Foot & Ankle Weekly
May 11, 2010

Current and emerging tools for assessing diabetic peripheral neuropathy
Podiatry Today
An international study of patients with diabetes presenting with incident foot ulceration identified the "critical triad" of peripheral neuropathy, trauma and foot deformity in the pathogenesis of approximately 63 percent of patients. The most common component was peripheral neuropathy, which was present in nearly 80 percent of the patients in this study.More

Diagnosis and treatment of plantar fasciitis in the military
Ortho SuperSite
Over the years, plantar fasciitis has been one of the more frustrating entities to treat in orthopedic patients. It can be quite refractory to treatments and frustrating symptoms may persist for inpatient individuals. The good news is it usually gets better, but it may take longer then the patient may like. This month Brett D. Owens, MD, will share his insights from studying military personnel with plantar fasciitis.More

Dispelling the misconceptions about subtalar arthroereisis
Podiatry Today
Subtalar arthroereisis has a long evolutionary history since its first conception in the 1940s. Since then, researchers have created and abandoned many different methods, materials and devices. The promise of the next great device to stabilize the subtalar joint complex without osteotomy or arthrodesis usually diminished with long-term usage.More

New retail site lets shoppers ask a podiatrist for advice
Internet Retailer is hoping its re-launched retail site that lets customers ask a podiatrist about their foot troubles will be just what the doctor ordered -- more web sales., which was founded in 2008 and sells comfort shoes and health products for consumers aged 45 and older, unveiled its new e-commerce site this week with a new feature that enables consumers to pose questions to Atlanta podiatrist Dr. David Helfman of Village Podiatry Centers.More

Older adults need twice as much vitamin D, group says
Eat, Drink, and Be
According to one group, adults aren't getting nearly enough vitamin D. New guidelines released by the International Osteoporosis Foundation suggest older adults need about twice as much vitamin D than typically recommended. The U.S. Recommended Daily Allowance for adults ages 51 to 70 is 400 International Units of vitamin D per day; those 71 and older need 600 IU. The IOF, however, recommends adults age 65 and older aim for 800 to 1,000 IU per day.More

Proper foot care a must for patients with peripheral arterial disease
People who have peripheral arterial disease (P.A.D.) -- or clogged arteries of the legs -- are likely to develop foot problems. When the blood vessels in the feet and legs are narrowed or blocked, not enough blood flows to these parts of the body. As a result, minor problems such as cuts, sores or blisters cannot heal quickly, or heal at all.More

Prosthetic foot up for engineering prize
BBC News
A prosthetic foot that mimics the muscle actions of real feet has been short-listed for the UK's top engineering prize. Four projects are on the shortlist for the MacRobert prize which gives a £50,000 cash prize to the winning team. Other projects on the shortlist include a better landmine detector, high-speed satellite broadband and a greener way to make acrylic plastic. More

Recycling energy for easier walking
Today's Medical Developments
Engineers from the University of Michigan, the developers of an artificial foot that recycles energy otherwise wasted in between steps, say that it could make it easier for amputees to walk. "For amputees, what they experience when they are trying to walk normally is what I would experience if I were carrying an extra 30 lb," says Art Kuo, professor in the University of Michigan departments of Biomedical Engineering and Mechanical Engineering.More

Shock wave therapy may be effective for nonunions of the metaphyseal-diaphyseal region of fifth metatarsal
Ortho SuperSite
Recent research has shown that intramedullary screw fixation and shock wave therapy are effective treatments for nonunions of the metaphyseal-diaphyseal region of the fifth metatarsal. However, screw fixation more commonly produces complications that often require additional surgery. "The current 'gold standard' for treatment of chronic fracture nonunion in the metaphyseal-diaphyseal region of the fifth metatarsal is intramedullary screw fixation," John P. Furia, MD, and colleagues wrote in their abstract. More

Syracuse woman awarded $678,000 for severed ankle nerves
Syracuse Online
A Syracuse woman has been awarded $678,000 in damages by a local jury for the severing of two nerves in her ankle during ankle surgery five years ago. Lawyers David Howe and Michael Porter said the damage was done while Ayo Ford was having tarsal tunnel syndrome surgery to alleviate an impingement on a nerve in her left ankle.More

The epidemiology of plantar fasciitis
Lower Extremity Review
Plantar fasciitis is the most common cause of heel pain presenting to the outpatient clinic. Although thought of as an inflammatory process, plantar fasciitis is a disorder of degenerative changes in the fascia, and may be more accurately termed plantar fasciosis. Plantar fasciitis is diagnosed on the basis of a history of pain on taking the first few steps in the morning, worsening pain with weightbearing, and pain and tenderness to palpation over the medial calcaneal tubercle.More