The Foot & Ankle Weekly
May. 14, 2013

ACFAOM Members Save $100 at the ACFAOM 2013 Annual Clinical Conference in Las Vegas, July 21-25
ACFAOM has designated the APMA 2013 Annual Scientific Meeting (The National) as its annual meeting this year. ACFAOM members who attend The National will receive a $100 rebate on their registration fee directly from ACFAOM following confirmed participation and attendance at the meeting. Also, if you register in May you will receive an additional $100 rebate from APMA.

The ACFAOM highlights at the conference will be a preconference hands-on ultrasound workshop, ACFAOM membership meeting/reception, and a special session "Applying Biomechanics to Patients' Surgical Evaluation, Radiographic Assessment, Wound Care, Rehabilitation, and Pedorthics." This session will be presented by Drs. Kathleen Satterfield, Stephen Albert, Daniel Evans, Jason Harrill, and Kirk Geter.

Register before June 1 and save $200 if you are an ACFAOM member. Can you afford to miss The National? Register today!More

Meet Matthew Garoufalis, DPM, FACFAOM - today at 9 p.m. ET
Dr. Matthew Garoufalis 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. Garoufalis, Diplomate of ABPM and Fellow of ACFAOM, is President of the APMA and Associate Chief of Podiatry and Assistant Residency Director at the Jesse Brown VA Medical Center in Chicago. He has lectured extensively on a variety of topics pertinent to podiatric medicine, surgery and practice management. 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

The diabetic foot: Intervene for vascular disease
Clinical Endocrinology News
The extent of vascular disease, not the presence of diabetes or the cause of the ulceration, should drive the decision to intervene in a patient with a "diabetic foot," according to Dr. Joshua Beckman.More

For US workers, lack of exercise most linked to obesity
For U.S. workers, exercising fewer than three days a week is more closely linked being obese - defined as having a Body Mass Index of 30 or higher - than any of 26 other behavioral and emotional factors, including healthy eating and having health insurance.More

Diabetic ankle fractures: Surgical considerations
Lower Extremity Review
Pittsburgh researchers found that patients with diabetes have higher complication rates than nondiabetic patients following open surgical management of ankle fractures, but also that the rate of major complications in the diabetic patients was relatively low.More

Botulinum toxin A combined with casting does not improve idiopathic toe walking
Orthopedics Today
Researchers found no differences between casting-only and casting with botulinum toxin A injections when treating children with idiopathic toe-walking. "Whether the effect of botulinum toxin-A treatment for idiopathic toe-walking can be improved with repeated injections, addition of bracing or more vigorous physiotherapy programs is unknown and should thus be studied in future randomized controlled trials," Pähr Engström, M.D., and colleagues wrote in their study.More

Microfracture surprises tarnish the experience
Lower Extremity Review
U.S. orthopedic surgeons perform more than 25,000 microfractures annually, making the procedure the most common marrow-­stimulating technique used for repair of the cartilage defects that often affect active individuals.1 Although microfracture is a single-stage, low-cost intervention that requires only surgical time and common surgical tools, it requires a lengthy rehabilitation and comes with other challenges, such as limited durability and less than optimal return-to-sport rates. And, for many patients, the procedure also comes as a complete surprise.More

Women seek practical and extreme solutions to high heel pain
From corsets to high heels, women have compromised their comfort for fashion throughout every age of time, but it's time to get real about what women are doing to their feet and learn what they can do to stop the pain without giving up their favorite pumps.More

Essential insights on the medial slide calcaneal osteotomy
Podiatry Today
Both pediatric and adult-acquired flatfoot deformities, particularly posterior tibial tendon dysfunction stage II, remain difficult to treat and there is much controversy in regard to the optimal form of treatment. Patients usually present with increased pain and swelling along the medial aspect of the ankle or rearfoot. The foot generally maintains an abducted forefoot position and a decrease in the height of the medial longitudinal arch. Sometimes patients can perform a double heel raise but cannot perform a single heel raise. This signifies posterior tibial tendon pathology.More

CMS: Do EHRs lead to upcoding?
American Medical News
The accuracy of physician documentation has been scrutinized for years, but a relatively new focus of complaints involves how doctors use features of electronic health record systems to support their claims. Concerns that doctors are taking advantage of EHR automation to bill higher-level services - intentionally or not - are misplaced, physicians said during a May 3 forum at the Centers for Medicare & Medicaid Services headquarters.More

The role of foot morphology on foot function in diabetic subjects with or without neuropathy
Gait & Posture via ScienceDirect
The aim of this study was to investigate the role of foot morphology, related with respect to diabetes and peripheral neuropathy in altering foot kinematics and plantar pressure during gait. Healthy and diabetic subjects with or without neuropathy with different foot types were analyzed. More