Ultrasound-guided Interdigital Neuroma Injections: Short-term Clinical Outcomes after a Single Percutaneous Injection-Preliminary Results
HSS Journal
ORIGINAL ARTICLE:Purpose To describe the procedure of ultrasound-guided Morton’s neuroma and recurrent stump neuroma injections and early clinical outcomes after a single injection. Materials and Methods Retrospective review of 44 percutaneous ultrasound-guided neuroma injections in 24 patients who had completed clinical outcomes questionnaires. A 10-point pain scale [scale of 1 (no pain) to 10 (severe pain)] in a 7-day pain log format was distributed to patients at the time percutaneous neuroma injection was performed.
Compared therapeutic efficacy between intralesional bleomycin and cryotherapy for common warts: A randomized clinical trial
Dermatology Online Journal
Original article: In spite of many available studies on bleomycin and cryotherapy in treating warts, little head to head research is done to compare efficacy of these treatments. Our aim was to compare the therapeutic effects of intralesional bleomycin and cryotherapy on common warts of the hands and feet. In this clinical trial 44 patients above 12 years of age referred to the dermatology clinic of Bouali University Hospital were enrolled. The patients were required to have warts on at least two symmetric limbs (hands or feet).
Keloids: Pathophysiology and management
Dermatology Online Journal
Original article: Keloid formation occurs as a result of abnormal wound healing. Despite the high prevalence of keloids in the general population, they remain one of the more challenging dermatologic conditions to manage. More than a cosmetic nuisance, they are often symptomatic and can have a significant psychosocial burden for the patient. Although multiple treatment modalities exist, no single treatment has proven widely effective. In fact, recurrence following treatment is generally the norm. Combination therapy is likely the optimal strategy. In this review, we highlight the clinical features, pathophysiology and management of keloids.
Modified Bier block anesthetic technique is safe for office use for botulinum a toxin treatment of palmar and plantar hyperhidrosis
Dermatology Online Journal
Original article: Botulinum A toxin (BTX-A) to treat hyperhidrosis (HH) has been shown in many studies to be efficacious [1-12]. The FDA approved Botox in July 2004 to treat severe underarm HH. The 18-20 injections in this area are relatively pain free using several 0.3cc 31-gauge B-D short-needle insulin syringes to maintain the sharpness of the tip. However, more problematic is how to adequately anesthetize the hands and feet to treat HH in those areas. Although treating these areas is still an “off- label” use of Botox, several techniques have been described to numb these regions to administer the 50 or so injections needed to inject the 100 units of Botox in each hand or foot. This amount can vary slightly depending upon the size of the patient.
The Foot Blog News
TheFootBlog.org
January 2008:
- Hot Spots Warn of Diabetic Foot Ulcers
- Minor leg injuries found can cause blood clots
- Walking with pedometer spurs modest weight loss
- Kids with Cancer more likely to have Asymmetric Limb Length Discrepancies
- Assessing Lower Limb Alignment with Flouroscopy and Full Length Radiograph
- How a brisk stroll can stave off mid-life depression in women
- JBJS Update-What’s New in Sports Medicine (Foot and Ankle)
- Open versus percutaneous repair in the treatment of acute Achilles tendon rupture
- Incidence of most types of arthritis is up, including gout
- Do you suffer from heel pain?
ORIGINAL ARTICLE: We describe a case of a 49 year old man who presented with swelling of his left ankle for two months. After standard X-ray, ultrasound investigation, MRI and histological examination, the patient was diagnosed with pigmented villonodular synovitis and bone involvement of the ankle. A complete resection of the tumour was performed. A large bone defect after the resection was filled with cancellous bone graft. In pigmented villonodular synovitis, symptoms are often remarkably discrete for long periods. The course of the disease is slow, but progressive and destructive. This warrants awareness of this entity, early diagnosis, and aggressive management. 
ORIGINAL ARTICLE:Ganglion is one of the most common benign soft tissue swellings. The most common location is dorsum of the hand. However, it is not uncommon in the foot, but a massive ganglion is very rare. The case presented is one of a large, expanding ganglion over the dorsal aspect of the foot. This was successfully removed surgically. 
Original article: Recurrent plantar ulcer is a common and serious problem of anesthetic feet in leprosy. There are many methods described in the literature to deal this problem, but it still remains a great challenge for the treating surgeon. The problem lies not only in attaining the coverage and healing of the ulcer but also to prevent its recurrence. The skin of the forefoot is a specialized one and hence procedures aimed at providing skin from elsewhere will tend to fail. The local flaps described in the literature are effective, but forms a major surgery for this group of patients, requires an expert to perform and are not devoid of complications, which if occur can be disastrous. We are herein describing a technique of closure of these forefoot ulcers, which makes use of the biomechanical properties of the skin and provided closure of these ulcers by slow and sustained stretching of the surrounding natural skin. It thus provides the specialized plantar skin coverage for the ulcers. 
Original article: Synovial chondromatosis is a rare, generally benign condition which affects synovial membranes. It most commonly involves large joints such as the knee, hip, and elbow, but its presence in smaller joints has also been reported. The diagnosis of synovial chondromatosis is commonly made following a thorough history, physical examination, and radiographic examination. Patients may report pain and swelling within a joint which is often aggravated with physical activity. A rare case of bilateral synovial chondromatosis of the ankle is reviewed. A 26 year-old male presented with chronic bilateral ankle pain. Physical examination suggested and imaging confirmed multiple synovial chondromatoses bilaterally, likely secondary to previous trauma. 
