MedWorm : Journal of the American Podiatric Medical Association

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Proposed Mechanism of Action of Topically Applied Autologous Blood Clot Tissue: A Quintessential Cellular and Tissue Based Therapy.

CONCLUSIONS: Topically applied autologous blood clot tissue represents a formidable cellular and tissue based therapy that has been shown to be safe and effective. Although the central component of this therapy is blood, the autologous clot tissue creates a scaffold that performs as a biologic delivery system that functions to control the release of growth factors and cytokines over several days.
PMID: 33052392 [PubMed - as supplied by publisher] (Source: Journal of the American Podiatric Medical Association)

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Effects of Orthotic Insoles on Gait Kinematics and Low Back Pain in Subjects with Mild Leg Length Discrepancy.

CONCLUSIONS: The effects of OI on gait symmetry are unpredictable and specific to each subject's individual manner of biomechanical compensation. The reduction in LBP seems associated with the improved ankle kinematics during gait.
PMID: 32936288 [PubMed - as supplied by publisher] (Source: Journal of the American Podiatric Medical Association)

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Relationship Between Recurrent Adductus Deformity of the Forefoot and Achilles Tendon Elongation Following Ponseti Treatment in Children with Idiopathic Clubfoot.

Conclusions: Achilles tendon elongation may be a contributor to the muscle imbalance in clubfeet with the relapsed forefoot adduction treated by the Ponseti technique.
PMID: 32931561 [PubMed - as supplied by publisher] (Source: Journal of the American Podiatric Medical Association)

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Accompanying Injuries of Ankle Joint Among the Fifth Metatarsal Basis Fractures.

CONCLUSIONS: Although most of the fifth metatarsal basis fractures and ankle sprains occur as a result of a common mechanism, physical examination and patients' complaints are very important. Routine MRI imaging should be unnecessary for most patients. If a patient with a fifth metatarsal basis fracture has complaints about his/her ankle joint, one should be aware of bone marrow edema which was observed in 41% of our study population.
PMID: 32915953 [PubMed - as supplied by publisher] (Source: Journal of the American Podiatric Medical Association)

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Rare Osteochondroma of the Posterior Talar Process: A Case Report.

We report the case of a 42-year-old healthy female who presented with a unusual solitary posterolateral ankle mass with associated pain and ankle impingement with 6 weeks follow up. The patient was successfully treated with open surgical excision with bone with pathology diagnosis of benign osteochondroma. The patient returned to normal baseline function with no pain at 6 weeks follow up. Open posterior ankle incision approach performed to remove suspicious enlarged bony growth from posterior talar process sent to pathology. Pathology report returned benign osteochondroma of the posterior talar process and patient subsequently had routine healing of post op incision site and return to full function without pain or disability at 6 weeks follow up. This case study adds to the current underst...

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Pediatric Delayed Union in the Presence of WAGR Syndrome.

In this study, we present the management of an intra-articular fracture in a 13-year-old boy with WAGR Syndrome, an extremely rare genetic disorder. The goal of this study is to provide possible solutions to the complex pain management requirements presenting in the setting of trauma to the right lower extremity. Given the scarcity of literature available with regard to this condition, we not only aim to increase awareness of the disease, but provide insight into trauma management and expected outcomes.
PMID: 32915965 [PubMed - as supplied by publisher] (Source: Journal of the American Podiatric Medical Association)

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Trichophyton rubrum DNA strains are more stable in onychomycosis patients with persistent mixed infections involving a nondermatophyte mould.

CONCLUSIONS: Four unique North American T. rubrum strains were identified. In support of a shared ancestry, the T. rubrum DNA strain types found in mixed infections with NDMs were among the most abundant types. A population of T. rubrum strains in mixed infections of onychomycosis has been characterized with more than one strain detected within some nails. The presence of a co-infecting NDM in mixed infections may contribute to failed therapy by stabilizing the T. rubrum strain type, possibly preventing antifungal therapy-induced strain type switching observed with infections caused by T. rubrum alone.
PMID: 32810210 [PubMed - as supplied by publisher] (Source: Journal of the American Podiatric Medical Association)

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Staged Surgical Management of Open Navicular Fracture Secondary to a Gunshot Injury.

Authors: Rahnama-Vaghef A, Husain ZS
Abstract
The management guidelines of gunshot wound (GSW) injuries to the lower extremities have primarily been described more recently in the literature. A navicular fracture with adjacent joint involvement is presented from a GSW with initial external fixation management to prevent loss of anatomic alignment as well as successful staged definitive treatment with internal fixation. Based on previous experiences with rearfoot joint involvement from GSW injuries, we were able to direct definitive treatment with arthrodesis of violated joints. After a one-year follow-up, the patient has returned to normal activities without any limitations. This case report demonstrates a stepwise approach to management of an open navicular fracture secondary to a...

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The Association Between Foot Posture and Foot Kinematics during Slow Running.

CONCLUSIONS.
PMID: 32780124 [PubMed - as supplied by publisher] (Source: Journal of the American Podiatric Medical Association)

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