journal

What I Learned From A Recent Malpractice Case On Warts

April 17, 2014

I recently had the opportunity to participate as a defense expert in a malpractice case. The jury returned a verdict in favor of the defendant podiatrist, determining that the plaintiff was 75 percent responsible for damages and the defendant was 25 percent responsible. However, the case was in the commonwealth of Pennsylvania where, unless the jury finds the defendant podiatrist to be greater than 51 percent responsible, it is a defense verdict.

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Bosentan and Extracorporeal Photochemotherapy in Eosinophilic Fasciitis: Synergistic Action or Fortuitous Coincidence?

April 17, 2014

See the original article here: Bosentan and Extracorporeal Photochemotherapy in Eosinophilic Fasciitis: Synergistic Action or Fortuitous Coincidence?

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A Huge Morel-Lavallee Lesion Treated Using a Quilting Suture Method: A Case Report and Review of the Literature

April 17, 2014

The Morel-Lavallée lesion is a collection of serous fluid that develops after closed degloving injuries and after surgical procedures particularly in the pelvis and abdomen. It is a persistent seroma and is usually resistant to conservative methods of treatment such as percutaneous drainage and compression.

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Successful Salvage of Complicated Calcaneal Blastomycosis in Disseminated Disease with Staged Surgical Reconstruction and Local–Systemic Antifungal…

April 14, 2014

Abstract: Disseminated blastomycosis can be a devastating disease, affecting multiple organ systems, including the musculoskeletal system. Osteomyelitis from disseminated disease can be difficult to eradicate but is particularly important to successfully manage in the load-bearing bones of the lower extremity.

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Effect of Variable Body Mass on Plantar Foot Pressure and Off-Loading Device Efficacy – Corrected Proof

April 14, 2014

Abstract: An increasing body of evidence has implicated obesity as having a negative effect on the development, treatment, and outcome of lower extremity pathologic entities, including diabetic foot disease. The objective of the present study was to increase the body of knowledge with respect to the effects of obesity on foot function. Specifically, we attempted to (1) describe the relationship between an increasing body mass index (BMI) on plantar foot pressures during gait, and (2) evaluate the efficacy of commonly prescribed off-loading devices with an increasing BMI

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Arthroscopic Ankle Arthrodesis with Intra-articular Distraction – Corrected Proof

April 8, 2014

Abstract: Arthroscopic ankle arthrodesis has shown high rates of union comparable to those with open arthrodesis but with substantially less postoperative morbidity, shorter operative times, less blood loss, and shorter hospital stays. To easily perform arthroscopic resection of the articular cartilage, sufficient distraction of the joint is necessary to insert the arthroscope and instruments.

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Associations between MRI Findings and Symptoms in Patients with Chronic Ankle Sprain – Corrected Proof

April 8, 2014

Abstract: Magnetic resonance imaging (MRI) provides an accurate method of observing and diagnosing injuries of the ligament complex of the ankle. However, the association between ankle symptoms and MRI findings has been unclear. The purpose of the present study was to evaluate the relationship between ankle pain and MRI findings

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Trichophyton Rubrum Osteomyelitis after Calcaneus External Fixation Pin Stabilization of a Pilon Fracture – Corrected Proof

April 7, 2014

Abstract: Fungal organisms are an uncommon cause of osteomyelitis, and no dermatophyte osteomyelitis infections have been reported in published studies. We present the case of Trichophyton rubrum osteomyelitis of the calcaneus

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Locking Compression Plate Distal Ulna Hook Plate as Alternative Fixation for Fifth Metatarsal Base Fracture – Corrected Proof

April 7, 2014

Abstract: Intramedullary screw fixation has been the most common treatment for fifth metatarsal base fractures. However, screw application will not achieve accurate reduction in fractures with small fragments, osteoporotic bone, or Lawrence zone 1 fractures. Because of the similar anatomic architecture between the distal ulna and the fifth metatarsal base, the purpose of the present study was to assess the results of a locking compression plate distal ulna hook plate in stabilizing displaced zone 1 or 2 fifth metatarsal base fractures

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