The Foot & Ankle Weekly
Jul. 31, 2012

Unsure about how to effectively use lasers in your practice? Get answers at ACFAOM 2012 - Oct. 11-14, Disney World
ACFAOM
There is a great deal of speculation about, and interest in, the efficacy of lasers in podiatric practice. At ACFAOM 2012 a special CE credit session on Saturday, Oct. 13, will feature presentations on the science and clinical uses of lasers for the treatment of onychomychosis and other foot conditions, and also introduce you to the most current use of lasers for pain management. These presentations will be followed by a panel discussion moderated by Dr. Bryan Markinson, with faculty members Drs. Adam Landsman, Andrew Rader, and Grace Torres-Hodges. On Sunday, Oct. 14, a non-CE credit 3 hr workshop will provide an opportunity for hands-on experience and learning the nuts-and-bolts of implementing this technology in your practice by representatives from Cynosure, FOX Podiatry Laser, & Cutting Edge Laser Technologies.

The conference will be held Oct. 11-14, at the Hilton Orlando Lake Buena Vista located directly across from Downtown Disney. The focus of the ACFAOM conference will be Wound Management, Medicine, Dermatology/Pathology, and Biomechanics using both didactic and hands-on workshop learning, with additional sessions on billing & coding, and the latest technologies for Podiatric Imaging. New features this year include an exciting survey of Lasers in Podiatric Practice: Pros and Cons, plus a surgery track presented by ASPS. Click here to register now.More

Some amputations preventable, center shows diabetic patients
The Sacramento Bee
Ehud Giladi thinks the Amputation Prevention Center in Van Nuys, Calif., saved his life. Giladi, known as "Udi" to friends and family, knew he was in trouble in November 2010 when he summoned his son to help remove a sock from his foot. He is a diabetic and had been badly overweight for years. His left foot had developed neuropathy — the loss of feeling in extremities common to diabetics. More

When a vitamin D deficiency complicates bunion surgery
Podiatry Today
The importance of vitamin D in bone health has long been established. Consequently, a lack of vitamin D in the diet or lack of sun exposure may lead to serious health problems such as osteomalacia, rickets, certain cancers, diabetes, heart disease and even mortality risk in women. Unfortunately, vitamin D deficiency and its known consequences are a global concern. With a look at the current research, Matthew Claxton offers insights on addressing the bone healing issues resulting from vitamin D deficiency in a 19-year-old patient with bunions.More

The sprinter's advantage: Thinking outside the blocks
Lower Extremity Review
Researchers at Pennsylvania State University have identified structural characteristics that distinguish the foot and ankle mechanics of trained sprinters from non-sprinters. Are similar underlying variables responsible for the reductions in mobility that affect older adults?More

Physician quality: What's age got to do with it?
American Medical News
In the name of patient safety, some hospitals require that senior physicians get a fitness-for-duty evaluation as a condition of medical staff privileges.More

Good long-term limb salvage for diabetic foot patients
Medical Xpress
For patients with diabetic foot ulcers, long-term limb salvage is favorable; however, long-term survival remains poor, particularly for those with peripheral artery disease or chronic renal insufficiency, according to a recent study published online in Diabetes Care.More

Bracing affects plantar pressures and inversion, but not most performance tests
Lower Extremity Review
Research presented at the annual meeting of the National Athletic Trainers Association shed more light on the biomechanical effects of ankle braces that can help reduce the risk of inversion injury. Investigators from the University of Toledo analyzed plantar pressures in 10 individuals with chronic ankle instability (CAI) and 10 healthy individuals while jump-landing with and without a lace-up ankle brace. Plantar pressures tended to be distributed more medially in the CAI group than the control group, but in both groups midfoot and rearfoot pressures were shifted laterally with brace wear.More

Barefoot running in and of itself is neither good nor bad
News-Medical.net
Ethiopian runner Abebe Bikila made history when he earned a gold medal at the 1960 Summer Olympics in Rome. His speed and agility won him the gold, but it was barefoot running that made him a legend. Racing shoeless led to success for Bikila, and now, more than 50 years later, runners are continuing to take barefoot strides. Several Olympic runners have followed Bikila and nationally the trend has exploded over the past decade. There's even a national association dedicated to barefoot running. However, scientists are stuck on whether it either prevents or increases injuries.More

Task force urges use of fracture liaison services to reduce osteoporosis fractures
Orthopedics Today
An international task force has called on healthcare providers to aggressively identify and provide care for patients who have sustained their first osteoporosis-related fracture to prevent subsequent fractures, according to a report published in the Journal of Bone and Mineral Research. The task force recommended a solution that included fracture liaison services — a system of patient care coordination shown to significantly improve follow-up assessment and treatment following an initial fracture, reducing the likelihood of further fractures.More

Emerging insights in diagnosing and treating osteomyelitis
Podiatry Today
Is the probe to bone test losing its gold standard luster? Will nuclear medicine imaging reinvent the diagnostic approach to osteomyelitis? Can antibiotic beads have an impact in treatment? Offering insights from the literature as well as their own clinical experience, Jason Hanft, Jonathan Moskovits and Daniel Hall answer those questions and many more.More

Principal component based analysis of biomechanical inter-trial variability in individuals with chronic ankle instability
Clinical Biomechanics
Biomechanical variability during movement may influence joint stability in individuals with chronic ankle instability (CAI). The purpose of this study was to compare the kinematic and the kinetic inter-trial variability between healthy and CAI individuals. Eleven individuals with CAI and 11 matched controls performed five repetitions of a single-leg landing task. The CAI group displayed greater inter-trial variability for principal component scores in the sagittal and frontal planes.More