Lower Extremity Review
Toenail onychomycosis has long been difficult to treat because many factors affect the treatment outcome: aging patients, long-standing infection, slow growth of thickened nails, co-morbidities, limitations of the treatment (eg, treatment length, side effects, toxicity, physical limitations of the patient).
By Tracey C. Vlahovic, DPM, and Lewis H. Freed, DPM
In the introductory article on the dirty truth of biomechanics, we presented a playbook laying out 12 particularly concerning issues as they relate to human weight-bearing and locomotion. In this installment, we will delve into dirty truth number one, problematic anatomy, laying out the “whats” and the “whys”, and how computer-aided gait analysis (CAGA) can make this dirty truth a bit cleaner and more digestible.
By Jay Segel, DPM; Sally Crawford, MS
Adequate muscle strength, efficient gait, and good balance, which decline with age, are crucial contributors to independence and well-being. Aging is often associated with disability and multiple health concerns. To address these challenges, effective interventions are essential. This study investigated potential age-related declines in gait, balance, and…
By Asghar Rezaei, Sandesh G. Bhat, Chih-Hsiu Cheng, Robert J. Pignolo, Lichun Lu, and Kenton R. Kaufman
A portion of people use or carry cell phones while using bicycles and other non-motor vehicles (eg, scooters, skateboards, skates). This can increase the risk of injury. This study described cell phone-related lower extremity injuries while using non-motor vehicles that were treated at United States (US) hospital emergency departments (EDs).
By Mathias B. Forrester, BS
The medical field continues to experience rapid technological advancements, providing us with critical graphs and quantitative measurements that validate what we see, the qualitative findings. For healthcare professionals charged with understanding and addressing gait, recognizing the correlation of what happens during weightbearing and the challenges/costs to the musculoskeletal system is key.
By Jay Segel, DPM; Sally Crawford, MS
Wound care is an evolving science, but if there’s one lesson I’ve learned, it’s this: healing isn’t just about using the latest product—it’s about knowing when and how to use it. Early in my career as a family physician, I saw a number of chronic wounds stagnate despite standard treatments. Patients were frustrated. So were we. The limitations of traditional approaches were clear, but what wasn’t clear was…
By Cassandre Voltaire, DO
Flatfoot, particularly flexible adult Stage 2 flatfoot, presents a complex challenge. This summary reviews proper patient evaluation for the condition and discusses the critical non-surgical and surgical considerations for managing stage 2 flatfoot, offering a deep dive into both soft tissue and osseous procedural options. By understanding the pathology’s nature, evaluating the demographic factors, and…
A summarized talk by Joseph Park, DPM, FACFAS
In free-living environments, more time spent in exercise-like activities has the strongest association with blood pressure (BP), and even small changes to daily movement patterns can elicit clinically meaningful improvements. Multinational researchers from the ProPASS Consortium (Prospective Physical Activity, Sitting and Sleep) used data from thigh-worn accelerometers and BP measurements of…
Hallux valgus (HV) is a common forefoot problem with a reported prevalence of 23% in adults age 18–65 years and 35.7% in adults aged over 65 years. More than a hundred procedures were described to treat HV deformity. Traditionally, surgical treatment of HV included open osteotomies and soft tissue procedures. In recent years, minimally invasive surgery…
By Erdi Özdemir, MD, and Michael Aynardi, MD
Imagine for a moment, you were cast into a world of uncertainty by the loss of sight. Your relationship with all you know is forever changed. We have “tells” to these challenges and learn ways of adapting to our new circumstances. We do things slower, with less confidence, and rely on our other senses. We listen for auditory cues, but perhaps the sense we lean on…
By Jay Segel, DPM; Sally Crawford, MS; Ronald Sherman, DPM, MBA
The American Academy of Orthopaedic Surgeons(AAOS) issued an updated Clinical Practice Guideline (CPG) for the Prevention of Total Hip and Knee Arthroplasty Periprosthetic Joint Infection (PJI) in Patients Undergoing Dental Procedures, which replaces the previous guideline from 2012. The CPG supports patients who are scheduled for or have…
Background: In 2023, 97% of United States (US) adults reported that they owned a cell phone. Use of cell phones while driving may result in crashes and injuries. This study characterized cell phone-related lower extremity injuries while in or on a motor vehicle that were treated at US hospital emergency departments (EDs).
By Mathias B. Forrester, BS
Posterior malleolus fractures have been associated with ankle instability because the ligament pull that follows such fractures can lead to movement of the fracture fragment and consequently disrupt the weight-bearing surface’s integrity. Falls are a multifactorial phenomenon and a cause of increasing rates of mortality and morbidity in older adults, and are significant contributors to disability or early institutionalization.
By Alex Rizzato, Matteo Bozzato, Luca Rotundo, Giuseppe Zullo, Giuseppe De Vito, Antonio Paoli, and Giuseppe Marcolin
Background: Ninety-seven percent of people in the United States (US) own a cell phone. Consequently, millions of people are at risk of cell phone-related injury, including when using or carrying a cell phone while walking. This study described cell phone-related lower extremity injuries while walking that were treated at US hospital emergency departments (EDs).
By Mathias B. Forrester, BS
These study findings suggest you can improve patient trust and satisfaction with telehealth visits by minding your video background. The COVID-19 pandemic prompted rapid adoption of telemedicine. Most physicians had no training on effective webside manner, including their physical environment.
By Nathan Houchens, MD; Sanjay Saint,MD, MPH; Latoya Kuhn, MPH; David Ratz, MS; Jason M. Engle, MPH; Jennifer Meddings, MD, MSc
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