Journal of the American Podiatric Medical Association最新文献

{"title":"Is a Footwear Fit Volumetric Index Significantly Associated with Foot Pain?","authors":"Francisco Javier Canca-Sanchez, Ana Belen Ortega-Avila, Andres Reinoso-Cobo, Pablo Cervera-Garvi, Irene Garcia-Paya, Antonio Jesus Montero-Garcia, Mercedes Ortiz-Romero, Jose Carlos Canca-Sanchez","doi":"10.3390/japma116050068","DOIUrl":"https://doi.org/10.3390/japma116050068","url":null,"abstract":"<p><p><b>Background:</b> Foot pain is associated with multiple risk factors like footwear. One factor that can lead to inadequate footwear being chosen is failure to consider the changes in volume that occur in the foot. So, could the establishment of a Footwear Fit Volumetric Index (FFVI)) contribute to our understanding of the significant association between footwear fit and foot pain? Objective. To establish an FFVI and to determine whether this index is significantly associated with foot pain. <b>Methods:</b> A cross-sectional study was carried out from March 2021 to January 2022. In total, 457 participants were recruited and completed the Foot Function Index and Visual Analog Scale (foot pain) questionnaires. Anthropometric measurements were obtained using a foot measurement platform, and foot posture was assessed using the Foot Posture Index. <b>Results:</b> Overall, 40.7% of participants were male, and 59.3% were female. The participants had a mean age of 39.06 years and a body mass index of 25.58 Kg/cm². Their shoe sizes ranged from 37 to 47 (median 40 (IQR: 5). The median FFVI values for the right foot (load-bearing vs. non-load-bearing) were 884.58 (IQR: 328.07) and 898.77 (IQR: 337.45), respectively. The correlation between the FFVI and shoe size was strong and statistically significant in the right foot, load-bearing (rho = 0.842; <i>p</i> < 0.001) and non-load-bearing (rho = 0.878; <i>p</i> < 0.001). A significant inverse relation was detected between the FFVI and foot pain in both feet (<i>p</i> < 0.001). <b>Conclusions:</b> The FFVI is significantly associated with foot pain. As the FFVI increases (suggesting a better footwear fit), foot pain decreases. Our findings have important clinical applicability, as they highlight the importance of optimizing footwear fit as a strategy to prevent and treat foot pain.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"116 5","pages":""},"PeriodicalIF":0.7,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149030866","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}

{"title":"From Arthroereisis to Osteoereisis: A Nomenclature Proposal for a Misnamed Surgical Procedure.","authors":"Elie C Daniel","doi":"10.3390/japma116050067","DOIUrl":"10.3390/japma116050067","url":null,"abstract":"<p><p>The surgical procedure currently known as arthroereisis has been performed for decades as a treatment for recurrent talotarsal dislocation sequela in both pediatric and adult populations, yet its name has never been formally challenged despite being etymologically and anatomically inaccurate. The term derives from the Greek arthro (joint) and ereisis (to lift or support), implying joint-level action that does not reflect the primary mechanism of the procedure. The sinus tarsi implant-and the family of interventions grouped under this designation-acts not on a joint surface as its primary mechanism but on the talar body itself, physically elevating and realigning the talus as a whole bone within a non-articular ligamentous and fibroadipose corridor, producing a cascade of peritalar corrections across the subtalar, talonavicular, calcaneocuboid, and talocrural joints as secondary consequences of this primary osseous repositioning. Radiographic evidence from unilateral cases demonstrates measurable osseous talar elevation on the treated limb compared to the contralateral untreated limb on weight-bearing views, consistent with the bone-level primary corrective effect. This article proposes the adoption of the term osteoereisis-from the Greek osteo (bone) and ereisis (to lift or support)-as an anatomically precise and mechanism-based replacement that correctly identifies the talus as the primary object of surgical effect. The term is explicitly device-agnostic and encompasses all surgical and conservative interventions that achieve bone-level osseous realignment of the primary articulating bone toward its physiologically normal position. The author invites collegial discussion of this proposal within the podiatric, orthopedic, and foot and ankle surgical community.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"116 5","pages":""},"PeriodicalIF":0.7,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149030950","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}

{"title":"Incidence and Hospitalization Costs of Lower Extremity Amputations in Patients with Diabetes During 2015-2020: A Regional Retrospective Observational Study from Sweden.","authors":"Ulla Hellstrand Tang, Margareta Hellgren, Leif Sundberg","doi":"10.3390/japma116050066","DOIUrl":"10.3390/japma116050066","url":null,"abstract":"<p><strong>Background: </strong>Diabetes mellitus (DM)-related amputations impose a substantial burden on individuals and healthcare systems. This study aimed to assess the incidence of amputations at different levels (hip and femur, knee and below knee, foot and ankle) and the associated hospitalization costs in the Västra Götaland region (VGR), Sweden.</p><p><strong>Methods: </strong>This retrospective observational study analyzed data from the VEGA database covering approximately 1.8 million inhabitants during the six-year period (2015-2020). Incidence rates and hospitalization costs were calculated using inpatient hospital records and patient-level cost data provided according to the principles of the Swedish Association of Local Authorities and Regions (SALAR).</p><p><strong>Results: </strong>A total of 1794 amputations were performed (mean 299 per year). Knee and below-knee amputations were the most common (118/year), followed by foot and ankle (98/year), and hip and femur (82/year). The mean annual hospitalization cost was approximately 64 million SEK (6.4 million euro). Overall, 2% of individuals with DM underwent an amputation during the study period, with men accounting for more amputations than women (1210 vs. 584 amputations). Foot and ankle amputations were proportionally more common among men (0.9%).</p><p><strong>Conclusions: </strong>Lower extremity amputations among patients with DM remain common and are associated with substantial healthcare costs. Strengthened preventive strategies, particularly those targeting foot health and high-risk groups such as men, are needed to reduce the burden of amputations.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"116 5","pages":""},"PeriodicalIF":0.7,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149030936","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}

{"title":"An Evaluation of the Short-Term Results on the Pericalcaneal Joints of the Evans Procedure Applied to Adult Patients with Pes Planovalgus.","authors":"Sefa Erdem Karapinar, Serdar Tunc, Recep Dincer, Tolga Atay, Hanim Kumbul","doi":"10.3390/japma116050064","DOIUrl":"https://doi.org/10.3390/japma116050064","url":null,"abstract":"<p><p><b>Background</b>: Adult acquired flat foot deformity (AAFD) is a triplanar deformity characterised by collapse of the medial longitudinal arch. The most frequently used surgical method is the Evans calcaneal osteotomy. It is usually used in the paediatric age group and there are very few studies related to the use of the modified calcaneal osteotomy procedure in adults. The aim of this study was to evaluate the radiographic improvements after this procedure in the adult age group and to investigate whether or not there was real probability of increased arthritis in the STJ and CCJ. <b>Methods</b>: The study included 20 patients who presented at our clinic between January 2020 and June 2022 with the complaint of foot pain and were diagnosed with Grade 2 AAFD. This retrospective study was based on the data in the hospital records system and the patient follow-up forms. Preoperatively and at 1, 6, 12, and 24 months postoperatively, a record was made of calcaneus length, calcaneal slope angle, talocalcaneal angle, medial longitudinal arch angle, and the time to removal of the Kirschner wire. The presence of arthritis in the joint regions was calculated according to the Kellgren-Lawrence classification. <b>Results</b>: According to the data recorded preoperatively and at the postoperative follow-up examinations (mean 1-6-12-24 months), the difference in calcaneal length, calcaneal slope angle, and change in medial longitudinal arch angle were statistically significant (<i>p</i> < 0.001). No statistical significance was found in respect of the development of arthritis according to the preoperative and postoperative measurements for the CCJ and STJ (<i>p</i> = 1.00). <b>Conclusions</b>: The Modified Evans Osteotomy procedure is beneficial and effective in the correction of pes planovalgus. The surgeon must have a good knowledge of anatomy and it must not be forgotten that there could be variations. The probability of arthritis is not as high as has been assumed.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"116 5","pages":""},"PeriodicalIF":0.7,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149030910","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}

{"title":"Valenti Arthroplasty with a Dermal Graft Spacer in Stage III-IV Freiberg's Disease: A Case Report.","authors":"Mohammad Junayed Khan, Tashfia Noor, Ayesha Naveed, Hadiya B Sadiq, Hajar Ouassari, Danny Basel Ghannoum","doi":"10.3390/japma116050065","DOIUrl":"10.3390/japma116050065","url":null,"abstract":"<p><p>Freiberg's disease is a rare condition involving osteochondrosis and collapse of the metatarsal head, often leading to chronic pain and impaired mobility. Traditional surgical treatments such as osteotomies, autografts, and joint replacements can relieve symptoms but may compromise joint mechanics or cause donor-site complications. In this case, a 23-year-old woman with Smillie stage 3-4 disease underwent a Valenti-type resectional arthroplasty combined with a folded, decellularized dermal graft spacer to preserve joint function. The procedure resulted in rapid recovery, with pain-free motion and restored within weeks. Radiographs showed remodeling of the metatarsal head, and the patient remained fully ambulatory without complications. This technique offers a promising joint-preserving alternative for young, active patients, although further research is needed to confirm its long-term efficacy.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"116 5","pages":""},"PeriodicalIF":0.7,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149030855","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}

{"title":"A Combination of Nail Grinding and Nail Fold Resection for a Juvenile's Pincer Nail Deformity.","authors":"Jianhua Huang, Lei Shi","doi":"10.3390/japma116050063","DOIUrl":"10.3390/japma116050063","url":null,"abstract":"<p><p>Pincer nail is a severe variant of nail deformity characterized by excessive transverse curvature of the nail, impinging on both lateral nail folds. The distal end is the most curved and grows inward, squeezing both lateral nail folds, resulting in varying degrees of pain and discomfort, making it difficult for patients to wear shoes, hindering walking, and severely impacting the quality of life. Although most previous nail surgical procedures have demonstrated good outcomes, these complicated operations result in a long recovery period and painful nail extraction. Here we present a tissue-preserving combination therapy of nail grinding followed by limited nail fold resection without nail plate extraction. By preserving the integrity of the nail bed and matrix, this approach avoids the extensive dissection and avulsion trauma inherent in conventional procedures, offering reduced postoperative pain, faster recovery, and minimal cosmetic alteration.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"116 5","pages":""},"PeriodicalIF":0.7,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149030907","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}

{"title":"Calcaneal Stress Fracture Presenting with Lateral Hindfoot Pain in a Young Woman: A Case Report.","authors":"Hongseo Hwang, Hyeong Jun Son, Chang Han Lee, Min-Kyun Oh, Eun Shin Lee, Hayoung Byun","doi":"10.3390/japma116050062","DOIUrl":"https://doi.org/10.3390/japma116050062","url":null,"abstract":"<p><p>Calcaneal stress fracture is an uncommon osseous cause of heel and hindfoot pain. A 33-year-old woman with chronic underweight status (body mass index, 16.59 kg/m²) presented with a 2- to 3-week history of right lateral hindfoot pain that reportedly began during treadmill walking in association with a perceived twisting event. The medical record documented tenderness in the region of the calcaneofibular ligament and a negative talar tilt test, but heel-specific examination was incompletely documented. Magnetic resonance imaging (MRI) obtained at the initial evaluation was formally interpreted as showing a calcaneal tuberosity stress fracture and quadratus plantae strain, with no abnormality reported in the ankle ligament complexes. On retrospective MRI review, an incomplete, vertically oriented fracture line extending to the cortex without articular extension or osseous displacement was identified, with surrounding marrow signal abnormality meeting the imaging criteria for Nattiv grade 4. Weight-bearing radiographs obtained 4 days later showed a corresponding sclerotic band. This case illustrates MRI-radiographic correlation in a calcaneal tuberosity stress fracture presenting with lateral hindfoot pain and supports inclusion of osseous injury in the differential diagnosis.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"116 5","pages":""},"PeriodicalIF":0.7,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149030885","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}

{"title":"First Metatarsophalangeal Joint Arthrodesis with Calcaneal Allograft for Failed Joint Arthroplasty.","authors":"Payaam Tavakoli, Phoram Vyas, Kevin Huntsman","doi":"10.3390/japma116050061","DOIUrl":"10.3390/japma116050061","url":null,"abstract":"<p><p>First metatarsophalangeal joint (MTPJ) arthrodesis is a powerful surgical option for treatment of hallux rigidus, hallux valgus, and revisional first MTPJ surgery. Joint arthroplasty serves as an alternative to arthrodesis for patients who want to preserve joint motion. However, joint arthroplasty has a high rate of failure and can lead to significant bone loss, which makes revisional surgery more challenging. In this study, we present the use of a calcaneal bone block allograft and bone marrow aspirate for fusion of a first MTPJ with a previously failed joint implant. Radiographic fusion was achieved after 6 weeks and ambulation has remained pain-free at 1 year follow-up.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"116 5","pages":""},"PeriodicalIF":0.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149030888","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}

{"title":"An Anomaly of the Pes Anserinus: A Case Study Using Cadaveric Dissection.","authors":"Samreen Mushtaheed, Stephanie Belovich, Ian Farnkopf, Kathy Siesel","doi":"10.3390/japma116050060","DOIUrl":"10.3390/japma116050060","url":null,"abstract":"<p><p>This case study investigates a pes anserinus anomaly in a male in his seventies who held an occupation in installation, maintenance, or repair. Using whole-body dissection, we found abnormal deposits and synovial tissue in the region of the pes anserinus, possibly suggestive of chronic overuse or injury which would fit with the patient's occupation. This study could aid healthcare providers in understanding and diagnosing variations and in managing lower limb pathologies, particularly in patients with occupational or repetitive stress-related injuries.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"116 5","pages":""},"PeriodicalIF":0.7,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149030917","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}

{"title":"Autologous Bone Grafting for the Treatment of Osteochondral Lesion of the Talus: A Systematic Review and Meta-Analysis.","authors":"Katrina Hoi Kiu Law, Jin Hean Koh, Dexter Seow","doi":"10.3390/japma116050058","DOIUrl":"10.3390/japma116050058","url":null,"abstract":"<p><p>Treatment of osteochondral lesions of the talus (OLTs) with bone grafting is an alternative option to osteochondral transplantation for larger OLTs. The purpose of this study is to evaluate treatment of OLTs with bone grafting with continuous functional outcome scores, return-to-play data, and meta-analyses of overall complication rates after bone graft treatment for OLT lesions as reported and best- and worst-case scenarios. A systematic review was conducted based on PRISMA guidelines using specific search terms on the PubMed, Embase and Cochrane Library databases. Level and quality of evidence were evaluated by The Journal of Bone & Joint Surgery and the Modified Coleman Methodology Score, respectively. Meta-analysis by fixed-effects models was performed if heterogeneity was low (<i>I</i>2 < 25%) and by random-effects models if heterogeneity was moderate to high (<i>I</i>2 > 25%). Eleven studies were included in this systematic review. The Mean American Orthopaedic Foot and Ankle Society score was 56.0 ± 10.1 (range 40.3-67.3) preoperatively to 88.7 ± 5.7 (range 80.8-95.0) points postoperatively. The mean 10 mm-VAS pain score was 6.5 ± 0.89 (range 5.6-7.7) preoperatively to 1.7 ± 1.1 (range 0.4-3.7) postoperatively. The overall pooled complication rate was 3.82% (95% CI: 0.05-10.92). Limited debilitating complications were noted in these studies, with one case of deep vein thrombosis noted. Autologous bone grafting offered satisfactory outcomes for pain relief, with notable improvement of functional outcomes scores. This review proposed that autologous bone grafting should be considered as the first line of treatment for lesion sizes >150 mm². Studies with longer follow-ups are desirable to determine the longevity of bone grafting and evaluate the durability of bone grafting for larger OLT lesions.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"116 5","pages":""},"PeriodicalIF":0.7,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149030933","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}