The Foot & Ankle Weekly
Jun. 2, 2015

Interested in having your podiatric assistant certified?
ACFAOM
An ACFAOM Certified Clinical Podiatric Medical Assistant (CCPMA) is able to perform routine nail care, pre-treatment foot exams, collect client health information correctly, setup a sterile field and much more. Click here to learn more about the course and have your assistant register online. $100 off the standard fee of $599 for assistants sponsored by an ACFAOM member. If you need more information before deciding to enroll your assistant, contact Jennifer Mulligan, at jmulligan@acfaom.org or 301-718-6534. More

Dr. Bret Ribotsky of Meet the Masters
ACFAOM
As we reported last week, Bret Ribotsky, DPM, FACFAOM, of Boca Raton, FL, and a past president of ACFAOM, was severely injured in a boating accident on May 20. He was aboard a U.S. Coast Guard Patrol boat, of which he has been an auxiliary member for many years, which crashed into a wall. He suffered multiple fractures of the feet, ankles, patella and lower back. We are pleased to report that he was discharged from the hospital last Friday and is now home recuperating. He is in good spirits, and thanks everyone for their good wishes.More

Management of advanced plexiform neurofibromatosis of the foot presenting with skeletal deformation and intractable pain: An indication for proximal amputation
The Foot
Plexiform neurofibromas of the foot are rare and often present with significant pain, deformity, and functional impairment secondary to their locally invasive behavior. While treatment has traditionally focused on attempts at radical resection, a lack of consensus among surgeons has hindered the establishment of a well-defined algorithm to guide the management of these highly co-morbid peripheral nerve sheath tumors. We present the case of an advanced plexiform neurofibroma of the right foot in a 24-year-old male with neurofibromatosis type 1. More

Diabetes epidemic changes the game for podiatric physicians and surgeons
Marketwired via Digital Journal
Over the past three decades, the incidence of diabetes has risen to epidemic proportions, both in the U.S. and throughout the world. As this dangerous disease continues to threaten lives and reduce quality of living for millions of patients, podiatric medical professionals have found their roles evolving. More

New surgical technique could reduce incidence of Charcot foot
O&P News
Charcot foot, a debilitating foot deformity linked with diabetes that can lead to amputation in severe cases, is increasing in the U.S., according to data recently published in the Journal of Diabetes and its Complications. However, a new form of surgery using an external fixation device could enable patients to walk normally again.More

Expert insights on therapies for plantar fat pad atrophy
Podiatry Today
Given the potential of plantar fat pad atrophy to cause significant pain and adverse effects on function, particularly in patients with diabetes, these authors discuss keys to making an accurate diagnosis and outline current treatment options. More

Knee and ankle valgus stress elevated in patients with pediatric flexible flatfoot
Orthopedics Today
According to research presented at the 16th EFORT Congress, elevated valgus stress was found in the knees and ankles of patients with pediatric flexible flatfoot. Dr. Tamás Terebessy and colleagues compared data from 23 patients with pediatric flexible flatfeet against 14 healthy controls. A 3-D gait analysis was performed using Oxford Foot Model marker protocol and 3-D measurements of hindfoot and forefoot kinematics, and frontal plane kinetics of the ankle, hip and knee were also taken. More

What high heels are really doing to your body
Health.com via ABC News
You probably know that your "killer" heels can be rough on your feet just from wearing 'em. But here's what they're actually doing to your whole body, plus how to lessen the effects. More

Study of muscle mechanics could lead to better running 'blades' for amputees
O&P News
A researcher at the University of Idaho is studying the muscle interactions of runners to help companies design better prostheses. Craig McGowan, PhD, an assistant professor of biological sciences, along with the help of students is developing a computer simulation that models the interactions of running-specific prostheses, often called "blades," with the body. More

Work-life balance in healthcare: Addressing the system
By Catherine Iste
Why is achieving work-life balance as a healthcare professional so difficult? As noted in the first part of this three-part series, it is difficult for everyone to agree on what work-life balance really is. As pointed out in the second article, many of the characteristics that draw a person into the profession are the same ones that keep them from addressing their own needs. In this article, we will acknowledge another seemingly obvious issue that fundamentally affects work-life balance: the system. More