Foot and Ankle Clinics

2013 journal impact factors

July 31, 2014

Dear colleagues, The Thomson Reuters 2013 journal impact factors have just been announced. The journal impact factor for 2013 is calculated as follows: Number of citations in 2013 to articles published in 2011 and 2012, divided by the number of articles published in 2011 and 2012 The 2013 impact factors for foot-specific journals are listed below: Journal of Foot and Ankle Research 1.831 Foot and Ankle International 1.626 Journal of Foot and Ankle Surgery 0.979 Foot and Ankle Clinics 0.844 Journal of the American Podiatric Medical Association 0.574 Clinics in Podiatric Medicine and Surgery 0.505 Kind regards, The JFAR editorial team

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Recurrent Metatarsalgia

July 21, 2014

Recurrent metatarsalgia has a multifactorial etiology. The analysis of the cause is critical in planning appropriate treatment. Understanding etiology helps understand the mechanism of prevention, which is the best treatment.

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The Recurrent Morton Neuroma: What Now?

July 21, 2014

Interdigital neuromas are a common cause of forefoot pain, and approximately 80% of patients require surgical excision for symptom relief. Although 50% to 85% of patients obtain relief after primary excision, symptoms may recur because of an incorrect diagnosis, inadequate resection, or adherence of pressure on a nerve stump neuroma

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Nonunion of Fifth Metatarsal Fractures

July 21, 2014

Metatarsal fractures are those most frequently encountered in the foot.

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Iatrogenic Hallux Varus Treatment Algorithm

July 14, 2014

Iatrogenic hallux varus is a relatively rare complication of corrective hallux valgus surgery that has multiple pathologic facets. It requires a comprehensive assessment that focuses on joint flexibility, joint integrity, soft tissue balance, and bony deformity. A step-wise treatment approach is used to address all elements of the deformity

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Etiology and Management of Lesser Toe Metatarsophalangeal Joint Instability

July 14, 2014

The terms crossover toe and lesser metatarsophalangeal joint instability both describe a deterioration of the soft tissue structures that give stability to the lesser MTP joints. Initial treatment regimens focused on indirect repair of the instability without addressing the primary pathology

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Recurrent Tarsal Tunnel Syndrome

July 14, 2014

Recurrence of tarsal tunnel syndrome after surgery may be due to inadequate release, lack of understanding or appreciation of the actual anatomy involved, variations in the anatomy of the nerve(s), failure to execute the release properly, bleeding with subsequent scarring, damage to the nerve and branches, persistent hypersensitivity of the nerves, and preexisting intrinsic damage to the nerve. Approaches include more thorough release, use of barrier materials to decrease adherence of the nerve to surrounding tissues to avoid traction neuritis, excisions of neuromas using conduits, and consideration of nerve stimulators and systemic medications to deal with persistent neural pain.

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Managing Complications of Foot and Ankle Surgery

July 14, 2014

This issue of Foot and Ankle Clinics of North America is dedicated to the management of complications in foot and ankle surgery. Complications are never easy to talk about, but it is an integral part of any surgeon’s practice

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Pain After Cheilectomy of the First Metatarsophalangeal Joint: Diagnosis and Management

July 14, 2014

Cheilectomy is commonly performed for osteoarthritis of the first metatarsophalangeal joint and generally has a successful outcome and high rate of patient satisfaction over the short to medium term. Despite the relatively good results achieved in most cases, a proportion of patients have ongoing pain after cheilectomy. This article outlines the potential causes of ongoing pain, including progression of osteoarthritis, neuralgic symptoms, and transfer metatarsalgia.

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The Treatment of Calcaneal Malunion

July 14, 2014

The surgical treatment of calcaneal malunion is technically very demanding and requires a careful assessment of the exact cause of the problem. A number of different surgeries are available depending on the precise cause of symptoms.

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