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ACFAOM
Visit ACFAOM's Live Learning Center to view the BIOMECHANICS session, "Fall Prevention in Geriatric Patients and the Podiatrist's Role" by Dr. Jonathan Moore. Click here to see how current concepts in biomechanics can be integrated into your practice and enhance your clinical skills to obtain more consistent and predictable outcomes. A total of 8 modules will be posted to the Live Learning Center over the coming few months. So check back frequently.
| | CURRENT RESEARCH ARTICLE OF INTEREST |
Annals of Rheumatic Diseases
An international group of investigators, supported by the American College of Rheumatology and the European League Against Rheumatism, conducted a systematic review of the literature on advanced imaging of gout, a diagnostic study in which the presence of monosodium urate monohydrate crystals in synovial fluid or tophus was the gold standard, a ranking exercise of paper patient cases, and a multi-criterion decision analysis exercise. These data formed the basis for developing the classification criteria, which were tested in an independent data set.
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Podiatry Today
The management of chronic wounds can challenge even the experienced clinician. General principles include debridement, moist wound therapy and occlusive dressings. More specific treatments vary according to etiology. For instance, as a general rule, diabetic foot ulcerations require offloading while one usually employs compression therapy for venous stasis ulcers. However, skin ulcers due to peripheral arterial disease may worsen if one institutes aggressive debridement and compression therapy. Clearly, accurate diagnosis is key to proper treatment.
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O&P News
Improvements in the balance confidence of patients with lower limb amputation could lead to improved mobility and community participation, according to a speaker in the Thranhardt Lecture Series at the American Orthotic and Prosthetic Association National Assembly.
J. Megan Sions, Ph.D., DPT, PT, OCS, and colleagues at the University of Delaware studied 35 adults with unilateral transtibial or transfemoral amputation to explore the relationship between balance confidence, physical function and social integration among this patient population.
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Podiatry Management
The adult acquired flatfoot, also known
as posterior tibial tendon dysfunction, represents one of the more common and challenging pathologies treated by the podiatric physician.
Different than the pediatric flatfoot, AAF is characterized by rupture of the posterior tibial tendon
as well as key ligaments supporting the ankle and hindfoot.
This lack of integrity of passive and dynamic supporting structures of the foot imposes significant challenge when
using orthotic devices to restore alignment, relieve soft tissue strain and hopefully restore mobility to the
affected patient.
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Los Angeles Times
A few years back, barefoot running was red-hot. Thanks to the book "Born to Run," soon to be a movie starring Matthew McConaughey, thousands of runners cast their shoes aside in the hope that the natural motion of the soft, perfectly balanced landing on the bare forefoot would make their debilitating foot, knee and hip injuries disappear, as it did for author Christopher McDougall.
As interest in barefooting snowballed, and manufacturers introduced "barefoot shoes" with no cushioning, Ken Bob Saxton of Huntington Beach, described as "the great bearded sage" of the barefoot movement in McDougall's 2009 book, grew worried.
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Lower Extremity Review
Individuals with femoroacetabular impingement demonstrate alterations in foot mechanics as well as hip mechanics, a finding that may have implications for orthotic management of this population, according to an Israeli study.
Researchers from Tel Aviv University and the Wingate Institute in Netanya compared 3-D gait kinematics for a cohort of 15 men with cam-type FAI and 15 healthy men.
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Orthopedics Today
Treatment of unstable malleolar fractures with close contact casting showed equivalent outcomes to those of open reduction internal fixation among elderly patients, as well as a cost reduction, according to results of a multicenter study presented at the Orthopaedic Trauma Association Annual Meeting.
"Preferentially selecting a strategy of closed contact casting provided equivalent functional outcomes to open reduction internal fixation in all measures at 6 months with less resources used," Keith Willett, FRCS, said. "A portion of patients with close contact casting will convert to surgery. It can be avoided in 4 out of 5 patients."
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News-Medical.net
A significant proportion of medical treatment decisions, perhaps the majority, are not clear-cut. Which is better for a specific patient — medication or surgery, medication or talk therapy, or even no treatment? If medication, which class of drugs? If surgery, what type of surgery?
Presenting and discussing a menu of treatment options is good for both the patient and the physician according to Regenstrief Institute and VA Center for Health Communication and Information investigator Kurt Kroenke, M.D., writing in a commentary in the Sept. 28 issue of JAMA Internal Medicine.
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| | PRACTICE MANAGEMENT PEARLS FROM AAPPM |
Physicians Practice
Let's face it: Without the staff members that support your medical practice, patients wouldn't be greeted, bills wouldn't be paid, files wouldn't be sorted, and your practice would quickly fall apart at the seams. Now that we're five months away from another turn of the calendar — it's the perfect time to give a boost to your medical practice.
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