Complex Talonavicular Fracture Dislocation: A case report
 Podiatry Internet Journal

ORIGINAL ARTICLE: Isolated talonavicular dislocation is rare because of the strong plantar ligamentous structures that support the joint. It appears that plantarflexion and inversion of the foot is the mechanisms of injury. Very often, the strong spring ligament or plantar calcaneonavicular ligament is injured. Surgical repair is often the desired treatment in case of ligamentous injury. In this case, closed reduction with percutaneous pinning is presented as an alternative to open surgery. Early anatomical reduction is the key to preventing long term complications such as midtarsal joint arthritis and faulty foot mechanics.

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Successful combined pentoxifylline and intralesional triamcinolone acetonide treatment of severe pretibial myxedema
 Dermatology Online Journal

ORIGINAL ARTICLE:Pretibial myxedema (PTM) is an infrequent manifestation of autoimmune thyroiditis, especially can be present in Graves’ disease. Massive intradermal deposition of mucin (acid mucopolysaccharide) produces the nodules or plaques on the lower legs. Various treatment modalities have been used for pretibial myxedema. We herein demonstrated a patient who has been used pentoxifylline, intralesional corticosteroid injection with a good clinical response.

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Glomuvenous malformations
 Dermatology Online Journal

ORIGINAL ARTICLE: A 9-year-old girl presented with a congenital, blue-purple, partially compressible plaque with a cobblestone surface on the left lateral foot and ankle. Similar, solitary, blue nodules later appeared elsewhere on the extremities. The lesions were tender to palpation and were associated with spontaneous paroxysms of pain and paresthesias. Histopathologic evaluation of a skin biopsy specimen showed rows of glomus cells that surrounded thin-walled vascular channels, which confirmed the diagnosis of glomuvenous malformations. This autosomal dominant condition, which is due to mutations in the GLMN gene, presents with clinical findings that are distinct from those of familial, multiple, cutaneous and mucosal venous malformations. Treatment options include excision, sclerotherapy, and laser therapy (ablative or pulsed dye).

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The effect of different skin-ankle brace application pressures on quiet single-limb balance and electromyographic activation onset of lower limb muscles
 BMC Musculoskeletal Disoroders

ORIGINAL ARTICLE:Several studies have been carried out in order to investigate the effect of ankle bracing on ankle joint function and performance. However, no study so far has examined the role of skin-brace interface pressure in neuromuscular control. The aim of this study was to investigate the effect of different skin-ankle brace interface pressures on quiet single limb balance and the electromyographic (EMG) activation sequence of four lower limb muscles. Thirty three male physical education students who volunteered to take part in the study were measured under three ankle brace conditions: i) without brace, ii) with brace and 30 kPa application pressure and iii) with brace and 60 kPa application pressure. Single limb balance (anteroposterior and mediolateral parameter) was assessed on the dominant lower limb, with open and closed eyes, on a force platform, simultaneously with the EMG recording of four lower lower limb muscles (gastrocnemius, peroneus longus, rectus femoris and biceps femoris) activation onset. The results showed that overall balance (total stability parameter) was not significantly affected in any of the three ankle brace conditions.

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Podiatry Today ENews
 Podiatry Today-October 2007 


A Closer Look at Neoteric Biomechanics
By Richard L. Blake,DPM

Understanding the intacacies of podiatric biomechanics is vital for success in treating patients. This author details neoteric biomechanis, a practical approach to biomechanics based on the functional dynamic arches and the vault of the foot.

A Guide to Detecting and Treating Limb Length Discrepencies
By Luis Leal, DPM

Since limb length discrepancy (LLD) can cause various problems, effective detection stratagies are vital. This author describes key diagnostic methos for discovering LLDs and discusses pertinent treatment options with an emphasis on lift therapy.

Diabetes Watch: Turning Evidence Into Practice: A Guide to Treating Wounds in the Diabetic Foot
By Barbara J. Aung, DPM, CWS

In reading many of the recent articles in podiatry publications, we will need to expand our vocabularies to include various new phrases. These phrases will include pay for performance, evidence-based medicine or evidence-based treatment guidelines. Electronic medical records (EMR) and electronic health records (EHR) will be linked to evidence-based guidelines at the point of care. These changes are also reverberating within the primary care settings and in other selected specialties.

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The Foot Blog News
 Issue 24 

October 2007:

  1. No evidence magnets dull pain, researchers say
  2. New topical lotion that penetrates the skin deeply enough to target and eliminate serious skin infections with a high degree of safety and tolerability in patients with onychomycosis
  3. HalcyGen Anti-Fungal SUBA-Itraconazole Successful In Second Clinical Study
  4. Oritavancin Demonstrates Potent And Rapid In Vitro Activity Against MRSA, VRE And Other Strains Of Resistant Bacteria
  5. Wall Street Journal Examines Hospital Efforts To Reduce Pressure Sores
  6. Too tight socks on tiny tots leave lasting scars
  7. Crocs and Escalators a Dangerous Combo:Podiatrists Say Small Children May Be Most at Risk
  8. Health Tip: Preventing a Bunion
  9. Research May Lead To New Classes Of Antibiotics
  10. Calcium’s anti-fracture effect varies with age

These and more stories . . . 

Podiatry Related Abstracts
Entrez Pub Med, Wiley Interscience, Ingenta Connect, Blackwell Synergy and more . . . 

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