Issue 7:
Neglected Isolated Plantar Dislocation of Middle Cuneiform: A case report
BMC Musculoskeletal Disorders
ORIGINAL ARTICLE: Four cases of plantar dislocation of middle cuneiform have been reported in the english literature. All of them were fresh cases and treated with open reduction and internal fixation. We are reporting a case of neglected plantar dislocation of middle cuneiform which was treated with excision. In this case presentation, a farmer presented with a painful plantar dislocation of middle cuneiform bone after 9 months of injury. The bone was deformed and was excised by a plantar incision. It resulted in painless foot with no disability.
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Schwannomatosis involving peripheral nerves: a case report
Journal of Korean Medical Science
ORIGINAL ARTICLE: Schwannomatosis or neurilemmomatosis has been used to describe patients with multiple nonvestibular schwannomas with no other stigmata of neurofibromatosis type-2 (NF-2). In our case, schwannomatosis, multiple schwannomas were present in a 21-yr-old woman with no stigmata or family history of NF-1 or NF-2. She had no evidence of vestibular schwannoma or other intracranial tumors. Multiple peripheral tumors were found in the carotid space of the neck, and soft tissue of posterior shoulder, lower back, ankle and middle mediastinum. All of those tumors were completely limited to the right side of the body. All surgically removed tumor specimens in this patient proved to be schwannomas.
Foot rotational effects on radiographic measures of lower limb alignment
Canadian Journal of Surgery
ORIGINAL ARTICLE: Introduction: Surgical planning of high tibial osteotomy (HTO) typically requires the measurement of lower limb alignment from standing anteroposterior radiographs. Although every effort is made to maintain a standardized patient position, factors such as pain or anatomic constraints may necessitate acquiring the radiograph in a less than optimal patient position. One such constraint is natural rotation of the feet with respect to the tibia. The purpose of the present study was to investigate the magnitude of the effect of foot rotation on radiographic measures of lower limb alignment. Methods: We analyzed 19 lower limbs from radiographs obtained from 10 people who reported to an orthopedic injuries clinic. Each patient was radiographed in 3 positions: 15 degrees of internal foot rotation, no foot rotation and 15 degrees of external foot rotation. We measured and compared the mechanical axis angle (hip-knee-ankle) and the mechanical axis deviation from each position. Results: Compared with the position with no foot rotation, internal foot rotation resulted in less measured varus alignment and less mechanical axis deviation from the knee joint centre, whereas external foot rotation produced greater measured varus alignment and increased mechanical axis deviation from the knee joint centre. Conclusions: These results indicate that patient positioning is an important factor when measuring lower limb alignment from radiographs. As a result, special care must be taken when acquiring these radiographs for use in planning surgical procedures such as HTO.
In people with diabetes, PVD and infected foot wounds are oral or intravenous antibiotics more effective?
British Medical Journal
The National Library of Health reports: The PRODIGY guideline on the management of diabetic foot disease distinguishes between non-limb and limb threatening infection and notes: “Non-limb threatening infections • Mild infections can usually be managed with oral antibiotics without hospital admission [Edmonds, 2006].” [1] A clinical review published in the BMJ on the diabetic foot states: A bacterial swab should be taken from the floor of the ulcer after the callus has been removed; culture of excised tissue may yield even more reliable information. Patients with superficial ulcers can be treated as outpatients and prescribed appropriate oral antibiotics until the ulcer has healed. The most likely organisms to infect a superficial ulcer are staphylococci, streptococci, and sometimes anaerobes. Thus, treatment is started with amoxicillin, flucloxacillin, and metronidazole and adjusted when the results of bacteriological culture are available. Choice and duration of antibiotic treatment require considerable expertise and laboratory guidance.
How can one platelet injection after tendon injury lead to a stronger tendon after 4 weeks?: Interplay between early regeneration and mechanical stimulation
Acta Orthopaedica
Original Article: Mechanical stimulation improves the repair of ruptured tendons. Injection of a platelet concentrate (platelet-rich plasma, PRP) can also improve repair in several animal models. In a rat Achilles tendon transection model, 1 postoperative injection resulted in increased strength after 4 weeks. Considering the short half-lives of factors released by platelets, this very late effect calls for an explanation.
Podiatry Related Abstracts this Week
Entrez Pub Med, Wiley Interscience, Ingenta Connect, Blackwell Synergy and more . . .
- Piperacillin-Tazobactam for Pseudomonas aeruginosa Infection: Clinical Implications of an extended- Infusion Dosing Strategy Clinical Infectious Diseases
- Clinical and Epidemiologic Characteristics Cannot Distinguish Community-Associated Methicillin- Resistant Staphylococcus aureus Infection from Methicillin-Susceptible S. aureus Infection: A Prospective InvestigationClinical Infectious Diseases
- An Outbreak in an Intensive Care Unit of a Strain of Methicillin-Resistant Staphylococcus aureus Sequence Type 239 Associated with an Increased Rate of Vascular Access DeviceRelated Bacteremia Clinical Infectious Diseases
- A Prospective Investigation of Outcomes after Hospital Discharge for Endemic, Community-Acquired Methicillin- Resistant and -Susceptible Staphylococcus aureus Skin InfectionClinical Infectious Diseases
- Reading the Tea Leaves or Deciphering DNA Microarrays: Are Certain Methicillin-Resistant Staphylococcus aureus Clones Adapted to Cause Specific Infections? Clinical Infectious Diseases
- Establishing Guidelines for Wounds Wound Repair and Regeneration
- A survey of approach to wound healing by secondary intention among British Society for Dermatological Surgery members British Journal of Dermatology
- Disseminated gonococcal infection presenting as vasculitis: a case report Journal of Clinical Pathology
- The effect of foot and ankle prosthetic components on braking and propulsive impulses during transtibial amputee gait Arch Phys Med Rehab
- Cosmetic reconstruction of distal finger absence with partial second toe transfer. British Journal of Plastic Surgery
- Are Ankle and Toe Brachial Indices (ABI-TBI) Obtained by a Pocket Doppler Interchangeable With Those Obtained by Standard Laboratory Equipment?JWOCN
- Tuberculosis of the Foot: A Rare Involvement in Osteoarticular Tuberculosis Journal of Clinical Rheumatology
- Foot Drop after Spinal Anesthesia in a Patient with a Low-Lying Cord:Case Reports Obstetric Anesthesia Digest
- The Contralateral Foot in Children With Unilateral Clubfoot: A Study of Pressures and Forces Involved in Gait Journal of Pediatric Orthopaedics
- The Diabetic Foot Diabetologia
- Troublesome Stress Fractures of the Foot and Ankle Sports Medicine and Arthroscopy Review
- Assessment of acute ankle sprain with os subfibularein children Journal of Pediatric Orthopaedics
- Functional reconstruction of Achilles tendon defects combined with overlaying skin defects using a free tensor fasciae latae flap British Journal of Plastic Surgery
- A Systematic Review on Ankle Injury and Ankle Sprain in Sports Sport Medicine
- Proximally placed alignment control strap for ankle varus deformity: a case report Arch Phy Med Rehab
- Evidence-based Approach to Treatment of Acute Traumatic Syndesmosis (High Ankle) Sprains Sports Medicine and Arthroscopy Review
- Needlestick Injuries to the Feet of Japanese Healthcare Workers: A Culture-Specific Exposure Risk Infection Control and Hospital Epidemiology
- The Unstable Posterior Heel Scar: Reconstruction Using the Reverse Sural Artery Adipofascial FlapAnnals of Plastic Surgery
The Foot Blog News this Week
The Foot Blog
- Leading Radiofrequency Manufacturer Introduces A New Product For Treating Heel Pain
- Childhood Obesity Linked To Foot Pain
- Developing Thought-Controlled Artificial Limbs: New Ideas From Penn Scientists
- A workout treat for the toes and feet
- Innocoll’s CollaRx cleared for phase 2 in the treatment of diabetic foot ulcers
- The rundown on foot injuries
- Safety fears over ‘wheelie shoes’
- Uganda: Keep Feet Clean to Avoid Odour
- Low-Dose Steroids Reduce Joint Damage From Rheumatoid Arthritis
- Medical Implants With An Antibiotic Coating
Podiatry Internet Journal: What does Open-Access Mean?
Podiatry Internet Journal
The Podiatry Internet Journal or PIJ is following the way of the internet: Open access means full access to journal articles free of charge without subscription. The internet now provides immense opportunities to write and publish medical articles. Most residencies now provide electronic access to articles for journal club. The Podiatry Internet Journal is the first open- access podiatry journal published for the internet, and we hope to set a precedent. On-line companies such as BioMed now provide over hundreds of open-access journals. This is mainly set up for institutions, however, they still charge a fee for setting up a journal for publication. The Podiatry Internet Journal does not charge fees for publication and is true to the open access format. The PIJ is also pleased to announce PDF format for all articles submitted in 2007. HTML format will still be available. PDF allows each article a ‘journal’ like quality and allows for easy printing and reading. PIJ continues to make strides to enhance free-online publishing for podiatry articles.
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