Journal of the American Podiatric Medical Association最新文献

Investigating the Impact of Patient Lateness on the Podiatry Profession: An International Survey. 调查患者迟到对足病专业的影响：一项国际调查。

IF 0.5 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-06-03 DOI: 10.7547/24-198

Thasvhinni Nasendran, Alexis Y F Lai, Luke M Davies, Malia Ho

{"title":"Investigating the Impact of Patient Lateness on the Podiatry Profession: An International Survey.","authors":"Thasvhinni Nasendran, Alexis Y F Lai, Luke M Davies, Malia Ho","doi":"10.7547/24-198","DOIUrl":"https://doi.org/10.7547/24-198","url":null,"abstract":"Background: Podiatrists are crucial for managing lower limb pathologies, and effective appointment scheduling is vital for allocating adequate consultation time based on patient conditions. While occasional late patient arrivals may not significantly impact services, frequent lateness can disrupt patient flow and quality of care. This study explored the impact of patient lateness on podiatry practices worldwide, where no countries of origin were excluded. This study assessed current strategies to manage patient lateness, evaluated their effectiveness and reported recommendations for improvement.Methods: An international cross-sectional online survey was conducted between January and March 2024.Results: The survey, which garnered 201 responses from podiatrists, revealed that over 90% of podiatrists experienced disruptions in their clinic workflow due to late patients. Common reasons for lateness included traffic issues and difficulties with parking. SMS reminders emerged as the most effective tool for reducing tardiness. Over half (59.3%) of podiatrists implemented a 10-minute grace period before rescheduling late appointments, which effectively reduced lateness by 50%. However, some podiatrists refrained from rescheduling to avoid worsening patients' conditions or dealing with complaints. Additionally, many podiatrists reported a lack of managerial support in handling late patients.Conclusion: The frequency of late arrivals in podiatry is similar to other health professions and negatively impacts clinic workflow and staff morale. Enhanced managerial support is needed to better manage late patients, allowing podiatrists to concentrate on their clinical responsibilities.","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":" ","pages":"1-43"},"PeriodicalIF":0.5,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144216185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Novel Approach to Plantar Fasciitis Treatment. 一种治疗足底筋膜炎的新方法。

IF 0.5 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-05-14 DOI: 10.7547/24-136

Christopher Bromley, Caitlyn McManus, Daniel McManus

{"title":"A Novel Approach to Plantar Fasciitis Treatment.","authors":"Christopher Bromley, Caitlyn McManus, Daniel McManus","doi":"10.7547/24-136","DOIUrl":"https://doi.org/10.7547/24-136","url":null,"abstract":"Background: Pulsed electromagnetic field (PEMF) therapy is a conservative, noninvasive, nonpharmacological option for treatment of plantar fasciitis that accelerates the body's anti-inflammatory and healing responses.Methods: In this case series, adult patients presenting with more than 2 weeks of heel pain due to plantar fasciitis were treated with the OrthoCor Active System (OrthoCor Medical Inc, Blaine MN) PEMF device for 12 weeks. Efficacy was measured at 0 (baseline), 4, 8, and 12 weeks of treatment. Ultrasound was used to measure plantar fascia maximal thickness and hypoechoic region width. Function was evaluated using Foot and Ankle Disability Index (FADI) and Patient Specific Functional Scale (PSFS) survey scores.Results: Repeated measures ANOVA showed a statistically significant improvement in all assessments with PEMF therapy. The mean plantar fascia thickness decreased by 34%, the mean hypoechoic region width decreased by 79%, the mean FADI score improved by 46%, and the mean PSFS score improved by 166%. Compared to historical control data from other studies, PEMF and stretching therapy reduced plantar fascia thickness by 34% compared to 16% for dexamethasone injection and 6% for placebo saline injection; FADI improved by 46% after 12 weeks of PEMF compared to 43% after 1 year of treatment with indomethacin, heat and shoe pads, plantar facia stretching, or calf stretching; and PSFS improved by 166% with PEMF compared to 96% after primal reflex release treatment.Conclusion: Pulsed Electromagnetic Field (PEMF) therapy was effective for stimulating healing and improving function for patients with plantar fasciitis, demonstrated by significant improvement in ultrasound measures and functional scores. This study suggests that PEMF therapy is an effective conservative, nonpharmacologic treatment option for plantar fasciitis.","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":" ","pages":"1-21"},"PeriodicalIF":0.5,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Patients With a History of Vitamin D Deficiency Are Not at Increased Risk of Delayed Union Following First Metatarsophalangeal Joint Arthrodesis After Preoperative Optimization. 有维生素D缺乏史的患者在术前优化后首次跖趾关节融合术后延迟愈合的风险不增加。

IF 0.5 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-05-01 DOI: 10.7547/24-016

Bryanna D Vesely, Jennifer Kipp, Gregory Russell, Paula Gangopadhyay, Ashleigh W Medda

{"title":"Patients With a History of Vitamin D Deficiency Are Not at Increased Risk of Delayed Union Following First Metatarsophalangeal Joint Arthrodesis After Preoperative Optimization.","authors":"Bryanna D Vesely, Jennifer Kipp, Gregory Russell, Paula Gangopadhyay, Ashleigh W Medda","doi":"10.7547/24-016","DOIUrl":"https://doi.org/10.7547/24-016","url":null,"abstract":"Background: The correlation between vitamin D levels and bone health has been proven. Vitamin D deficiency is linked to poorer outcomes in osseous surgical procedures. The goal of the present study was to retrospectively investigate the nonunion rates of first metatarsophalangeal joint arthrodesis after implementing a vitamin D optimization protocol. Each patient was tested within 2 months prior to surgery and optimized to at least 20 ng/mL.Methods: A total of 44 operative extremities were included in this study. We analyzed the time to osseous fusion based on varying vitamin D levels.Results: There was a low nonunion rate of 2.3%. We found no statistically significant difference in time to fusion based on varying levels of vitamin D of at least 20 ng/mL or in patients who used a bone stimulator. We found no increased risk of delayed or nonunion in patients with a history of deficiency.Conclusions: We recommend optimizing patients with vitamin D deficiency to a level of at least 20 ng/mL prior to a first metatarsophalangeal arthrodesis procedure.","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144506106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Regional Bone Density Analysis of Minimally Invasive Bunionette Fixation Target Sites. 微创拇囊炎固定靶部位的局部骨密度分析。

IF 0.5 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-05-01 DOI: 10.7547/24-061

Sara Mateen, Dominick J Casciato, Jacob Wynes

{"title":"Regional Bone Density Analysis of Minimally Invasive Bunionette Fixation Target Sites.","authors":"Sara Mateen, Dominick J Casciato, Jacob Wynes","doi":"10.7547/24-061","DOIUrl":"https://doi.org/10.7547/24-061","url":null,"abstract":"Background: Minimally invasive hallux valgus correction has gained a presence in the foot and ankle community because of its minimalist approach and reproducibility. Minimally invasive techniques have also gained popularity in other facets of foot and ankle surgery, including bunionette correction. The main objective of this study was to evaluate computed tomography (CT)-derived Hounsfield units (HUs) from four quadrants of the fifth metatarsal head evaluating regional bone density.Methods: A retrospective analysis was conducted of 30 patients without a history of osteoporosis, fracture, or previous surgery who underwent CT examination. The fifth metatarsal head was separated into quadrants in the coronal plane and CT-derived HUs from a 3.5-mm region of interest centered in each quadrant were obtained. Quadrant HU values were compared using an analysis of variance followed by post hoc testing. The threshold for statistical significance was set at P ≤ .05.Results: The average cohort age was 43 ± 15 years. The sample was composed of 20 females (67%) and ten males (33%). There existed a statistically significant difference among the fifth metatarsal head quadrants (P < .001). The dorsomedial quadrant density was 301.0 ± 76.4 HUs, which post hoc analysis revealed to be greater than the dorsolateral (186 ± 68 HUs; P = .001), plantar medial (241 ± 69 HUs; P = .007), and plantar lateral (214.0 ± 70 HUs; P = .001) quadrants.Conclusions: During fixation in minimally invasive bunionette deformity correction, the dorsomedial quadrant of the fifth metatarsal head remains the optimal fixation target site according to regional bone density. Adding to the reproducible minimally invasive surgical technique, surgeons should plan the trajectory to capture this dorsomedial quadrant during fixation.","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144506109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Early Outcomes With Early Weightbearing Using Willits Protocol Following Haglund's Surgery. Haglund手术后使用Willits方案早期负重的早期结果。

IF 0.5 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-05-01 DOI: 10.7547/23-002

Bryanna D Vesely, Brennan K Reardon, Aaron T Scott, Ashleigh W Medda

{"title":"Early Outcomes With Early Weightbearing Using Willits Protocol Following Haglund's Surgery.","authors":"Bryanna D Vesely, Brennan K Reardon, Aaron T Scott, Ashleigh W Medda","doi":"10.7547/23-002","DOIUrl":"https://doi.org/10.7547/23-002","url":null,"abstract":"Background: Insertional Achilles tendinopathy is a common condition treated by foot and ankle surgeons. The literature has demonstrated good outcomes following detachment and reattachment of the Achilles with partial calcanectomy. However, postoperative protocols are variable and have not been well established. The purpose of the present study was to retrospectively review early mobilization with the Willits protocol following insertional Achilles tendinopathy surgery.Methods: A retrospective chart review was conducted of 25 patients (29 feet) who underwent surgical treatment for insertional Achilles tendinopathy with Haglund's deformity by two foot and ankle surgeons. Patients were evaluated using radiographs and clinical exams. Following surgery, Willits protocol was initiated for early mobilization.Results: Patients had an average decrease in pain postoperatively from 6.14 to 1.53 on a 10-point scale. One patient (3.4%) experienced a postoperative rupture after trauma. Three patients (10.3%) required reoperation: one debridement for postoperative infection, one flexor hallucis longus transfer and V-Y lengthening for Achilles rupture after a fall, and one gastrocnemius recession for calf tightness.Conclusions: The Willits protocol, although initially created for Achilles tendon ruptures, provides an early mobilization protocol for patients after insertional Achilles tendinopathy procedures. Our study found a low reoperation rate and improved pain level while allowing patients to mobilize earlier than previously reported in the literature.","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144506095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Immediate Effect of Cumulative Transverse Strain via Exercise on the Achilles Tendon in Individuals with and Without Flat Feet. 通过运动对有或无扁平足个体跟腱累积横向应变的直接影响。

IF 0.5 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-05-01 DOI: 10.7547/22-230

Serkan Taş, Murat Fatih Koçyiğit, Ayça Aracı, Muhammed Taha Tüfek

{"title":"Immediate Effect of Cumulative Transverse Strain via Exercise on the Achilles Tendon in Individuals with and Without Flat Feet.","authors":"Serkan Taş, Murat Fatih Koçyiğit, Ayça Aracı, Muhammed Taha Tüfek","doi":"10.7547/22-230","DOIUrl":"10.7547/22-230","url":null,"abstract":"Background: Flat feet change lower-extremity alignment, and they may change the load distribution on the Achilles tendon during exercise. The purpose of this study was to investigate the immediate effect of cumulative transverse strain via resistive ankle plantarflexion exercise on the Achilles tendon in individuals with flat feet.Methods: Fourteen individuals with flat feet and 14 age-matched individuals with normal foot posture were enrolled. Achilles tendon thickness was measured by an ultrasonography device with a linear probe at three points: 1, 2, and 3 cm proximal to the superior aspect of the calcaneus. Ultrasonography measurements were performed before and after participants completed 90 repetitions of double-leg calf raise exercises, which included moving the foot from full ankle dorsiflexion to full ankle plantarflexion.Results: Achilles tendon thickness at all three points measured was thinner in the flat feet group at preexercise and postexercise conditions compared with that of the control group (P < .05). Achilles tendon thickness at all three points decreased after the exercise in both groups (P < .001). The differences in Achilles tendon thickness at all three points measured between preexercise and postexercise conditions were lower in individuals with flat feet than in those of the control group (P < .05).Conclusions: There was a significant decrease in Achilles tendon thickness after exercise in both groups; however, tendon thickness markedly diminished in individuals with normal foot posture. The findings are thought to result from changes in tendon structure and load distribution on the Achilles tendon.","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10140722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Endoscopy-Assisted Minimally Invasive Calcaneus Osteotomy in Calcaneus Malunion Surgery. 内镜辅助下微创跟骨截骨在跟骨畸形愈合手术中的应用。

IF 0.5 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-05-01 DOI: 10.7547/22-219

Ali Yüce, Mustafa Yerli, Nazım Erkurt, Tahsin Olgun Bayraktar

引用次数: 0

Percutaneous Repair of Acute Achilles Tendon Rupture Using Endoscopy-Assisted Krackow Suture Technique. 内窥镜辅助Krackow缝合技术经皮修复急性跟腱断裂。

IF 0.5 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-05-01 DOI: 10.7547/22-218

Ali Yüce, Mustafa Yerli, Nazım Erkurt, Tahsin Olgun Bayraktar

引用次数: 0

Evaluation of Achilles Tendon Stiffness in Asymptomatic Amateur Soccer Players Using Shear Wave Elastography. 用横波弹性成像评价无症状业余足球运动员跟腱刚度。

IF 0.5 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-05-01 DOI: 10.7547/22-215

Gülen Burakgazi, Fatma Öz, Alper Aslan

{"title":"Evaluation of Achilles Tendon Stiffness in Asymptomatic Amateur Soccer Players Using Shear Wave Elastography.","authors":"Gülen Burakgazi, Fatma Öz, Alper Aslan","doi":"10.7547/22-215","DOIUrl":"https://doi.org/10.7547/22-215","url":null,"abstract":"Background: The aim of this study was to compare the Achilles tendon stiffness of male amateur soccer players and sedentary individuals.Methods: In this prospective study, ultrasound shear wave elastography findings obtained from the middle part of the bilateral Achilles tendon were evaluated in 31 male amateur soccer players and 31 sedentary men. Measurements were performed using a linear 4- to 10-mHz ultrasound probe. The correlation between Achilles tendon elasticity and training characteristics of soccer players was also tested.Results: There were no significant differences between soccer players and the control group in terms of age, body weight, height, and body mass index (P > .05). Achilles tendon stiffness was higher in the soccer players compared with the sedentary individuals (P < .001). However, the difference between right and left Achilles tendon stiffness was not statistically significant. In addition, the correlation between Achilles tendon stiffness and training characteristics (years of training, number of training sessions per week, total training hours per week) was not significant (P > .05).Conclusions: Ultrasound shear wave elastography can be used for evaluation of Achilles tendon stiffness. Compared with sedentary individuals, higher tendon stiffness in amateur soccer players shows that soccer training increases Achilles tendon stiffness. Including specific flexibility training in the training program may contribute to the achievement of maximum force production and the prevention of tendon pathologies.","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144506098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Interrater Reliability of Diagnostic Ultrasound of the Plantar Fascia. 足底筋膜超声诊断的相互可靠性。

IF 0.5 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-05-01 DOI: 10.7547/23-083

Mathew Johnstone, Samantha Gantenbein

{"title":"Interrater Reliability of Diagnostic Ultrasound of the Plantar Fascia.","authors":"Mathew Johnstone, Samantha Gantenbein","doi":"10.7547/23-083","DOIUrl":"https://doi.org/10.7547/23-083","url":null,"abstract":"Background: Musculoskeletal ultrasound has been demonstrated to be an accurate measurement tool in the diagnostic evaluation of plantar fasciitis. Previous authors have shown a high degree of reliability between different machines and well-trained, experienced operators in evaluating the thickness and echogenicity of the plantar fascia. We aimed to demonstrate through this study that accurate ultrasonic measurements of the plantar fascia can be reliably reproduced by inexperienced operators as well by demonstrating reliability of measurements between medical student and physician operators.Methods: Fifty-one healthy participants volunteered for this study. Each participant had both feet examined. The Lumify musculoskeletal ultrasound unit with a 12- to 4-MHz linear transducer was used for this evaluation. Three independent images of each participant's foot were taken by each operator and de-identified. For blinding, each de-identified image was then evaluated later by each evaluator using the ImageJ processing program. Plantar fascia thickness was measured at both the insertion on the calcaneus and a point 1 cm distal from the insertion. Each evaluator's three measurements at each point of the participant's fascia were then averaged for use in statistical analysis. An intraclass correlation coefficient (ICC) and Bland-Altman plots were used for statistical and visual interpretation of the results.Results: Using the ICC method, the results indicated excellent reliability between operators of different experience levels. The ICC for each rater was 0.967 when evaluating the same image of the plantar fascia at 1 cm from the insertion and 0.804 when evaluating the same fascia using six different images.Conclusions: The excellent reliability indicates the ease of use and practicality of the musculoskeletal ultrasound for clinical practice. For the most reliable results, we recommend that the point of measurement should be 1 cm from the insertion.","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144506101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0