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Happy Thanksgiving
ACFAOM
 ACFAOM wishes all readers of Foot & Ankle Weekly a restful and family-filled Thanksgiving. Thanks for your interest in this weekly newsbrief. As you plan for 2014, make sure to add June 5-8 to your calendar for the calendar for the College's Annual Clinical Conference in Old Town Alexandria, Va., (across the Potomac from DC). More details are at www.acfaom.org. Members of ACFAOM can earn 24 CECHs FREE!
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Insurers cut doctor fees, restricting networks under Obamacare
Newsmax
Healthcare insurers are cutting the fees they pay to doctors on many of the new plans offered through the Obamacare exchanges, which could cause more medical practices to shun those marketplaces. United Health Group, for example, sent physicians in New York City new contracts this month that included much lower rates than doctors normally get from private insurance, reports The Wall Street Journal, which obtained confidential documents.
Limited arch excursion characterizes individuals with patellofemoral pain
Lower Extremity Review
Patients with patellofemoral pain (PFP) have less medial longitudinal arch excursion during stair descent than healthy individuals, according to a Brazilian study that may help explain the effects of foot orthoses in patients with PFP. Researchers from the University of Sao Paulo analyzed foot posture and motion in 15 healthy women and 15 women with PFP as they descended five stairs at a controlled cadence of 96 steps per minute. All participants in the PFP group had been symptomatic for at least two months.
Managing osteolysis following a failed ankle implant
Podiatry Today
One common etiology of the failure of the Agility Total Ankle Replacement (DePuy Orthopaedics) is periprosthetic cyst formation resulting from ultra-high molecular weight polyethylene (UHMWPE) wear debris, leading to bone erosion, component loosening or subsidence. These cystic changes sometimes enlarge progressively over time and may remain relatively asymptomatic until catastrophic failure is imminent.
Running in high heels promotes knee arthritis and ankle sprains
Healthline
If you regularly sport high heels, you already know that the pinching, clumsy shoes put style above comfort. But if you wear sky-high stilettos while chasing down a cab, you could also be putting your joints at risk. Researchers at Ningbo University in China say running in high heels can lead to knee osteoarthritis and a higher risk of ankle sprains. Their research, published in the International Journal of Biomedical Engineering and Technology, serves as a warning for heel devotees.
Efforts underway to help physicians find best apps to recommend
Pamela Lewis Dolan
 As patient engagement becomes an increasingly important aspect of a reformed healthcare system, mobile health applications are often thought to hold great potential for getting patients more involved in their healthcare. With more than 43,000 health-related apps available on the iTunes store alone, and new apps being introduced every day, there is no shortage when it comes to available tools. But due to sheer volume, the ability for doctors to assess and analyze these tools for their safety and efficacy is lacking.
Missed last week's issue? See which articles your colleagues read most.
Genes may predict peripheral neuropathy risk in diabetes
News FIX
Researchers have found that people with diabetes who carry specific variants of the APOE gene are more at risk of developing peripheral neuropathy. Around 50 percent of people with diabetes develop peripheral neuropathy, where impaired circulation leads to nerve damage in the feet. This raises the risk of diabetic foot ulcers and other complications. It's known that tight control of blood sugar can delay or even prevent neuropathy. Research shows that certain people could be more at risk of neuropathy because of their genetic make-up.
Teen obesity linked to serious health problems in adulthood
Medical News Today
Obesity carries with it a multitude of health risks, but now a large study shows that obese adults who were obese as teens have a much greater risk of developing adverse health conditions, including abnormal kidney function, asthma and difficulty walking. Results of the study, conducted by researchers at Cincinnati Children's Hospital Medical Center and the University of Pittsburgh, were published in the journal Pediatrics.
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EHR cost data for docs? Big money saver
Healthcare IT News
Out of control healthcare spending in the U.S. is no secret. Annually, healthcare expenditures currently stand at a whopping $2.7 trillion, a number that has industry leaders rushing to take new cost-cutting measures. One of those measures involves displaying the costs of laboratory tests in an electronic health record so docs can see a real-time price comparison of what they’re ordering. And, from a financial savings perspective, it’s working.
Beyond insurance: How to protect both the practice and personal assets
By David B. Mandell, JD, MBA, and Jason M. O'Dell, MS, CWM
Physicians, medical practices and healthcare entities are unfortunately all high-visibility lawsuit targets. Many doctors think insurance is the only viable protection tool to shield their practices, businesses and themselves from such litigation risks. However, as we will explore in this article, insurance policies have their limitations and drawbacks. Moreover, there are other techniques that can be explored to shield and build wealth and often save taxes. If you are interested in learning how to shield your practice, business and personal assets while also reducing taxes and building wealth, please read on.
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CURRENT RESEARCH ARTICLE OF INTEREST
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Hallux valgus and plantar pressure loading: The Framingham foot study
Journal of Foot and Ankle Research
Hallux valgus (HV), a common structural foot deformity, can cause foot pain and lead to limited mobility. The purpose of this study was to evaluate differences in plantar pressure and force during gait by HV status in a large population-based cohort of men and women.
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Colby Horton, Vice President of Publishing, 469.420.2601
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