The Foot & Ankle Weekly
Feb. 18, 2014

ACFAOM 2014 is less than 4 months away!
All DPMs and office staff, residents, and students can register online for ACFAOM's 2014 Clinical Conference in Alexandria, VA, June 5-8. Remember, the conference for all paid-up ACFAOM members is absolutely FREE if registered by May 5. That's 20 CE credit hours plus a discount on your PICA premium - at no cost.

ACFAOM 2014 will be centered around five interactive learning sessions using case studies (not the usual passive lecture-based education), starting at 1 pm on Thursday, June 5; Biomechanics, Wound Care, Medicine/Dermatology, Imaging, and the Business of Podiatric Medicine. All sessions will focus on what the DPM in private practice faces every day – with the latest evidence-based treatment approaches. The main conference will end at 5 pm on Saturday, June 7. On Sunday morning the popular ACFAOM 4-hour Billing & Coding Workshop by Michael Warshaw, DPM, FACFAOM, will be presented as an option for a small fee, with the 300-page 2014 Podiatry Manual included.

Put ACFAOM 2014, June 5-8, in your 2014 calendar now - and register today. More

Meet Albert Armstrong, DPM, FACFAOM - today at 9 p.m. ET
ACFAOM Fellow Dr. Albert Armstrong will be the guest on today's Meet the Masters audio-conference (at 9 p.m. ET) with host, and former ACFAOM president, Dr. Bret Ribotsky. Dr. Armstrong is a physician at the Barry University Foot & Ankle Institute and is board certified by ABPM and AAWM. He specializes in radiology, imaging and wound care, and has number of imaging publications to his name. To register for this FREE weekly, and unique, learning experience that will give you additional insights into the profession’s past and future click here. More

Nerve decompression after diabetic foot ulceration may protect against recurrence
Journal of American Podiatric Medical Association
Nerve entrapment, common in diabetes, is considered an associated phenomenon without large consequence in the development of diabetes complications such as ulceration, infection, amputation, and early mortality. This prospective analysis, with controls, of the ulcer recurrence rate after operative nerve decompression (ND) offers an objective perspective on the possibility of frequent occult nerve entrapment in the diabetic foot complication cascade.More

Diabetic foot care a step in the right direction
U-T San Diego
For the 26 million people in the United States with Type 1 or Type 2 diabetes, proper foot care is an important part of preventing some complications of this chronic disease. Education on how to avoid foot and other complications is critical if you have diabetes. If an ulcer or any injury to intact skin occurs, quick and appropriate treatment can mean the difference between healing and amputation.More

In college football, most turf toe cases occur in games, on artificial surfaces
Lower Extremity Review
A Stanford University study suggests that turf toe injury rates in collegiate football players are lower than expected, possibly as a result of improvements in synthetic turf technology. Analyzing data from the National Collegiate Athletic Association’s Injury Surveillance System for five football seasons (2004-2005 to 2008-2009), the researchers found the overall incidence of turf toe injury was .062 per 1000 athlete-exposures. More

When suspicious bilateral lesions occur on prior hallux amputation sites
Podiatry Today
A 56-year-old male initially presented to our clinic with an unusual ulceration under the plantar aspect of his right first metatarsal head stump where a hallux amputation had been performed. In fact, both first great toes had been amputated greater than five years ago secondary to osteomyelitis from ulcerations attributed to diabetic neuropathy. Since the amputations had been performed, the patient admits that he had ulcerations over each area. The former ulcerations had subsequently healed and not returned for a few years.More

SGR deal reached, but funding obstacles ahead
Now that Congress has come to terms on a deal to repeal the much-loathed sustainable growth rate payment formula for physicians participating in the Medicare program, it must now figure out how to pay for it. The SGR, introduced in the late 1990s, was actually applied only once about a decade ago, with Congress instead relying on annual "fixes" that essentially kept Medicare payments on an even keel. But doctors face an anticipated cut of 24 percent if the government put all the deferred payments into effect, creating even more momentum in Congress to repeal it.More

Higher bone mineral density, smaller bone size found in patients with foot or ankle OA
Orthopedics Today
Researchers from Sweden discovered that after adjusting for body mass index, patients with foot or ankle osteoarthritis had higher bone mineral density and smaller femoral neck width as measured by DEXA compared to controls. “Patients with [osteoarthritis] OA in the foot or ankle have higher [bone mineral density] BMD and smaller bone size than being expected by their [body mass index] BMI,” Maria C. Cöster, MD, of Skåne University Hospital in Malmö, Sweden, and colleagues wrote in their study.More

High heels a painfully low point for hundreds
The Age
Victorian hospitals treated 236 women and four men who injured themselves while stumbling or falling from high heels, new data shows, with the carnage highest over summer months. A study led by Melbourne podiatrist Cylie Williams found Sunday mornings were the busiest time for patients presenting to Victorian emergency departments with injuries caused by wearing high heels. Injuries included sprains to wrists, hands, ankles and knees and fractures to the legs and feet, as well as minor lacerations to the face.More

Are advanced imaging technologies worth the risks?
By Denise A. Valenti
The use of advanced imaging technologies — MRIs and CT scans — increased more than threefold between the years 2000 and 2010. Noninvasive diagnostic technologies can lead to earlier and more precise diagnosis of pathology, but they also come with an increased cost and sometimes with a danger of exposure to ionizing radiation. The risk of incurring cancer from the radiation exposure with CT is small, but it is not zero. With more than 85 million scans performed yearly in the United States, do the benefits outweigh the risks?More

Medical practices must remember that patients are customers too
Physician's Practice
Dr. Jennifer Frank writes, "We just returned from vacation — a leisurely seven days in a tropical climate. Returning to snowy weather clocking in at 10 degrees below zero was...actually good. I was ready to be done with vacation, as wonderful and enjoyable as it was. Not only was I ready to give up the 400-square-foot room I shared for a week with my offspring, but I was also ready to get back to real life and apply some of the things I thought about during my time off."More

Effect of rocker shoe design features on forefoot plantar pressures in people with and without diabetes
Clinical Biomechanics via ScienceDirect
There is no consensus on the precise rocker shoe outsole design that will optimally reduce plantar pressure in people with diabetes. This study aimed to understand how peak plantar pressure is influenced by systematically varying three design features which characterise a curved rocker shoe: apex angle, apex position and rocker angle.More