Journal of the American Podiatric Medical Association最新文献

{"title":"Balance, Gait and Foot Pressure Distribution in Neuropathic Pain Associated with Lumbar Disc Degeneration.","authors":"Suleyman Korkusuz, Büşra Seckinogullari Korkusuz, Zeliha Ozlem Yuruk, Sibel Kibar, Ferdi Yavuz","doi":"10.7547/24-138","DOIUrl":"10.7547/24-138","url":null,"abstract":"<p><p>Background: This study aimed to evaluate the effects of NP associated with LDD on balance, gait and foot pressure distribution. Methods: This prospective controlled study was conducted on 42 individuals aged between 40-70 years. There were 3 groups in the study: individuals diagnosed with NP associated with LDD (n=14), individuals with LDD without NP(n=14), and the control group (n=14). The Force Plate system and Core Balance System measured static and dynamic postural balance and stability limits. Gait and dynamic plantar pressure distribution analyses were performed with a computerized gait evaluation system. Results: The Leeds Assessment of Neuropathic Signs and Symptoms (LANSS), VAS during gait, and Oswestry Disability Index (ODI)scores were higher in LDD with NP group than in LDD without NP group (p<0. 05). It was found that LDD with NP group had backward dynamic balance control (p<0. 05). There was no significant difference in balance control, dynamic plantar pressure distribution, and spatiotemporal gait parameters between the groups (p>0. 05). Conclusion: Although participants with NP had higher levels of pain severity in gait and disability, there was no difference in postural balance, dynamic plantar pressure distribution, and spatiotemporal gait parameters compared to participants with LDD without NP and healthy individuals. All participants with LDD were unilaterally affected. Therefore, postural balance and gait tasks would be able to compensate for the unaffected limb.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"116 2","pages":""},"PeriodicalIF":0.7,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147774965","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":"Influence of the Hardness of Insoles on the Abductor Hallucis Muscle in Baxter's Entrapment: A Cross-Over Randomized Study.","authors":"Vanesa Pinto-Franco, Marta Elena Losa Iglesias, Israel Casado-Hernández, Emmanuel María Navarro-Flores, Daniel López-López, Eva María Martínez-Jiménez, Eduardo Pérez-Boal, José Luis Muñoz-Sánchez, Ricardo Becerro-de-Bengoa-Vallejo","doi":"10.7547/23-241","DOIUrl":"10.7547/23-241","url":null,"abstract":"<p><p>Background: The etiology and diagnosis of heel pain are complex and multifactorial, and it has been reported that Baxter's entrapment is responsible for up to 20% of foot disorders. The most conservative treatment of Baxter's entrapment has been the use of custom insoles. Electromyography was considered an effective test to assess muscle activity. The aim of this study was to test the use of insoles of different hardness on muscle activity of the abductor hallucis muscle in subjects with entrapment of the lateral branch of the external plantar nerve. Methods: 18 subjects (7 women and 11 men) diagnosed with nerve entrapment of the first branch of the lateral plantar nerve were recruited. Muscle activity of the adductor hallucis muscle was analyzed with insoles of different hardness in static and dynamic situations using electromyographic evaluation. Results: The statistical analysis did not show statistically significant differences in the muscle activity of the abductor hallucis muscle in the static position, with and without plantar orthoses (p>0.05), in contrast, in dynamic situations statistically significant differences were found between groups (p<0.01). Conclusions: The use of a hard insole decreases the maximum peak muscular activity of the abductor hallucis muscle in subjects with Baxter's nerve entrapment in walking conditions.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"116 2","pages":""},"PeriodicalIF":0.7,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147775105","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":"Feasibility for Utilization of Assessment for Lack of Protective Sensation as Part of Foot Screening for Persons with Intellectual Disabilities.","authors":"Montana Von Musser, Hannah McCulley, David Jenkins","doi":"10.7547/24-112","DOIUrl":"10.7547/24-112","url":null,"abstract":"<p><p>Background: Persons with intellectual disability have a significantly higher prevalence of diabetes than the general population. Special Olympics Fit Feet, a major screening process for evaluating foot health in persons with intellectual disability, has not included an assessment for the risk of diabetic foot ulcers thus far. A probable reason for this may be that clinicians in the past have felt that persons with intellectual disability were not capable of understanding how to complete the Semmes-Weinstein test for lack of protective sensation. A study was designed to assess whether the Special Olympics athletes could complete the Semmes-Weinstein test for lack of protective sensation. Methods: 31 Special Olympics athletes with intellectual disability participating in a Fit Feet foot screening underwent a Semmes-Weinstein test for lack of protective sensation (LOPS). An assessment was completed using predetermined criteria to establish whether the subject understood what was required and could satisfactorily complete the test. Likewise, it was also determined if the Special Olympics athletes believed they understood the test. Results: Study findings determined that approximately 67% of the athletes in the study were able to successfully complete the test and 90% of the Special Olympics athletes reported they completely understood the test. These results do not apply to the intellectual disability population at large. Conclusion: A significant percentage of the test population appeared able to successfully undergo the Semmes-Weinstein test for lack of protective sensation (LOPS). Therefore, it is recommended that any foot screening process for Special Olympics athletes should include an assessment for loss of protective sensation including use of monofilament testing.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"116 2","pages":""},"PeriodicalIF":0.7,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147775093","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":"Podiatry Residents on an Inpatient Addiction Consult Service.","authors":"Dale Terasaki, Kristine Marie Hoffman","doi":"10.3390/japma116020021","DOIUrl":"10.3390/japma116020021","url":null,"abstract":"<p><p>Podiatry residents may benefit from addiction medicine rotations due to substantial overlap between podiatric needs and substance use disorders (SUDs), particularly in the hospital setting. In a semi-structured format, we describe the cases of two podiatry residents, perhaps the first ever documented, who rotated with an inpatient addiction medicine consult team at an urban, academic hospital. These two residents joined the addiction consult team in 2023 and 2024 and rated their confidence in twelve learning objectives via a five-point Likert scale before and after the rotation (2 weeks long). They also rated their attitude toward the value of addiction services. Post-rotation feedback from the module and ad hoc e-mail correspondence are included. Residents 1 and 2 joined the team and engaged well in orientating with the team, eventually providing near-independent addiction medicine consultations for primary inpatient teams. Pre/post data showed large increases in confidence in learning objectives (mean scores 2.1 to 4.9 for Resident 1, and mean scores 1.5 to 4.0 for Resident 2). They both reported positive experiences, and months later reflected on both pragmatic (e.g., available resources) and attitude-related (e.g., understanding the importance of substance use context for patients) educational gains. In summary, residents from surgical specialties like podiatry may benefit from inpatient addiction medicine exposure. It is unclear whether their rotation spots could be better utilized by those in other specialties, but SUDs are prevalent in a multitude of settings, arguing for broad dissemination of SUD treatment education.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"116 2","pages":""},"PeriodicalIF":0.7,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147775113","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":"Reliability of Radiologic Measurements in Children with Flexible Flat Feet.","authors":"Mert Gündoğdu, Ziya Shammadli, Özgür Baysal, Emrecan Akgün, Hayati Kart, Hasan Hilmi Muratlı","doi":"10.7547/25-014","DOIUrl":"10.7547/25-014","url":null,"abstract":"<p><p>Objectives: Flat feet is a very common deformity in children. Often, radiologic evaluation for children with flat feet is made. Although the measurement reliability of some angles in flat feet has been evaluated in the literature, none of them have been performed in the age range of 3-7 years, when the deformity is most common. Our aim is to evaluate the interobserver and intraobserver reliability of the 7 angles that are used for assessing flat feet. Methods: Radiologic angles were measured by four independent observers (two specialists and two residents) in two separate sessions on the foot radiographs of 50 children aged 3-7 years with clinically diagnosed flat feet in the appropriate position and intra-class correlation coefficient was evaluated. Thus, interobserver and intraobserver reliability was measured. Results: High reliability values were found in the AP talus - 1st metatarsal (APT1MT) angle and calcaneus inclination (Cl) angle, while the reliability was moderate in the other angles. Intraobserver reliability values tended to be higher than interobserver values, which is consistent with other studies. Conclusions: It is useful to keep in mind that the measurement reliability is moderate except for APT1MT and CI when angles are measured in this specific age group. No positive effect of experience on measurement reliability was found in our study.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"116 2","pages":""},"PeriodicalIF":0.7,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147775110","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":"Early Versus Delayed Plate Fixation in Pilon Fractures-Which Is More Advantageous?","authors":"İsmail Güzel, İbrahim Ulusoy, Mehmet Yılmaz, Mehmet Fırat Tantekin, Aybars Kıvrak","doi":"10.7547/25-087","DOIUrl":"10.7547/25-087","url":null,"abstract":"<p><p>Background: Pilon fractures refer to distal tibial fractures that may involve extra-articular, partial articular, or complete intra-articular components, most commonly caused by high-energy trauma. The choice between early (<72 hours) and delayed (>7 days) surgical fixation significantly impacts clinical outcomes. This study aimed to compare the effects of early vs. delayed plate fixation on fracture healing time, functional outcomes, and complication rates. Materials and Methods: This retrospective study analyzed 80 patients who underwent surgical treatment for pilon fractures between 2018 and 2023. Patients were divided into two groups: Early surgery (<72 hours, n=40); Delayed surgery (>7 days, n=40). Additionally, patients were categorized based on the fixation method: Single plate fixation (n=40); Double plate fixation (n=40). Outcome Measures: Fracture healing time (weeks) - Defined as cortical continuity on radiographs; Functional outcomes (AOFAS score); Complication rates (infection, malunion, implant failure). Results: Shorter healing time was observed in the early surgery group (14.2 vs. 16.8 weeks, p<0.05). Better functional outcomes were recorded in the early surgery group (AOFAS score: 82.3±6.5 vs. 78.1±7.2, p<0.05). Lower infection rates were noted in the delayed surgery group (7.5% vs. 12.5%, p<0.05). Double plate fixation provided better mechanical stability but resulted in higher soft tissue complication rates. Single plate fixation preserved soft tissue integrity but had higher malunion and implant failure rates. Conclusion: Early surgery is associated with shorter healing time and better functional outcomes, but increased soft tissue complications require careful management. Delayed surgery offers a safer approach for soft tissue healing but may prolong functional recovery. While double plate fixation ensures greater stability, it may increase soft tissue morbidity, whereas single plate fixation reduces soft tissue complications but may compromise stability. A personalized surgical approach is recommended for optimal outcomes in pilon fracture management.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"116 2","pages":""},"PeriodicalIF":0.7,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147775030","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 Narrative Literature Review on the Utilization of Platelet-Rich Plasma for Treating Plantar Fasciitis.","authors":"Peng Zhang, Jingjing Yang, Xiaolong Zhong, Yongneng Ma, Jichun Pan, Hua Fang","doi":"10.3390/japma116020019","DOIUrl":"10.3390/japma116020019","url":null,"abstract":"<p><p>Plantar fasciitis, which is extensively documented, is a common cause of heel pain in adults. Recent research has indicated that the illness is not only associated with inflammation but also degeneration. In addition to traditional treatments, non-surgical minimally invasive options, such as localized platelet-rich plasma (PRP) injection, have shown promise in the management of plantar fasciitis. PRP is a concentrated solution containing a high concentration of biologically active molecules such as growth factors and cytokines, which are essential for regulating cellular processes including growth, differentiation, angiogenesis, and motility. Recent years have seen a surge in research investigating the efficacy of PRP in treating plantar fasciitis. However, previous studies on the use of PRP for plantar fasciitis have been limited by inadequate evidence, inconsistent methodologies, lack of standardization in PRP composition, and other methodological limitations. The objective of this study was to conduct a literature review on the research progress in PRP therapy for treating plantar fasciitis. The review encompassed an analysis of the active mechanism of PRP, its comparative advantages and disadvantages in relation to commonly employed treatments, and identified potential avenues for further investigation in this field.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"116 2","pages":""},"PeriodicalIF":0.7,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147775017","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":"Dry Needling of the Abductor Hallucis Muscle in Management of Hallux Valgus: Effects on Pain, Function, and Angle.","authors":"Burak Tayyip Dede, Ayşenur Ada, Muhammed Oguz, Berat Bulut, Fatih Bagcier, Mustafa Turgut Yildizgoren, Ebru Aytekin","doi":"10.3390/japma116020018","DOIUrl":"10.3390/japma116020018","url":null,"abstract":"<p><p><b>Background</b>: The aim of this study was to investigate the effect of dry needling (DN) applied to the abductor hallucis (ABH) muscle on pain function and angle in patients with hallux valgus (HV). <b>Methods:</b> The study included 31 HV patients. Patients were randomly divided into two groups. The first group received toe-spread-out (TSO) exercise. The second group received three sessions of DN for myofascial trigger points in the ABH muscle in addition to TSO exercise. Visual analog scale (VAS) (rest, activity) and foot function index (FFI) (pain, disability, activity) were used for clinical evaluation. Hallux valgus angle (HVA) and intermetatarsal angle (HVA) were measured. The evaluations were performed at baseline and at the first and fourth weeks following treatment. <b>Results:</b> VAS-rest baseline-fourth week and baseline-first week changes were significantly superior in the TSO-plus-DN group compared to the TSO group (<i>p</i> = 0.023, <i>p</i> = 0.039, respectively). FFI-disability baseline-fourth week change was significantly superior in the TSO-plus-DN group compared to the TSO group (<i>p</i> = 0.040). HVA and IMA baseline-fourth week changes were significantly superior in the TSO-plus-DN group compared to the TSO group (<i>p</i> = 0.001, <i>p</i> = 0.045, respectively). <b>Conclusions:</b> According to our findings, the combination of DN for the ABH muscle with TSO exercise may be recommended for the treatment of patients with mild-to-moderate HV.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"116 2","pages":""},"PeriodicalIF":0.7,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147775014","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":"Three-Cortex Syndesmotic Fixation for Weber Type B/C Lateral Malleolus Fractures with Syndesmotic Disruption: Clinical and Radiologic Results.","authors":"Kemal Gökkuş, Mehmet Baris Sargin, Bahtiyar Haberal, Abdullah Şükün, Mehmet Sukru Sahin","doi":"10.3390/japma116020017","DOIUrl":"10.3390/japma116020017","url":null,"abstract":"<p><p><b>Background:</b> Despite the frequent occurrence of ankle injuries, there is no consensus among orthopedic surgeons regarding the diagnosis and treatment of syndesmotic injuries. This study evaluates the clinical and radiological outcomes of three-cortex syndesmotic fixation in Weber type B/C lateral malleolus fractures (with or without medial malleolus involvement) associated with syndesmotic injury. <b>Material and Method:</b> This study analyzed thirty-six (36) patients with Weber type B/C lateral malleolus fractures treated between 2011 and 2022. All underwent open reduction and fixation with plates and screws for malleolar fractures, along with a 3.5 mm cortical syndesmosis fixation using three cortical engagements. Preoperative and postoperative radiological findings and final functional ankle assessments were reviewed. Intraclass correlation coefficients (ICC) were used to assess inter- and intra-observer agreement for tibiofibular clear space (TFCS), tibiofibular overlap (TFO), medial clear space (MCS), and anterior tibiofibular ratio (ATFR) measurements. The functional status of the ankle has been assessed using the American Orthopedic Foot and Ankle Society (AOFAS) scale. <b>Results:</b> The mean age of the patients was 50.56 ± 16.23 years, and the mean follow-up duration was 20.89 ± 24.93 months. Postoperative AOFAS scores averaged 91.08 ± 9.90. The inter-observer agreement for preoperative assessments was excellent across all parameters (ICC > 0.9). However, in the postoperative period, inter-observer agreement for ATFR measurement was poor (ICC < 0.5), while agreement for all other parameters remained excellent (ICC > 0.9). Intra-observer comparisons of preoperative (pre-op) and postoperative (post-op) measurements were poor across all parameters (ICC < 0.5); this can be attributed to the success of reduction, reflecting the positive directional change on all parameters. After an average follow-up of 20 months, four radiological parameters showed significant differences, indicating enhanced stability and reduced diastasis. <b>Conclusions:</b> Three-cortex syndesmotic screw fixation in Weber type B/C lateral malleolus fractures with syndesmotic injuries yielded excellent mid-term radiological and functional outcomes.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"116 2","pages":""},"PeriodicalIF":0.7,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147775069","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":"Primary Cutaneous Cribriform Tumor in a 10-Year-Old Child.","authors":"Vivek Vemugunta, Douglas N Robins","doi":"10.3390/japma116020016","DOIUrl":"10.3390/japma116020016","url":null,"abstract":"<p><p>Primary cutaneous cribriform tumor is a rare sweat gland neoplasm with a characteristic histologic architecture and typically benign clinical behavior. We present the first reported pediatric case in a 10-year-old female who developed a painful, firm nodular lesion on the lateral aspect of her right foot. Initially thought to be a verruca, the lesion was treated conservatively. However, the persistence of pain prompted a biopsy that revealed features consistent with a primary cutaneous cribriform tumor. Imaging showed no evidence of spread, and the lesion was excised with a conservative surgical approach.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"116 2","pages":""},"PeriodicalIF":0.7,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147775090","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}