Foot & Ankle Weekly
Jan. 18, 2011

Clinical Charting Workshop - Jan. 27, New York - 8 days to go - register now
ACFAOM
This ACFAOM six CME-credit workshop on best practices in clinical charting has been designed to help DPMs become certified or re-certified by ABPOPPM. However, the fundamentals of good clinical record keeping are common to all podiatric practices, and so this will be a valuable educational experience for all DPMs wanting to know more about how to correctly prepare and maintain patient records and face possible audits. The full-day workshop will be presented next week (Thursday, Jan. 27), immediately preceding the NYSPMA conference in New York. (It is not necessary to register for the NYSPMA conference to attend this workshop.) For program information click here; for workshop registration click here; for information about the NYSPMA conference click here.More

New twists on ankle sprain prevention
Lower Extremity Review
Athletes, coaches, and trainers have long known that ankle sprains - the most common athletic injury - seem more likely as games wear on and players become tired. Only recently, however, have researchers begun to quantify how fatigue affects biomechanics and what those changes may imply for injury risk and prevention.More

Concurrent validity of the anterior drawer test and an arthrometer in evaluating ankle laxity
ORTHO SuperSite
This study focused on the concurrent validity and reliability of an ankle arthrometer and clinical tests of ankle laxity. A posttest-only control group design was used to compare anterior-posterior (AP) displacement in participants with clinically graded laxity (mechanical instability) and a control group. Forty-four individuals with no recent ankle sprains participated in this study. An ankle arthrometer measured AP displacement, and one investigator clinically graded the anterior drawer test.More

New insight into fracture epidemiology in high school athletes
Internal Medicine News
More than 568,000 fractures occur annually in U.S. high school athletes who participate in nine major sports, according to a new four year study. Fractures accounted for 10.1 percent of all high school athletic injuries as well as 27 percent of all injuries requiring surgery, second only to complete ligament sprains, 30 percent of which underwent surgical repair, Natalie McIlvain said at the annual meeting of the American Public Health Association. Foul play as determined by referee, coach, or athletic trainer played a role in 9.3 percent of all fractures, according to Ms. McIlvain of the center for injury research and policy at Nationwide Children's Hospital in Columbus, Ohio.More

Governors want reform law changed so they can reduce Medicaid coverage
Becker's Hospital Review
Republican governors are demanding changes in the health care reform law so that states would be able to cut Medicaid enrollment and balance their budgets, according to a report by the Wall Street Journal. Thirty-three Republican governors and governors-elect plan to send a letter to the White House and congressional leaders today requesting the change. Currently, the reform law would remove federal funding from states that drop Medicaid enrollees.More

Debridement of diabetic foot ulcers
Nursing Times
Fifteen per cent of people with diabetes are affected by foot ulceration at some time. Debridement is an intervention intended to speed up ulcer healing. It involves the removal of devitalised, contaminated or foreign material from the wound, until surrounding healthy tissue is exposed. Effective management of the diabetic foot is generally regarded as requiring a multidisciplinary input and good communication between primary and secondary care providers. However, the most effective method of debridement is still unclear.More

The inside story on liner choices
Lower Extremity Review
Selecting the right prosthetic liner for an amputee patient is a complex problem that clinicians grapple with daily. They find themselves constantly weighing trade-offs between liner features. Cushioning and comfort inevitably must be balanced with durability. More cushioning decreases how long the liner will maintain its shape and protective properties before deteriorating. But a thicker liner adds weight and decreases the ability to control the limb. A thinner liner may provide better functionality, but reduce comfort.More

New wound treatment for non-healing foot ulcers
Diabetes Health
Results are expected by the end of the month in an efficacy study on a new drug that promises to improve diabetic wound care. Derma Sciences is wrapping up work on a phase 2 trial of DSC127, a drug already shown to speed up healing in animal tests. According to Barry Wolfenson, executive vice president of global business development and marketing for the company, the study's last patient came aboard Sept. 27, and the trial was set to wrap by the end of December 2010. After crunching the numbers, the company will be able to say how many patients' wounds were completely healed by the end of the 12-week study period.More

The validity and reliability of diagnosing foot ulcers and pre-ulcerative lesions in diabetes using advanced digital photography; Report
Vision Systems
Foot ulceration represents a significant problem in patients with diabetes mellitus. The yearly incidence rate in the overall population with diabetes is 2.2 percent and in those patients with peripheral neuropathy 5.0-7.5 percent. Foot ulcers can lead to infection and, eventually, amputation with 85 percent of all non-traumatic lower limb amputations being preceded by a foot ulcer. The economic burden of diabetic foot ulceration and its sequel is substantial. For this reason, adequate treatment and, preferably, prevention of foot ulcers are of paramount importance in order to reduce this large patient and economic burden.More