment. It can decrease the need for foot surgery, and significantly reduce the number of failed or serial surgical procedures.
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Hainsworth, Steven, John F. Hamblin, and Thiru Vanniasinkam. "Isolation of Dermatophytes (and Other Fungi) from Human Nail and Skin Dust Produced by Podiatric Medical Treatments in Australia." Journal of the American Podiatric Medical Association 105, no. 2 (2015): 111–20. http://dx.doi.org/10.7547/0003-0538-105.2.111.
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Background Podiatric physicians routinely use electric drills for the treatment of nail and skin conditions. The grinding process produces human nail and skin dust that is generally vacuumed into bags in the grinding unit. Many of the nails are thought to be mycotic, particularly because they are obtained from patients with symptoms of dermatophyte infections. Currently, there is limited information available on the detection of fungi from nail dust samples. Herein, we attempt to address this situation and outline some of the difficulties that pathology laboratories face in isolating and identifying dermatophytes from nail samples. Methods Fifty nail dust bags from podiatric medical clinics across all of the states and territories of Australia were collected and analyzed. Samples from the bags were inoculated onto primary isolation media. Fungal colonies that grew were then inoculated onto potato dextrose agar for identification using standard morphological (macroscopic and microscopic) features. Results One hundred fifty-one colonies of dermatophytes were identified from 43 of the 50 samples. In addition 471 nondermatophyte molds were isolated, along with some yeasts and bacteria. Conclusions The most common dermatophytes isolated were from the Trichophyton mentagrophytes/interdigitale complexes. Trichophyton rubrum, Trichophyton tonsurans, Trichophyton soudanense, and Epidermophyton floccosum were also isolated. An unidentified group of dermatophytes was also present. The three most common genera of nondermatophyte molds were Aspergillus, Penicillium, and Scopulariopsis, all of which have been implicated in onychomycosis and more general disease. The presence of viable fungal pathogens in the dust could potentially pose a health problem to podiatric physicians.
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Frykberg, RG. "Team approach toward lower extremity amputation prevention in diabetes." Journal of the American Podiatric Medical Association 87, no. 7 (1997): 305–12. http://dx.doi.org/10.7547/87507315-87-7-305.
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Through a discussion of the etiology and pathology of diabetic foot lesions with particular emphasis on ulceration and osteoarthropathy, the author will develop a plan for treatment and prevention using a multidisciplinary approach to such problems. Underlying risk factors including neuropathy, ischemia, infection, and, especially high pressures must be evaluated and appropriately ameliorated in order to promote resolution and avoidance of recidivism. Accordingly, conservative management with pressure-relieving devices, topical therapies, and prophylactic surgery on structural deformities plays an integral part in the overall podiatric management of the high-risk foot in diabetes mellitus.
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Durrant, Beverley, and Nachiappan Chockalingam. "Functional Hallux Limitus." Journal of the American Podiatric Medical Association 99, no. 3 (2009): 236–43. http://dx.doi.org/10.7547/0980236.
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Functional hallux limitus is defined as a functional inability of the proximal phalanx of the hallux to extend on the first metatarsal head during gait. The theory concerning this anomaly and the altered gait characteristics that may result appears to have influenced the understanding of sagittal plane podiatric biomechanics. Although there is an increase in the body of evidence to support the proposed gait alterations, a detailed review suggests the need for further work. The aim of this article is to review the functional hallux limitus literature and its reported effects on gait. Furthermore, we explore some of the key and inherent problems with obtaining accurate data for joint motion measurement in the foot. With evidence-based practice now at the forefront of both clinical and academic practice, it is imperative to review the literature that underpins a particular commonly held or historical belief, in order to substantiate and validate subsequent diagnoses and treatments provided in light of this information. This is also true to advance the understanding of a particular anomaly or pathology and to inform so as to facilitate the provision of better care to patients. (J Am Podiatr Med Assoc 99(3): 236–243, 2009)
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Day, FN, JJ Naples, and J. White. "Metatarsocuneiform coalition." Journal of the American Podiatric Medical Association 84, no. 4 (1994): 197–99. http://dx.doi.org/10.7547/87507315-84-4-197.
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This was clearly a case of an unusual anomaly. Clinically, this was a case of an osseous coalition of congenital origin. Since the patient eventually became asymptomatic, no further treatment was necessary. Unfortunately, the patient's parents were unavailable to be radiographed to test the hereditary nature of this disorder. The radiographs and fluoroscopy films were sent to a radiologist. The radiology report stated a total and complete coalition (osseous fusion) between the third metatarsal base and the third cuneiform, with no indication of a joint space present in the left foot scan. Since this pathology is more of an incidental finding and caused the patient no discomfort, surgical correction was not necessary. Certainly, more coalitions of this nature may exist without patient knowledge. This case demonstrates another pathology that the podiatric physician may need to address.
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Dellacorte, MP, PJ Lin, and PJ Grisafi. "Bilateral bipartite medial cuneiform. A case report." Journal of the American Podiatric Medical Association 82, no. 9 (1992): 475–78. http://dx.doi.org/10.7547/87507315-82-9-475.
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A fracture to the intermediate cuneiform that was not definitively detected on routine radiographs because of the overlap of the cuneiform was presented. Weightbearing x-rays did not provide additional information. The anatomical location of the fracture was identified only after a computed tomography scan was performed. An incidental finding, bilateral bipartite medial cuneiforms, was also observed on the computed tomography scan, which contributed to the overlap on routine radiographs. The anatomy of the bipartite medial cuneiforms seen on computed tomography was similar to that described by Barlow in 1942. Retrospective comparison to the initial radiographs with the computed tomography scan sections did reveal bipartite medial cuneiforms on these films as well. The podiatric physician should keep bipartition in mind when evaluating x-rays for any osseous pathology, especially fractures.
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Ana María, Rayo-Pérez. "Calcaneal Bone Edema. A Case of Series." Journal of Clinical Research and Reports 16, no. 5 (2024): 01–05. http://dx.doi.org/10.31579/2690-1919/408.
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bone edema or bone edema is an uncommon pathology in podiatric practice. However, there are some cases we can detect within it. This bone alteration results from trauma, degenerative lesions, or metabolic processes, with the first being the most common cause. It is characterized by acute pain in the heel area, which gradually becomes more generalized, as well as redness and swelling of the area. In the initial stages, the use of NSAIDs or analgesics is recommended, and in more advanced stages, drainage of the area. This study is aa prospective observational study analyzing 20 subjects with calcaneal bone edema. Various surveys such as AOFAS, SF-36, and VAS are conducted to fully analyze the condition and its evolution after 3 months and 6 months post-treatment. Following the intervention, there is a notable improvement in the patients' quality of life, as well as a significant reduction in pain. In conclusions calcaneal bone edema is an underdiagnosed pathology mainly due to its lack of recognition and low prevalence. It is essential to know the differential diagnosis with other heel pains to comprehensively address this condition.
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Shibuya, Naohiro, Daniel C. Jupiter, Louis J. Ciliberti, Vincent VanBuren, and Javier La Fontaine. "Prevalence of Podiatric Medical Problems in Veterans versus Nonveterans." Journal of the American Podiatric Medical Association 101, no. 4 (2011): 323–30. http://dx.doi.org/10.7547/1010323.
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Background: Lower-extremity pathologic abnormalities have been common in military recruits for many years. Many of these conditions can become chronic and persist even after retiring from military service. We hypothesized that certain foot abnormalities are more prevalent in veterans versus nonveterans. The purpose of this study was to evaluate what foot and ankle disorders are associated with veteran status while controlling for other demographic factors. Methods: The National Health Interview Survey (Podiatry Supplement) from 1990 was used for this secondary data analysis. The data were divided into veterans and nonveterans, and the prevalence of podiatric medical problems, including callus, flatfoot deformity, bunion deformity, hammer toe deformity, arthritis, and sprain, was evaluated for each group. Results: Flatfoot deformity and arthritis were significantly more prevalent in veterans versus nonveterans in the United States. Bunion deformity was significantly more prevalent in male veterans than in male nonveterans. Male veterans were less likely than male nonveterans to have sprains, and female veterans were more likely than their nonveteran counterparts to have sprains. Conclusions: These results may help us understand the potential risk factors for podiatric medical problems and may be used for formulating prevention programs. (J Am Podiatr Med Assoc 101(4): 323–330, 2011)
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Suárez-Ortiz, Mario, Sofía Mora-Pardo, Miguel López-Vigil, Francisco Muñoz-Piqueras, and Alfonso Martínez-Nova. "Minimally Invasive Distal Metatarsal Osteotomies for Metatarsalgia Treatment: A Review." Surgical Techniques Development 13, no. 4 (2024): 393–401. https://doi.org/10.3390/std13040031.
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Introduction: Metatarsalgia is a very common pathology in podiatric consultations, whose main aetiological factor is biomechanical alterations. Given the failure of conservative treatments, minimally invasive osteotomies of the distal metatarsal are becoming more popular, providing comparable results to open surgical techniques and with a lower rate of complications. Objectives: To determine clinical improvement and patient satisfaction after minimally invasive distal metatarsal osteotomy (DMMO) as a surgical treatment for central metatarsalgia at present. Methodology: The databases used for this systematic review were PubMed, Scielo, Cochrane Library, WOS and Scopus. We included articles that studied the efficacy of DMMO for primary metatarsalgia and excluded studies whose patients had more than one pathology or used other surgical techniques. Results: We identified 10 articles, 5 prospective studies, 4 retrospective studies and 1 cross-sectional, non-randomized, analytical study published between 2015 and 2021. The total number of subjects was 366, with a mean age of 61 years. The majority of subjects were women. They presented with symptomatology compatible with primary metatarsalgia for a minimum of 6 months and had failed conservative treatment. Conclusions: DMMO osteotomies for central metatarsals offer excellent post-surgical results for the treatment of central metatarsalgia in the assessment scales (AOFAS, MOXFQ etc.) of the articles analyzed and therefore an evident clinical improvement with benefits in terms of MTF mobility and reduction of surgical time, as well as a high degree of satisfaction in the patients who received this intervention that can be considered as excellent.
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Meló-Ferri, Aida, Pilar Pérez-Ros, María Isabel Mármol-López, Sandra David-Sancanuto, María Zapata-Rivas, and Francisco M. Martínez-Arnau. "Prevalencia de patología podal en el anciano pre-frágil y frágil comunitario y su relación con las caídas." Enfermería Dermatológica 13, no. 37 (2019): 36–42. https://doi.org/10.5281/zenodo.3408770.
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<strong>Objetivo:</strong> Conocer la prevalencia de patología podal en ancianos frágiles comunitarios y su relación con las caídas. <strong>Metodología: </strong>Estudio observacional de corte transversal en la población anciana adscrita a los Centros de Salud de la Comarca de la Ribera. Se tuvo en cuenta la puntuación funcional de Tinetti, el número de caídas, las alteraciones dermatológicas, ungueales y osteoarticulares. <strong>Resultados:</strong> Muestra de 229 ancianos, predominio femenino y una mayor proporción con edad >75 años. Un 26,29% padecieron dos o más caídas. Elevada prevalencia de patología podal por hiperqueratosis y deshidratación. <strong>Conclusiones:</strong> la prevalencia de patología podal en los ancianos frágiles es similar a la población anciana comunitaria. No existe relación entre la patología podal y las caídas en la población analizada. <em><strong>Prevalence of foot pathology in pre-frail and frail community-dwelling older adult And its relationship with falls</strong></em> <em><strong>ABSTRACT:</strong></em> <em><strong>Objective:</strong> To know the prevalence of podiatric pathology in frail community older adults and their relationship with falls.</em> <em><strong>Methodology:</strong> Descriptive observational study of the elderly population attached to the Health Centers of the Ribera Region. The functional score of Tinetti, the number of falls, dermatological, nail and osteo-articular alterations were taken into account.</em> <em><strong>Results:</strong> Sample of 229 older adults, female predomain and a greater proportion with age >75 years. 26.29 % suffered two or more falls. High prevalence of foot pathology due to hyperkeratosis and dehydration.</em> <em><strong>Conclusions:</strong> the prevalence of foot pathology in frail older adult’s people is similar to the elderly community population. There is no relationship between foot pathology and falls in the population analyzed.</em> <em><strong>Keywords</strong>: Accidental Falls, Frail Elderly, Foot Deformities, Older Adults.</em>
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Vernon, Wesley, Anne Parry, and Michael Potter. "A Theory of Shoe Wear Pattern Influence Incorporating a New Paradigm for the Podiatric Medical Profession." Journal of the American Podiatric Medical Association 94, no. 3 (2004): 261–68. http://dx.doi.org/10.7547/0940261.
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Qualitative analysis of shoe wear patterns collected from a questionnaire evaluating podiatric physicians’ experiences in this area suggests that wear patterns could indicate causative function within a known pathologic context. Several different functions are suggested by patterns associated with each of the pathologic entities involved, and analysis of the relationship between patterns and reasons given by respondents for pattern-form variations show the strongest associations to be with functionally termed conditions. A basic model is proposed to present factors important in wear pattern production, suggesting that a new concept of primary walking intention is more influential than foot pathologies in wear pattern formation and that external factors are also influential, with the combined factors being described as the “holistic foot function.” This model may provide a variety of benefits to podiatric medicine; as shoe wear patterns are records of the usual long-term activity of the functioning foot, this paradigm could form a basis for podiatric medical practice. (J Am Podiatr Med Assoc 94(3): 261–268, 2004)
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Zhulikov, A. L., D. A. Malanin, M. V. Demeschenko, I. A. Sutchilin, and S. G. Firsov. "PREVALENCE OF FLATFOOT VALGUS DEFORMITY IN CHILDREN OF THE VOLGOGRAD REGION." Journal of Volgograd State Medical University 19, no. 3 (2022): 108–14. http://dx.doi.org/10.19163/1994-9480-2022-19-3-108-114.
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Flatfoot valgus deformity brings about the formation of overloaded kinetic muscular chains, changes in the biomechanics of feet and overlaying locomotor portions of extremities and vertebral column. The purpose of the study was to reveal the presence and investigate flatfoot valgus deformity in children with platypodia aged 7-14. To study the condition of feet we used the following materials and methods: clinical examination and plantoscopy, podometry, and radiography. The analysis of case histories of podiatric patients aged 7-14 including podometry and plantography findings presented as numerical values, digital photographs of feet and diagnostic conclusions about the type and severity of the pathology was performed. The study has demonstrated that flatfoot valgus deformity associated with a combined type of flatfoot prevails both in boys - in 62 (40 %) and girls - in 38 (24,5 %) cases. The obtained findings have also shown that most children have early stages of valgus deformity, which is observed both in boys in 59 (17) cases and girls in 54 (16) cases. The following conclusions have been made: regular monitoring of foot condition must be performed in children, therapeutic correction of foot static deformities shouLd be made. A weLL-directed programme of exercise therapy and surgicaL treatment of pronounced deformities in chiLdren are required.
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Dunnihoo, Mark E., Ryan T. Kitterman, and David Tran. "Angiokeratoma Presenting as Plantar Verruca." Journal of the American Podiatric Medical Association 100, no. 6 (2010): 502–4. http://dx.doi.org/10.7547/1000502.
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One of the more frequent pathologic conditions that podiatric physicians are confronted with is plantar verrucae. Plantar verrucae have been studied extensively in terms of morphological features and incidence in the population at large and in patients with human immunodeficiency virus infection. Solitary angiokeratomas can be morphologically similar to plantar verrucae, presenting as hyperkeratotic pedunculated lesions. We present a unique case study of a 40-year-old man with human immunodeficiency virus with a painful solitary angiokeratoma masquerading as plantar verrucae. The lesion demonstrated clinical signs consistent with those highlighted in the literature for verrucae, namely, showing as red and black lacunae, punctuated hyperkeratotic epidermis. We propose that solitary angiokeratomas should be an important part of a podiatric physician’s differential diagnosis in the lower extremity owing to the similarity of morphological features with plantar verrucae. (J Am Podiatr Med Assoc 100(6): 502–504, 2010)
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Raherison, Rija Eric, Sitraka A. Raharinavalona, Thierry Razanamparany, Tantely G. L. Andriamitantsoa, Radonirina L. Andrianasolo, and Andrianirina D. P. Rakotomalala. "Epidemiological, clinical, biological, therapeutic and evolutionary profiles of infected diabetic foot hospitalized in the endocrinology department of Joseph Raseta Befelatanana University Hospital in Antananarivo, Madagascar." International Journal of Research in Medical Sciences 13, no. 5 (2025): 1900–1907. https://doi.org/10.18203/2320-6012.ijrms20251288.
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Background: Diabetic foot infection is a serious risk of amputation and death. Our study aims to describe the epidemiological, clinical, biological, therapeutic and evolutionary profiles of patients hospitalized for infected diabetic foot. Methods: This is a descriptive cross-sectional study conducted in the Endocrinology department of the Joseph Raseta Befelatanana University Hospital, Antananarivo over a period of 4 years. The diagnosis of infected diabetic foot was made according to the criteria of the French-Speaking Society of Infectious Pathology. We included all patients who had undergone bacteriological examination with antibiogram of their diabetic foot lesion. Results: Fifty patients were retained, giving a hospital prevalence of 2.84%. Their mean age was 55.50±9.63 years, the sex ratio was 0.72 and mean duration of their diabetes was 6.87±6.13 years. The majority of the lesions were post-traumatic (28%). The mean hospital length stay was 42.82±35.26 days. Infections were classified as stage 4 for 72% of the patients. The main isolated bacteria were Staphylococcus aureus (54.69%), of which 83% were sensitive to Amoxicillin-Clavulanic Acid. Seventy percent of the patients were infected with multidrug-resistant bacteria. The amputation rate was 30% and the mortality rate was 2%. Conclusions: Therapeutic education on podiatric care must be optimized. Multi-disciplinarity is essential for management. Amoxicillin-clavulanic acid should be preferred as probabilistic antibiotic therapy for diabetic foot infection in our country where bacteriological examination is often lacking.
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Farley-Sakevich, Tara, John F. Grady, Emil Zager, and Timothy M. Axe. "Onychoplasty with Carbon Dioxide Laser Matrixectomy for Treatment of Ingrown Toenails." Journal of the American Podiatric Medical Association 95, no. 2 (2005): 175–79. http://dx.doi.org/10.7547/0950175.
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Ingrown toenails are one of the most common pathologic conditions encountered in podiatric medical practice. Many methods of treatment for ingrown toenails have been used and studied, including chemical matrixectomies, surgical approaches, and CO2 laser ablation. This study is a retrospective review of a new technique that consists of resection of the involved nail matrix using a No. 15 blade and controlled cauterization using a CO2 laser. The technique was performed on 381 painful ingrown toenails, and all of the patients were followed up postoperatively for an average of 34 months. The results showed minimal pain, a low recurrence rate, rapid return to activity, and good cosmesis. (J Am Podiatr Med Assoc 95(2): 175–179, 2005)
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McCarthy, DJ. "Pathologic diagnosis in podiatric medicine." Journal of the American Podiatric Medical Association 77, no. 8 (1987): 444–50. http://dx.doi.org/10.7547/87507315-77-8-444.
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Richard Edwards, Steven, Madeleine Grace Murray, and Mark Francis Gilheany. "Minimally invasive surgery for pedal digital deformity: a systematic review." Journal of the Foot & Ankle 16, no. 3 (2022): 306–9. http://dx.doi.org/10.30795/jfootankle.2022.v16.1647.
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Objective: The interest and application of minimally invasive surgery (MIS) in treating lesser toe deformities have increased worldwide. The symptoms are often attributed to callosities and localized pressure. Conservative treatment may improve comfort, but its success largely depends on the level of deformity. When conservative treatment fails, surgery may be indicated. This study explores the available evidence and reviews in the literature seeking to examine the efficacy of MIS in lesser toe pathology. Methods: A systematic review was performed, and the search included the following databases: Cochrane Library, CINAHL, MEDLINE®, PUBMED, Science Direct, and other relevant peer-reviewed sources between September 2019 and June 2022. In addition, a manual search was conducted in Australian, American, British, and European orthopedic and podiatric scientific data for relevant studies. Results: The search for potentially eligible information for this systematic review yielded 92 unique studies. All studies identified were obtained and reviewed. An updated search was performed in July 2022, resulting in no additional studies that satisfied the inclusion criteria. After considering all potentially eligible studies, five (5.4%) met the inclusion criteria. One thousand one hundred eighty-six lesser toe procedures (500 patients) were included. The overwhelming majority of patients were female (80.5%). The patient’s mean age was 56.9 (range 18-91) years, and the mean follow-up was 19.6 (range 6-33) months. All of the studies included early mobilization in the postoperative protocol. Conclusion: There is a need for more research using a combination of validated patient-reported outcomes to evaluate the effectiveness of MIS procedures in treating lesser toe deformities alongside the development of validated and tested treatment algorithms to guide surgical decision-making. Level of Evidence III; Therapeutic Studies; Systematic Review.
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Pérez-Palma, Laura, María Cristina Manzanares-Céspedes, and Enrique Giralt de Veciana. "Subungual Exostosis." Journal of the American Podiatric Medical Association 108, no. 4 (2018): 320–33. http://dx.doi.org/10.7547/17-102.
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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. Studies reporting on epidemiology and treatment of SE lesions in lower extremities in ten or more patients were selected. Initially, 197 articles were identified through database screening, with 23 meeting all inclusion and exclusion criteria. Seven articles with the ages of all of the patients were included in the analysis of age data. A comparison was then made between the diagnostic criteria for the selected 23 articles. Results: Model results reveal that, although there are some significant differences between individual studies, the main factor tested (patient's age) was clearly significant (F1,5.2 = 78.12, P &lt; .001), showing that studies coming from the podiatry speciality were conducted on individuals with a mean age of 37 years higher than in studies from other specialties. Clinical and radiologic characteristics and treatment described in the podiatry literature also contrast with those in other specialties. Conclusions: The SE described by podiatrists, in accordance with the parameters of true exostosis, is different from Dupuytren's SE and should be considered as a different pathologic entity. The authors are working on its histologic identification.
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Miller, Roslyn. "2-3 Year Retrospective Audit of Arthroscopic ‘Internal Brace’ For Chronic ATFL Injury." Foot & Ankle Orthopaedics 3, no. 3 (2018): 2473011418S0035. http://dx.doi.org/10.1177/2473011418s00351.
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Category: Arthroscopy Introduction/Purpose: The aim of this audit is to present the surgical technique and medium term outcomes (2-3 years) of arthroscopic reconstruction of the anterior talo-fibular ligament (ATFL) using the Arthrex InternalBraceTM system. Acute lateral ligament injuries of the ankle respond well to early functional rehabilitation with physiotherapy and can have excellent results. For patients who develop chronic lateral ligament, the morbidity can be significant. Multiple surgical techniques for repair or reconstruction of the anterior talo-fibular ligament (ATFL) have been described. Protracted immobilization is often required in the post-op protocol. Short term outcomes (six months), for arthroscopic reconstruction of the anterior talo-fibular ligament (ATFL) using the Arthrex InternalBraceTM system, have previously been presented. The majority of patients reported good or excellent recovery. Methods: A similar cohort of patients to the short term (six months group) were identified. Adults aged between 18 and 65, average age 42. Exhausted conservative treatment. Clinical assessment and MRI scan confirmed torn/stretched/abnormal ATFL and no other significant pathology. Surgery was performed by a single surgeon Pre-operative questionnaire was completed on the day of surgery. (AOFAS, MOXFQ, EDQ-5, Visual Analogue Score) Surgery was performed as Day case with General anaesthetic and popliteal block. Antibiotics were given at induction. Anterior ankle arthroscopy performed through 2 standard anterior portals. +ve drive through confirmed. Arthroscopic stabilisation with Arthrex InternalBraceTM System:- 3.5 mm BioComposite SwiveLock with FiberTape placed into fibula with the distal end of FiberTape passed through 4.75 mm BioComposite SwiveLock / FibreTape (InternalBraceTM) placed into the talar neck. Post-op mobilisation in a moonboot for 7-10 days. Commence physiotherapy at 10 days. Biomechanical podiatric assessment at 6 weeks. Called for FU assessment at 2 years. Results: In the short term FU group, the majority of patient (13 of 17) reported that they were satisfied or very satisfied with the results of there surgery, with 10 of 16 stating that the surgery gave good, very good or excellent pain relief. The majority of patients (12 of 16) would definitely have the surgery again. Review at two years of clinical notes for patients who previously had surgery for ATFL injury with InternalBraceTM. Patients with other pathologies were excluded. This gave a similar cohort to the six month review patients. All patients were contacted for FU by an ESP Podiatrist and invited to come for clinical review. Only 3 patients reported on-going issues with pain, 1 of which requires revision surgery. Conclusion: Arthroscopic ATFL repair using an InteralBraceTM allows early post-operative rehabilitation with accelerated fully weight bearing rehabilitation. This audit would suggest that the short-term positive results are maintained into the medium term at 2-3 years. The long term outcome is currently not known due to this being a relatively new procedure. This method of ATFL repair could have great potential for elite athletes but also for ‘every day’ patients who still desire to have a rapid return to normal function.
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Pita-Fernandez, Salvador, Cristina González-Martín, Teresa Seoane-Pillado, Sonia Pertega-Diaz, Sergio Perez-Garcia, and Beatriz López-Calviño. "Podiatric Medical Abnormalities in a Random Population Sample 40 Years or Older in Spain." Journal of the American Podiatric Medical Association 104, no. 6 (2014): 574–82. http://dx.doi.org/10.7547/8750-7315-104.6.574.
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Background Podiatric medical abnormalities are highly prevalent, yet few random population studies exist that determine the presence of pathologic abnormalities in the feet, despite their importance. The aim of this study was to determine the prevalence of podiatric medical abnormalities in a random sample population 40 years or older. Methods An observational study was conducted of a random sample population (n = 1,002) located in A Coruña, Spain. Anthropometric variables, comorbidity (Charlson score), quality of life (36-item Short-Form Health Survey), and podiatric medical examination findings were studied. A descriptive analysis and multivariate logistic regression were performed. Results The most common diseases were claw toes (69.7%), hallux valgus (38%), and hallux extensus (15.8%), which increased with age and female sex. The most frequent metatarsal formula was index minus (40.9%), followed by index plus minus (35.0%). The most frequent digital formula was Egyptian foot (57.1%), followed by Greek foot (31.4%). In this study, although the presence of podiatric medical abnormalities reduced the probability of enjoying a better quality of life, it did not do so significantly. After taking into account age, sex, comorbidity, body mass index (BMI), and the presence of podiatric medical abnormalities, the variables with an independent effect that modified the physical component of quality of life were sex (female), comorbidity, and BMI. Conclusions There was a high prevalence of podiatric medical abnormalities, which increased with age and female sex. Comorbidity, BMI, and sex modified quality of life independently of podiatric medical abnormalities.
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Grumbine, NA, PA Radovic, R. Parsons, and GS Scheinin. "Tarsal tunnel syndrome. Comprehensive review of 87 cases." Journal of the American Podiatric Medical Association 80, no. 9 (1990): 457–61. http://dx.doi.org/10.7547/87507315-80-9-457.
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The results of the study indicate that tarsal tunnel syndrome is a pathologic condition in which there are multiple etiologies, which in some cases are poorly defined. In order to arrive at a definitive diagnosis, all available tests, including pathology reports, are important. Where proper diagnosis is made and followed with appropriate adjunctive care, the probability of recurrence will be minimized. Statistical information in itself is of some value, because it may help the podiatrist to more clearly diagnose and treat the patients in whom vague or general symptoms may exist.
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Carl, Tanya J., and Stephen L. Barrett. "Computerized Analysis of Plantar Pressure Variation in Flip-Flops, Athletic Shoes, and Bare Feet." Journal of the American Podiatric Medical Association 98, no. 5 (2008): 374–78. http://dx.doi.org/10.7547/0980374.
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Background: High peak plantar pressures predispose to foot problems and may exacerbate existing conditions. For podiatric physicians to make educated recommendations to their patients, it is important and necessary to begin to look at different shoes and how they affect peak plantar pressure. Methods: To determine how flip-flops change peak plantar pressure while walking, we compared peak plantar pressures in the same test subjects wearing flip-flops, wearing athletic shoes, and in bare feet. Ten women with size 7 feet and a body mass index less than 25 kg/m2 were tested with an in-shoe pressure-measurement system. These data were collected and analyzed by one-way analysis of variance and computer software. Results: Statistically significant results were obtained for nine of the 18 comparisons. In each of these comparisons, flip-flops always demonstrated higher peak plantar pressures than athletic shoes but lower pressures than bare feet. Conclusion: Although these data demonstrate that flip-flops have a minor protective role as a shock absorber during the gait cycle compared with pressures measured while barefoot, compared with athletic shoes, they increase peak plantar pressures, placing the foot at greater risk for pathologic abnormalities. (J Am Podiatr Med Assoc 98(5): 374–378, 2008)
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Castillo-López, José M., Pedro V. Munuera-Martínez, Cristina Algaba-Guisado, María Reina-Bueno, Nadia Salti-Pozo, and Alfonso Vargas-Macías. "Pathologic Disorders of the Foot in Professional Female Flamenco Dancers." Journal of the American Podiatric Medical Association 106, no. 1 (2016): 54–59. http://dx.doi.org/10.7547/14-111.
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Background: The foot is the main element of artistic creation in flamenco dancing. At the professional level, the foot undergoes high musculoskeletal demands, predisposing the development of podiatric pathologic disorders in this group. The principal objective of this study was to determine the most common foot lesions in professional female flamenco dancers.Methods: In a cross-sectional observational study of 44 female professional flamenco dancers, the participants completed a short questionnaire about their demographic features, number of hours danced per week, and years of professional activity. Any foot lesions presented by the participant were also recorded.Results: Some type of pathologic foot condition was noted in 75% of the women, with a particularly high prevalence of hallux abducto valgus (61.4%), hypermobility of the first ray (43.2%), claw toe (40.9%), and varus fifth toe (37.5%) compared with the general population. No significant differences in the presence of pathologic disorders of the foot were found according to the time dedicated to dance or the years of professional activity.Conclusions: Female flamenco dancers in this study had a high prevalence of podiatric medical problems: some kind of pathologic abnormality of the foot was present in 75% of the participants. Hallux abducto valgus, claw toe, and hypermobility of the first ray were the most common pathologic disorders observed.
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Christie, Sean, Gary Styn, Gregory Ford, and Karl Terryberry. "Proximal Plantar Intrinsic Tendinopathy: Anatomical and Biomechanical Considerations in Plantar Heel Pain." Journal of the American Podiatric Medical Association 109, no. 5 (2019): 412–15. http://dx.doi.org/10.7547/17-198.
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Plantar heel pain is often managed through podiatric and physical therapy interventions. Numerous differential diagnoses may be implicated in patients presenting with plantar heel pain; however, symptoms are often attributed to plantar fasciitis. Abductor hallucis, flexor digitorum brevis, and quadratus plantae share proximal anatomic attachment sites and mechanical function with the plantar fascia. Although these plantar intrinsic muscles each perform isolated digital actions based on fiber orientation and attachment sites, they function collectively to resist depression of the lateral and medial longitudinal arches of the foot. Overuse injury is the primary contributing factor in tendinopathy. The close anatomic proximity and mechanical function of these muscles relative to the plantar fascia suggests potential for proximal plantar intrinsic tendinopathy as a result of repetitive loading during gait and other weightbearing activities. To date, this diagnosis has not been proposed in the scientific literature. Future studies should seek to confirm or refute the existence of proximal plantar intrinsic tendinopathic changes in patients with acute and chronic plantar heel pain through diagnostic imaging studies, analysis of lactate concentration in pathologic versus nonpathologic tendons, and response to specific podiatric and physical therapy interventions germane to tendinopathy of these muscles.
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Baeke, Astrid, and Axel Patrice Villani. "Diagnostics à ne pas manquer en pathologie unguéale." Revue du Podologue 17, no. 99 (2021): 10–12. http://dx.doi.org/10.1016/j.revpod.2021.03.004.
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Jonard, Laurence, Davide Brotto, Miguel A. Moreno-Pelayo, et al. "Genetic Evaluation of Prelingual Hearing Impairment: Recommendations of an European Network for Genetic Hearing Impairment." Audiology Research 13, no. 3 (2023): 341–46. http://dx.doi.org/10.3390/audiolres13030029.
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Pinto, Christine. "Review of: Forensic Podiatry: Principles and Methods." Journal of Forensic Sciences 56, no. 6 (2011): 1679. http://dx.doi.org/10.1111/j.1556-4029.2011.01923.x.
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Gragasin-Saviano, Liza, Ernest Isaacson, and Rodney M. Stuck. "Pedal Gangrene Secondary to Disseminated Intravascular Coagulation with Gastric Carcinoma." Journal of the American Podiatric Medical Association 92, no. 3 (2002): 149–52. http://dx.doi.org/10.7547/87507315-92-3-149.
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Consumptive coagulopathy resulting in a disseminated intravascular coagulation is most often seen in infectious diseases and hematologic malignancies. Solid tumors may be associated with disseminated intravascular coagulation that results in gangrene of the upper extremity. A case report of lower-extremity gangrene as the pathology for gastric carcinoma is presented. The need for a multidisciplinary approach to this clinical presentation is noted. (J Am Podiatr Med Assoc 92(3): 149-152, 2002)
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Koller, Armin, Tahir Ogut, Jeff G. van Baal, Thomas Boeni, and Thomas Zgonis. "European Insights on Diabetic Foot Pathology." Foot & Ankle Specialist 3, no. 5 (2010): 265–68. http://dx.doi.org/10.1177/1938640010373653.
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Zhubrak, Michelle S., Timothy K. Fisher, and David G. Armstrong. "Pedal Pathology Potentiated by Personal Pedicure Procedures in the Presence of Painless Peripheral Neuropathy." Journal of the American Podiatric Medical Association 103, no. 5 (2013): 448–50. http://dx.doi.org/10.7547/1030448.
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Although the literature is replete with recommendations for people with diabetes—particularly those with neuropathy, ischemia, or both—to avoid caring for corns and calluses on their own feet, there are virtually no reports of damage associated with this care. The purpose of this article is to report on the potential perils of personal pedicures in the presence of peripheral neuropathy by using a case-based example. In this article, we report on the inappropriate use of a Ped Egg personal pedicure device that led to limb-threatening lesions in a gentleman with diabetic peripheral sensory neuropathy. (J Am Podiatr Med Assoc 103(5): 448–450, 2013)
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Cook, Keith D. "Capsular Interposition for the Keller Bunionectomy with the Use of Soft-Tissue Anchors." Journal of the American Podiatric Medical Association 95, no. 2 (2005): 180–82. http://dx.doi.org/10.7547/0950180.
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The Keller procedure has been used during the past century for the treatment of first metatarsophalangeal joint pathology. Many modifications to the procedure have been made, including interposition of the joint capsule into the first metatarsophalangeal joint space. Capsular interposition is often the most difficult step in performing the Keller bunionectomy. This article describes a new, simplified technique for capsular interposition with the use of a dorsal capsular flap and soft-tissue anchors. (J Am Podiatr Med Assoc 95(2): 180–182, 2005)
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Wenzel, Ellen, Jaytinder Sandhu, Zarko Kajgana, Vishnu Ganta, and Rudy Rouweyha. "Malignant Eccrine Acrospiroma." Journal of the American Podiatric Medical Association 102, no. 3 (2012): 247–51. http://dx.doi.org/10.7547/1020247.
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The authors present a case of seemingly textbook digital osteomyelitis with draining ulceration. Per protocol, specimens were sent to pathology with the intent to verify and identify the offending organisms. Surprisingly, the textbook osteomyelitis returned with a pathological diagnosis of rare sweat gland tumor, malignant eccrine acropsiroma, prompting immediate systemic medical workup and treatment. This case emphasizes the importance of proper laboratory workup of all surgically removed specimens, despite having a “typical” presentation. (J Am Podiatr Med Assoc 102(3): 247–251, 2012)
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Cracchiolo, Andrea. "The rheumatoid foot and ankle: pathology and treatment." Foot 3, no. 3 (1993): 126–34. http://dx.doi.org/10.1016/0958-2592(93)90081-d.
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Ponnapula, Priya. "A Cross-disciplinary Approach to Understanding Flatfoot." Journal of the American Podiatric Medical Association 102, no. 4 (2012): 319–23. http://dx.doi.org/10.7547/1020319.
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As form follows function, pedal anatomy is embedded in a history of evolution. This literature review seeks to further the understanding of physiologic and pathologic flatfoot through cross-disciplinary research of expired and extant members of the Homininae subfamily. Archaeological, anthropological, paleontological, and ontogenetic evidence presents multiple biomechanical similarities and anatomical parallels between flatfooted hominins and humans. Recognizing an evolutionary pattern in flatfoot pathologic disorders enhances anticipation and effective treatment. (J Am Podiatr Med Assoc 102(4): 319–323, 2012)
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Galli, Melissa M., Nicole M. Protzman, Eiran M. Mandelker, et al. "Examining the Relationship Between Pathologies of the Peroneal, Achilles, and Posterior Tibial Tendons." Foot & Ankle Specialist 7, no. 4 (2014): 277–85. http://dx.doi.org/10.1177/1938640014537298.
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The hindfoot and ankle are dynamic structures to which the interplay of tendinous pathologies is scarcely understood. Five hundred consecutive ankle magnetic resonance imaging examinations, obtained between December 27, 2011 and April 9, 2013, were reviewed. Patients without a history of hindfoot or ankle trauma or lateral ankle pain were included. The 108 MRIs that met the inclusion and exclusion criteria were then re-evaluated by 2 musculoskeletal radiologists. Of these, 55.56% demonstrated pathology of the Achilles tendon (AT), 44.44% demonstrated pathology of the posterior tibial tendon (PTT), 35.19% demonstrated pathology of the peroneus brevis (PB), and 37.96% demonstrated pathology of the peroneus longus (PL). In our asymptomatic patient population, 16 (14.81%) patients demonstrated concomitant pathology of the AT, PTT, and peroneal tendons. There were positive, moderate correlations between graded pathology of the AT and the PTT, rs(106) = 0.32, P = .001; the AT and PB, rs(106) = 0.38, P = 0.001; and the AT and PL, rs(106) = 0.46, P = .001. However, there were no statistically significant correlations between pathology of the PTT and PB, rs(106) = 0.17, P = .08, or the PTT and PL, rs(106) = 0.14, P = .15. These findings suggest an intimate relationship between the AT, PTT, and the peroneal tendons. These individual anatomic structures may have underappreciated functional relationships that could lead to future investigations. Level of Clinical Evidence: Level IV
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Williams, Anita E., Terence W. O’Neill, Sylvia Mercer, Brigitte Toro, and Christopher J. Nester. "Foot Pathology in Patients with Paget’s Disease of Bone." Journal of the American Podiatric Medical Association 96, no. 3 (2006): 226–31. http://dx.doi.org/10.7547/0960226.
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The characteristic bone deformities associated with advanced Paget’s disease of bone may result in abnormal gait and plantar foot pressures, which contribute to the development of pressure-related skin problems. This study aimed to characterize the foot problems and foot-care needs in this patient group and to investigate the effect of disease distribution on the occurrence of foot pathology. One hundred thirty-four patients with Paget’s disease were assessed clinically, and the Foot Structure Index was completed for each patient. Patients completed self-administered questionnaires concerning foot function (Foot Function Index) and quality of life (12-Item Short Form). The results of this study suggest that foot-health and footwear problems are common in patients with Paget’s disease. Forty percent of the patients required professional foot care in addition to those already receiving it. The site of pagetic involvement did not affect the occurrence of foot pathology. Further research is required on the impact of the extent of any femoral or tibial deformity on foot symptoms and pathology. Biomechanical studies of the forces and motion in the foot related to different degrees of femoral and tibial deformity might also help determine the impact of deformity on foot pathology. (J Am Podiatr Med Assoc 96(3): 226–231, 2006)
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Mendicino, Robert W., Alan R. Catanzariti, Christopher L. Reeves, and Glenda L. King. "A Systematic Approach to Evaluation of the Rearfoot, Ankle, and Leg in Reconstructive Surgery." Journal of the American Podiatric Medical Association 95, no. 1 (2005): 2–12. http://dx.doi.org/10.7547/0950002.
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The current literature shows that proper alignment of the lower extremity allows for greater function throughout the gait cycle. Therefore, realignment should be one of the primary goals in the surgical management of lower-extremity deformities and pathology. Multiplanar radiographic angular relationships should be critically evaluated to appropriately identify the level and extent of the deformity before performing realignment procedures. This article describes a systematic approach to deformity evaluation through a comprehensive radiographic assessment of the rearfoot, ankle, and lower leg. (J Am Podiatr Med Assoc 95(1): 2–12, 2005)
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Young, Parr, and Amy Duckworth. "Pediatric limb length discrepancy—New thoughts on associated pathology." Foot 15, no. 4 (2005): 185–89. http://dx.doi.org/10.1016/j.foot.2005.07.002.
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Raghunathan, Kalpana, Meg E. Morris, Tafheem A. Wani, et al. "Using artificial intelligence to improve healthcare delivery in select allied health disciplines: a scoping review protocol." BMJ Open 15, no. 3 (2025): e098290. https://doi.org/10.1136/bmjopen-2024-098290.
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IntroductionMethods to adopt artificial intelligence (AI) in healthcare clinical practice remain unclear. The potential for rapid integration of AI-enabled technologies across healthcare settings coupled with the growing digital divide in the health sector highlights the need to examine AI use by health professionals, especially in allied health disciplines with emerging AI use such as physiotherapy, occupational therapy, speech pathology, podiatry and dietetics. This protocol details the methodology for a scoping review on the use of AI-enabled technology in sectors of the allied health workforce. The research question is ‘How is AI used by sectors of the allied health workforce to improve patient safety, quality of care and outcomes, and what is the quality of evidence supporting this use?’Methods and analysisThe review will follow the Joanna Briggs Institute scoping review guidelines. Databases will be searched from 17 to 24 March 2025 and will include PubMed/Medline, Embase, PsycINFO and Cummulative Index to Nursing and Allied Health Literature databases. Dual screening against inclusion criteria will be applied for study selection. Peer-reviewed articles reporting primary research in allied healthcare published in English within the last 10 years will be included. Studies will be evaluated using the Quality Assessment with Diverse Studies tool. The review will map the existing literature and identify key themes related to the use of AI in the disciplines of physiotherapy, occupational therapy, speech pathology, podiatry and dietetics.Ethics and disseminationNo ethics approval will be sought, as only secondary research outputs will be used. Findings will be disseminated through peer-reviewed publication and presentations at workshops and conferences.Trial registration numberOpen Science Framework Protocol Registrationhttps://osf.io/r7t4s