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Journal of Foot and Ankle Research
Flexible flat foot is a normal observation in typically developing children, however, some children with flat feet present with pain and impaired lower limb function. The challenge for health professionals is to identify when foot posture is outside of expected findings and may warrant intervention. Diagnoses of flexible flat foot is often based on radiographic or clinical measures, yet the validity and reliability of these measures for a pediatric population is not clearly understood.
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Podiatry Management
The proportion of older
adults presenting for care
at his podiatry practice
has grown significantly
over the decades, according
to Earl R. Horowitz, DPM. “When
I opened my practice 59 years ago,
if I had 10 or 20
patients who were
over 70 years of
age, I had a lot,”
said Dr. Horowitz.
“Most of my
patients were
children or young
adults; I based my
whole practice on
it. But today, 70 percent
to 80 percent of my practice is over 55 years
of age.”
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Lower Extremity Review
As clinicians well know, diabetes puts patients at risk of foot ulcers that can lead to poor outcomes, evidenced by the 40 percent five-year mortality in patients with newly diagnosed diabetic foot ulcers. As many as 25 percent of patients with diabetes will develop a diabetic foot ulcer, of which at least one-quarter do not heal, putting patients at risk of amputation.
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Promoted by
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McKnight's Long-Term Care News
Having a healthy baseline HbA1c reading or improving blood glucose levels did not improve wound healing time among patients with diabetic foot ulcers, according to a new observational study.
Though chronically high blood glucose levels are known harbingers of wound development, bringing those levels under control didn't speed up healing among 270 patients seen at the Johns Hopkins Multidisciplinary Diabetic Foot and Wound Clinic over a five-year period.
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By Lisa Mulcahy
 Every doctor has to deal with a difficult, frustrating fact: some patients simply don't follow their recommendations properly. Obviously, this situation is worrisome in that it can lead to adverse outcomes, hospitalizations and drug interactions. There's good news, though: researchers have been looking into innovative ways for physicians to encourage more convenient compliance. Try these fresh, proven tips to help your patients more effectively focus on participating in their own care.
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Podiatry Today
After bilateral first MPJ hemiarthroplasty fails in an active 45-year-old woman, these authors note how a revisional fusion led to a pain-free result and discuss how better recognition of an underlying biomechanical pathology may have prevented multiple procedures.
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Journal of Foot and Ankle Research
Thermal imaging is a useful modality for identifying preulcerative lesions (“hot spots”) in diabetic foot patients. Despite its recognised potential, at present, there is no readily available instrument for routine podiatric assessment of patients at risk. To address this need, a novel thermal imaging system was recently developed. This paper reports the reliability of this device for temperature assessment of healthy feet.
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Orthopedics Today
At the International Extreme Sports Medicine Congress, Kenneth Hunt, M.D., discussed the three most common foot and ankle injuries in extreme sports athletes.
Hunt said he most often saw calcaneal fractures because patients have hard landings during sports.
“[Often]times, [we] repair them surgically and then we see a lot of midfoot injuries or Lisfranc injuries [that] can happen because of the impact to the foot, the ground or a pedal,” he said.
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| | CURRENT RESEARCH ARTICLE OF INTEREST |
Gait & Posture
Age-related slowing of gait speed predicts many clinical conditions in later life. Researchers examined the kinematic and kinetic mechanisms of how lower extremity power training increases healthy old adults' gait speed.
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| | PRACTICE MANAGEMENT PEARLS FROM THE INSTITUTE FOR PODIATRIC EXCELLENCE AND DEVELOPMENT (IPED) |
Physicians Practice
Since my first article appeared in Physicians Practice in 2011, I’ve heard from numerous medical professionals, who have contacted me to ask questions, seek advice, express opinions, and extend compliments. And while some have disagreed with my suggestions, many more have sent notes of support.
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ACFAOM
An ACFAOM Certified Clinical Podiatric Medical Assistant (CCPMA) can perform routine nail care, pre-treatment foot exams, collect client health information correctly, set up a sterile field and much more. Click here for additional information about the CCPMA qualification and its potential value for your practice.
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Foot & Ankle Weekly
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The American College of Foot & Ankle Orthopedics & Medicine
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Disclaimer: Stories and advertisements from sources other than ACFAOM do not reflect ACFAOM's positions or policies and there is no implied endorsement by ACFAOM of any products or services. Content from sources other than that identified as being from ACFAOM appears in the Foot & Ankle Weekly to enhance readers' understanding of how media coverage shapes perceptions of podiatric orthopedics and medicine, and to educate readers about what their patients and other healthcare professionals are seeing in both professional journals and the popular press.
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