The Foot & Ankle Weekly
Nov. 4, 2014

High heels: Elevating the discussion
Lower Extremity Review
The biomechanical implications of high-heeled shoes are well known, and now dramatic weight-bearing images and new study findings are taking practitioner and patient awareness to the next level. But many women are still sacrificing their feet for fashion.More

Women more likely to develop stress fractures
St. Louis Post-Dispatch
For many women living an active lifestyle, the balance between healthy exercise and overuse can be delicate. Minor aches and pains are normal after typical exercise, however, persistent localized pain with activity may be a sign that you are overdoing it. One cause for this type of pain with activity is a stress fracture.More

Skin patch may offer a better means of treating diabetic foot ulcers
When someone has diabetes, foot injuries such as ulcers can take a long time to heal. Not only does this cause diabetics prolonged discomfort, but it can even lead to amputation. Help may be on the way, however, in the form of a drug that's delivered through a skin patch. Foot ulcers in diabetics are slow to heal for two reasons. First, blockages in the blood vessels restrict the amount of oxygen-rich blood that can reach the wound.More

Study assesses minimally invasive osteotomy for hallux valgus
Podiatry Today
For years, surgeons have used minimally invasive techniques for various types of surgery. A recent study in International Orthopaedics says a third-generation minimally invasive technique shows good results for hallux valgus. In a study involving 45 feet of patients with hallux valgus, the authors assessed a third-generation minimally invasive chevron osteotomy procedure that incorporated first- and second-generation techniques plus a distal chevron osteotomy and screw. More

No decay in subjective function found 10 years after surgery for unstable ankle fracture
Orthopedics Today
A long-term follow-up of patients treated with open reduction and internal fixation for unstable ankle fracture showed no decrease in function over time when compared with self-reported results 1 year after fixation. "The results of our study demonstrate that the majority of patients are doing well over a decade after fracture fixation. Despite the presence of radiographic arthritis in 79 percent of patients, few experience pain or have restrictions of function," Deirdre Regan, BA, said at the Orthopaedic Trauma Association Annual Meeting.More

The power of platelets
New Hampshire Magazine
Golfer Tiger Woods caused a stir when he admitted that he used it for his knee. Football player Hines Ward used it just before helping his team win the Super Bowl. Pro basketball player Kobe Bryant and tennis star Rafael Nadal have also tried it. But platelet-rich plasma therapy isn’t just for elite athletes anymore.More

Letting in the light of research on plantar fasciosis
Podiatry Today
Sometimes the chain of events in one’s life seem in retrospect the most perfectly planned and played out chorus of a Grammy award-winning song. However, while these scenes are unfolding, it is most often difficult to discern what is really going on or for that matter, the true importance and future ramifications of these at first seemingly random and disconnected series of events. More

Why hospitals should look for docs with social skills
Physicians' social skills often tie in directly to their job performances, according to a piece in Forbes. And rudeness will no longer cut it in the workplace. "[R]egardless of doctors' technical competence, their ability to deal with patients and influence their behavior will depend more on their personality and attitude than what they learned in medical school," writes Forbes contributor Tomas Chamorro-Premuzic. Despite this, he writes, the profession has historically rewarded competitiveness and academic knowledge over personal interactions.More

Positive drawer test combined with radiographic deviation of the third metatarsophalangeal joint suggests high grade tear of the second metatarsophalangeal joint plantar plate.
Foot & Ankle Specialist via PubMed
There is uncertainty regarding the most accurate and cost-effective method for diagnosing plantar plate injuries within the foot. The purpose of this study was to examine the combined value of using clinical and radiographic findings to diagnose high grade tears (> 50 percent disruption) within the second metatarsophalangeal (MTP) joint. More