Journal of the American Podiatric Medical Association最新文献

{"title":"Hammertoe Deformity Caused by a Soft-Tissue Chondroma.","authors":"Devon Niewohner, Bryanna D Vesely, Paula Gangopadhyay, Haiyan Lu, Heath Blankenship","doi":"10.7547/23-071","DOIUrl":"10.7547/23-071","url":null,"abstract":"<p><p>Hammertoe deformities are common pathologies treated in podiatry clinics and are most often associated with tendon imbalances. In this case study, we present the case of a 41-year-old patient with soft-tissue chondroma being the cause of a rigid deformity. We describe the surgical technique used to remove and treat the hammertoe.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 4","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144958857","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":"Toe Walking Tool.","authors":"Eleni Skarmoutsou, Theofani Bania, Eleni Potamiti, Dimitra Tsouni, Panagiota Panagaki, Athina Koulosousa, Efstratia Kalamvoki, Evdokia Billis","doi":"10.7547/24-068","DOIUrl":"https://doi.org/10.7547/24-068","url":null,"abstract":"<p><strong>Background: </strong>The Toe Walking Tool is used to highlight the need for further investigation of toe-walking children by a more qualified expert. Such a tool is not yet available within Greek clinical settings. Therefore, the aim of this study was to translate and cross-culturally adapt into Greek the Toe Walking Tool.</p><p><strong>Methods: </strong>The Toe Walking Tool was translated into Greek according to international guidelines by five pediatric physiotherapists, all fluent in the English language. Fifteen children with toe-walking due to pathologic reasons or idiopathic toe-walking were video-recorded performing the tasks and tests of the tool. Parents answered the questions regarding the children's medical history. Seven pediatric physiotherapists evaluated the 15 children using the video recordings and the parents' answers to complete the tool. Data were analyzed with Fleiss κ, percentage agreement, and χ2 tests. Face and content validity was determined by a group of experts.</p><p><strong>Results: </strong>The Greek version of the Toe Walking Tool proved to be clinically applicable and user-friendly. The tool was also found to have substantial intrarater reliability, with a Fleiss κ index of 0.73. The percentage agreement between the seven raters was high to very high, ranging from 86% to 100%, and no statistical differences were found between the raters (P < .1).</p><p><strong>Conclusions: </strong>The Greek version of the Toe Walking Tool demonstrated adequate evidence of interrater reliability and can be used to refer, if required, toe-walking children for further investigation.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 4","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144958807","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 Surgical Decision-Making Algorithm for Reconstruction of Charcot Neuroarthropathy.","authors":"Dominick Casciato, Korey DuBois, Roberto Brandao, Jacob Wynes","doi":"10.7547/23-120","DOIUrl":"https://doi.org/10.7547/23-120","url":null,"abstract":"<p><p>Surgical reconstruction of the foot and ankle following degenerative changes secondary to Charcot neuroarthropathy poses a challenge due to both soft-tissue and osseous deformity. As a limb salvage procedure, this article aims to address such deformity with the goal of returning to a braceable limb without subsequent ulceration and infection. As this disease process affects both bone and soft tissue, surgical reconstruction should be directed to address osseous and ligamentous deformities that may contribute to postoperative failure. We present an algorithm to eliminate deforming forces, identify and stabilize at-risk and damaged anatomy, and stabilize the ankle joint to reduce the risk of postoperative progression to Charcot collapse of the ankle joint in individuals with midfoot Charcot neuroarthropathy. In conjunction with a multidisciplinary infection, perfusion, and bone metabolism assessment, this algorithm serves as comprehensive tool to evaluate and reconstruct midfoot Charcot collapse.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 4","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144958820","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":"Cuboid Cobbles Hinder Elite Youth Football Player.","authors":"Jari Dahmen, Sjoerd A S Stufkens, Miki Dalmau-Pastor, Mario Maas, Gino M M J Kerkhoffs","doi":"10.7547/23-080","DOIUrl":"10.7547/23-080","url":null,"abstract":"<p><p>We describe an elite youth football player who developed lateral foot pain of previously unknown origin. A thorough patient history and physical examination, as well as an in-depth presentation of radiographic findings on computed tomography and magnetic resonance imaging scans were performed. Through this combination, the puzzle was resolved and a rare peroneus longus tendinopathy due to bony spurs in the cuboid groove was diagnosed. A peroneus longus exploration and release and reduction of the cuboidal bone spurs were performed, and an intensive rehabilitation phase followed. The patient successfully returned to performance and set a career in professional football.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138885286","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":"Remembering E. Dalton McGlamry, DPM.","authors":"Alan Banks","doi":"10.7547/25-133","DOIUrl":"https://doi.org/10.7547/25-133","url":null,"abstract":"","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 4","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145086472","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":"Comparison of Satisfaction with Below- and Above-the-Knee Prostheses in Patients with Amputation Due to Diabetic Foot.","authors":"Yavuz Aslan, Suat Batar, Abdul Fettah Buyuk","doi":"10.7547/23-026","DOIUrl":"https://doi.org/10.7547/23-026","url":null,"abstract":"<p><strong>Background: </strong>Diabetes mellitus is a very common medical condition with many macrovascular and microvascular complications. Neuropathy and peripheral vascular disease with external trauma are the main factors of foot ulcers in a diabetic patient. We aimed to investigate the aesthetic, weight, and functional satisfaction of prosthesis use depending on the level of amputation.</p><p><strong>Methods: </strong>Forty-four patients were included in the study. The patients were divided into two groups after surgery according to level of amputation: below-the-knee (group 1) and above-the-knee (group 2) amputations. Those who had to be operated on again due to wound and stump problems and those who could not use prostheses due to being bedridden were excluded from the study.</p><p><strong>Results: </strong>The mean ± SD age for group 1 was 66.8 ± 9.25 years and for group 2 was 71.25 ± 9.78 years. The mean ± SD Trinity Amputation and Prosthesis Experience Scales (TAPES) scores for groups 1 and 2, respectively, were as follows: aesthetic satisfaction, 7.43 ± 0.51 and 7.64 ± 0.56 (P = .234); weight satisfaction, 1.69 ± 0.48 and 1.57 ± 0.51 (P = .459); and functional satisfaction, 10.75 ± 0.78 and 6.75 ± 0.80 (P < .001).</p><p><strong>Conclusions: </strong>No difference was found in the aesthetic and weight satisfaction of patients who had below- or above-the-knee amputation due to diabetic foot and used permanent prostheses.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 4","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144958806","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":"Adolescent Feet Are Not Small Adult Feet.","authors":"Claire McKeone, Micah C Garcia, Jeffery A Taylor-Haas, Jason T Long, Mitchell J Rauh, Kevin R Ford, Shelby Peel, David M Bazett-Jones","doi":"10.7547/24-045","DOIUrl":"https://doi.org/10.7547/24-045","url":null,"abstract":"<p><strong>Background: </strong>Many arch structure classification methods exist, but arch structure may be influenced by factors such as age and physical activity. It is unknown if previous arch structure classifications from adult populations are appropriate for adolescents. The purpose of our study was to compare arch structure classifications between adolescent-specific and previously published classification systems.</p><p><strong>Methods: </strong>We enrolled 141 uninjured adolescents who participated in long-distance running activities. We measured arch height index (AHI) for both feet in seated and standing positions and classified arch structure as cavus, rectus, or planus. We calculated kappa and percent agreement to compare arch structure classification for our participants with previously published classifications. We performed one-sample t tests to compare mean AHI values from our participants with previously published values. We performed Pearson correlation and percent agreement for arch structure classification for AHI measured in seated and standing for our participants.</p><p><strong>Results: </strong>We observed no to weak and unacceptable agreement (κ = -0.008 to 0.702; P < .001 to .77; 29-72%) for seated and standing AHI between our classification and most prior classifications. Our seated and standing mean AHI values differed from most prior studies (P < .001 to .99; d = 0.00-1.52). We observed a very large positive correlation (r = 0.90; P < .001) with moderate and acceptable classification agreement (κ = 0.641; P < .001; 83%) between mean AHI values measured in seated and standing positions.</p><p><strong>Conclusions: </strong>Arch structure classification varied based on classification system and showed poor agreement between most previously reported classification systems. Mean AHI values were significantly different for adolescent runners in our study compared with most previously reported mean values. Researchers and clinicians may classify arch structure in a seated or standing position if position-specific criteria are applied. Special care should be taken before extrapolating classification systems originating from populations with different characteristics, such as age, sport participation, and health status.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 4","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144958831","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":"Sodium Hydroxide versus Phenol Chemical Matrixectomy.","authors":"Clark K Brackney, Jennifer A Kipp, Gregory Russell, Cody D Blazek, Nicholas S Powers, Ashleigh W Medda","doi":"10.7547/23-081","DOIUrl":"https://doi.org/10.7547/23-081","url":null,"abstract":"<p><strong>Background: </strong>Chemical matrixectomy (CM) is a common procedure to correct painful and ingrown toenails. At our institution, CMs are often performed with either sodium hydroxide (NaOH) or phenol as the chemical agent for germinal nail matrix destruction. The primary aim of this study was to evaluate the recurrence and reoperation rates for this procedure using different chemical agents.</p><p><strong>Methods: </strong>The medical records of 192 patients during a 2-year period were reviewed. All of the CMs were performed in a standard fashion by three podiatric physicians.</p><p><strong>Results: </strong>Among phenol partial nail avulsions, 46 nail border removals were performed. Among NaOH partial nail avulsions, 258 nail borders were treated. Mean follow-up was 93 days (median, 17 days). Among partial nail avulsions, the mean reoperation rate per border for CM with phenol was 6.5%. In comparison, the reoperation rate for CM with NaOH was 7.8% (P = .89), indicating that there is no statistically significant difference in reoperation rates between these two chemicals. The mean recurrence of painful nail edge rate per border for CM with phenol was 10.9%. In contrast, with NaOH this rate was 8.1% (P = .58), indicating that there was no statistically significant difference in the rate of development of recurrent painful nail borders between the two procedures.</p><p><strong>Conclusions: </strong>This retrospective medical record review demonstrated little difference between these chemicals in their reoperation and recurrence rates.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 4","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144958832","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":"The Future of Applications to Podiatric Medical School in the United States-2024.","authors":"Martin Yorath","doi":"10.7547/24-170","DOIUrl":"https://doi.org/10.7547/24-170","url":null,"abstract":"<p><strong>Background: </strong>The number of applications to podiatric medical schools in the United States continues to fall. There are many reasons for this decline, and this article attempts an impartial look at some of the forces at play in potentially affecting students' decisions to apply to podiatric medical school in the first place.</p><p><strong>Methods: </strong>I reviewed the existing literature on the current state of the podiatric medical profession in the United States, with attention to enrollment rates in podiatric medical schools during the past decade.</p><p><strong>Results: </strong>There are limited definitive data, and those displayed herein come from the American Association of Colleges of Podiatric Medicine and other organizations. The data suggest a steady decline in applicants to US podiatric medical schools during the past decade.</p><p><strong>Conclusions: </strong>The reasons for this decline are multifactorial and include problems extrinsic to the profession, such as a declining US birth rate, as well as problems within the profession, most of which are now easily discoverable through Internet searches and research. The issue of lack of plenary licensure, the inconsistent salary data, and in-fighting among the various boards that exist within the profession seem to be major factors that may be perceived as negative influences in choosing a career in podiatric medicine.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 4","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144958835","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":"Fibrolipomatous Hamartoma Involving the Tibial Nerve.","authors":"Ryan G Chiu, Jasmina Solankee, Faraaz Azam, Carson Gundlach, Srivats Srinivasan, Haibi Cai, Russell Payne","doi":"10.7547/24-078","DOIUrl":"https://doi.org/10.7547/24-078","url":null,"abstract":"<p><p>Fibrolipomatous hamartomas (FLHs) are rare pathologies almost exclusively involving the median nerve. Rarer is extra-median involvement of FLH, especially in nerves outside of the upper extremity. In this case report, we detail the case of a 48-year-old male with FLH involving his right tibial nerve-the first in reported literature in this nerve distribution to our knowledge- and perform a review of the existing case reports on extra-median FLH within the English-based literature.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 4","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144958863","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}