Clinics in Podiatric Medicine and Surgery

Lower Extremity Skin Manifestations

April 22, 2016

This issue of Clinics in Podiatric Medicine and Surgery is dedicated to pathological skin conditions of the lower extremity. Various topics from plantar verrucae, psoriasis, fungal infections, hyperhidrosis, and melanoma lesions are well covered in a comprehensive manner by our expert Guest Editor, Dr Vlahovic and invited authors.

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Common Fibular Nerve Compression

February 18, 2016

This article thoroughly describes the clinical examination and treatment of common fibular (peroneal) nerve compression. Aspects discussed include the anatomy of the nerve, cause of entrapment, symptoms associated with impairment, and a surgical approach to decompress the entrapped nerve.

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Intraoperative Nerve Monitoring During Nerve Decompression Surgery in the Lower Extremity

February 17, 2016

This article describes the benefits of intraoperative neurophysiologic monitoring (IONM) and proposes methods for integration into nerve decompression procedures. Standard procedures for intraoperative nerve monitoring (IONM) are illustrated as they would apply to the 3 nerve tunnels that have significant motor components within the lower extremity.

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Nerve-Related Injuries and Treatments for the Lower Extremity

February 8, 2016

This issue of Clinics in Podiatric Medicine and Surgery is focused on nerve-related injuries, entrapments, and treatments of the lower extremity. From small-fiber neuropathy and skin biopsy techniques to chronic nerve compression in the diabetic patient, this issue covers a wide range of neurologic conditions for the reconstructive surgeon. Great emphasis is given to the detailed lower extremity neurologic examination and surgical nerve decompression for diabetic neuropathic foot conditions.

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Peripheral Nerve Surgery—A New Subspecialty

February 8, 2016

As a subspecialty, Podiatric Surgery has emerged to encompass an almost incomprehensible level of knowledge and has now many subspecialties within the subspecialty. For example, wound care, limb salvage, Charcot reconstruction, and biomechanics, just to name a few

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Case Study

February 4, 2016

This case illustrates the complexity and interrelationship of osseous pathology with peripheral nerve entrapment and neuromata.

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Rationale, Science, and Economics of Surgical Nerve Decompression for Diabetic Neuropathy Foot Complications

January 30, 2016

Nerve decompression is effective and safe for dealing with the pain and numbness symptoms of the frequent nerve compression entrapments in diabetic symmetric peripheral neuropathy (DSPN).

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Multiple Crush Concept Applied to Multiple Nerves in Leprous Neuropathy

January 29, 2016

There is a large reservoir of leprosy patients, no longer contagious, due to multidrug therapy, who are considered cured and are becoming increasingly disabled due to progressive chronic nerve entrapment in the upper and lower extremities. After a review of the history of understanding leprous neuropathy, an approach is outlined based on the approach taken to relieve pain and restore sensation that prevents ulcers and amputations in diabetics with neuropathy and superimposed nerve compressions. The results of the first application of this approach in an indigenous area for leprosy, Guayaquil, Ecuador, is discussed with implications for international care of this neglected patient population.

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Management of Painful Recurrent Intermetatarsal Neuroma Using Processed Porcine Extracellular Matrix Material

January 12, 2016

Painful recurrent stump neuroma presents a common clinical problem following the transection of a nerve after initial interdigital neuroma excision but there is no gold standard of treatment.

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Small Fiber Neuropathy

January 8, 2016

Burning sensation in the feet is a common problem encountered in podiatric medicine.

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