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Strategies for rehab after Achilles tendon surgery : At the Palo Alto Foundation Medical Group, rehabilitation following operative repair of Achilles ten...
Rehabilitation following microfracture surgery : Much of the success of microfracture surgery for articular cartilage lesions in the knee depends on...
The truth about barefoot running: It’s complicated : One side claims running shoes cause injury; the other side counters that barefoot running comes wit...
Functional hallux limitus: Diagnosis and treatment : Once identified, functional hallux limitus can be effectively managed with orthotic devices.
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- Marina Makarova on Self-selected gait speed: A critical clinical outcome
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- Jeremy Osgood on Microfracture surprises tarnish the experience
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Search Results for: trauma
April 2013
Orthopedist Jacquelin Perry dies, leaves legacy of innovative biomechanics work
Jacquelin Perry, MD, DSc (Hon), died on March 11 in her home in Downey, CA. She was 94, and worked until near the end of her life at Los Angeles’s Rancho Los Amigos Medical Center, where she cared for patients and conducted research for more than 50 years.
April 2013
Ready Patient One: Exer-gaming for rehabilitation
Video gaming technology is finding its way into clinical practice, and research supports its effectiveness for improving balance, strength, and function. But studies also suggest some patient populations may be more responsive to exer-gaming than others.
By Samantha Rosenblum
April 2013
Microfracture surprises tarnish the experience
US orthopedic surgeons perform more than 25,000 microfractures annually, making the procedure the most common marrow-stimulating technique used for repair of the cartilage defects that often affect active individuals.1 Although microfracture is a single-stage, low-cost intervention that requires only surgical time and common surgical tools, it requires…
By Emily Delzell
April 2013
Bone bruises and risk of knee osteoarthritis
Bone bruises are commonly associated with anterior cruciate ligament (ACL) tears, but researchers are only beginning to understand the potential clinical significance of these chondral lesions with regard to knee osteoarthritis (OA) and preventing ACL injury recurrence.
By Cary Groner
March 2013
Game Ready releases amputee cold wrap
Concord, CA-based Game Ready debuted its Amputee Wrap line in February with a below-knee wrap that delivers cold therapy and is designed specifically for traumatic amputees. The wrap is designed to be used in the immediate postoperative period to speed … Continue reading
March 2013
Foot orthoses and injury prevention in football
Team practitioners at the United States Naval Academy designed an orthotic intervention to prevent turf toe and Lisfranc sprains in football linemen and gained valuable insights about how players’ preferences and predispositions can affect compliance.
By CAPT Jeff Fair, EdD, ATC, LAT; CAPT David Keblish, MD; and LCDR Anthony Rabaiotti, DPM
February 2013
Over the Edge: Lower extremity injuries in figure skaters
Competitive figure skating today is much less about artistry and much more about athleticism than in years past. Training is longer and harder than ever, while the classic unforgiving skate boot design has remained essentially unchanged. And lower extremity injuries in skaters are on the rise.
By Nathan W. Saunders, MA, and Steven T. Devor, PhD, FACSM
February 2013
Assessing alternatives to first MTP joint fusion
Arthrodesis remains effective for most patients with end-stage hallux rigidus, but finding an alternative that allows more range of motion can be challenging. Faced with disappointing arthroplasty outcomes, surgeons have had to get creative.
By Cary Groner
February 2013
Hemiplegic CP: Effects in the uninvolved limb
In patients with spastic hemiplegic CP, practitioners and researchers tend to focus primarily on the hemiplegic limb. But hemiplegia also leads to impairments in the uninvolved limb, which are important to consider when designing a therapeutic approach.
By Julieanne P. Sees, DO, and Freeman Miller, MD
February 2013
The influence of obesity on ankle fracture risk
Obese patients are more likely than nonobese individuals to sustain an ankle fracture, particularly a severe ankle fracture. Contributing factors may include increased torque on the ankle or low bone mineral density relative to body weight.
By Christy King, DPM, AACFAS
January 2013
Trends and techniques in materials, part I: O&P
This two-part series examines trends in materials development and fabrication. This first installment focuses on how material strength, stiffness, and other variables affect the structural properties and design of orthotic and prosthetic devices.
By Cary Groner
January 2013
Ankle instability treatment focuses on postural control
Interventions to improve postural control in patients with functional ankle instability include strength training, balance training, taping, bracing, and foot orthoses, but further research is needed to determine which therapeutic approaches work best in which patients.
By Janet Simon, MS, ATC, Emily Hall, MS, ATC, and Carrie Docherty, PhD, ATC
January 2013
Exploring mechanisms of diabetic foot ulceration
Prevention and treatment of foot ulcers in patients with diabetes requires an understanding of the various factors that contribute to increased risk, including anatomical deformity, poor vascular function, and diminished capacity for healing at a microscopic level.
By Allyson Berglund, DPM, Matthew Juriga, DPM, Aristidis Veves, MD, DSc, and Thanh Dinh, DPM
December 2012
Dr. Comfort: Diabetic footwear: A simple goal for a complicated problem
The goal at Dr. Comfort is simple: Provide products that can help diabetic patients prevent amputations. “Prevention of diabetic amputations motivated the founding of Dr. Comfort, and it’s what motivates us to keep growing every year…
By Larry Hand
November 2012
Postoperative Mesh Top Shoe
Elite Orthopaedics introduces a new postoperative shoe: the Mesh Top Post Operative Shoe. The new shoe is designed for use on a postoperative, traumatized, diabetic, or insensitive foot. Features of the Mesh Top Post Operative Shoe include an open-toe design … Continue reading
November 2012
Charcot neuroarthropathy and bone mineral density
Research indicates that in diabetic patients with Charcot neuroarthropathy, peripheral bone mineral density decreases over time, which can contribute to risks of hardware failure, loss of correction, delayed union, and nonunion in patients with advanced disease.
By Rachel H. Jung, DPM, MHA, MPH; Robert M. Greenhagen, DPM; Dane K. Wukich, MD; Vassilios Vardaxis, PhD; and Robert M. Yoho, DPM, MS
November 2012
Intramuscular manual therapy for heel pain
Intramuscular manual therapy, also known as dry needling, is hypothesized to relieve pain by modifying tension in connective tissue. Limited evidence supports the use of IMT for plantar fasciitis, although further research is needed to rule out a placebo effect.
By Brent Harper, PT, DPT, DSc, OCS, FAAOMPT
October 2012
Early ACL surgery could lower risk of associated knee damage
Patterns mirror those seen in adults
Timing of reconstruction surgery after pediatric anterior cruciate ligament (ACL) injuries seems to be related to the prevalence of meniscal and chondral injuries discovered during those surgeries, according to new research published in the September issue of The American Journal of Sports Medicine.
By Cary Groner
October 2012
London bridges: Clinicians and athletes connect at the 2012 Paralympic Games
There were no medals for the orthotists, prosthetists, and other lower extremity specialists in attendance at the 2012 games in London. But thousands of world-class athletes couldn’t have succeeded without them.
By Emily Delzell
September 2012
Patient Perspective: Communication takes edge off pain of recovery
When I first entered my podiatrist’s office for treatment of a moderately painful case of plantar fasciitis, I never thought that healthcare for my feet could get complicated. I subsequently developed sesamoiditis and my podiatrist prescribed custom orthotics for both my foot conditions. But then came the clincher: one night, I fell down a short flight of stairs and unfortunately landed on my foot.
By Barbara Boughton
September 2012
Effects of minimalist shoes on running gait
Research suggests that when transitioning to a minimalist running shoe, foot strike pattern is key to preventing lower extremity injuries. A transitional minimalist shoe, with slightly thicker and softer soles, may help prevent certain injuries in some runners.
By Everett B. Lohman III, DSc, PT, OCS
September 2012
Clinical assessment of ankle joint laxity
Ankle joint laxity can be a complicating factor in patients with acute ankle sprains or chronic instability, and testing for excessive laxity can help practitioners choose an appropriate method of treatment. However, not all tests for ankle joint laxity are created equal.
By Theodore Croy, PhD, PT, OCS, and Jay Hertel, PhD, ATC, FNATA
August 2012
Can AFOs help prevent falls?
Studies suggest that ankle foot orthoses can improve balance in some individuals, so it might seem logical that they would also help prevent falls. But the medical literature has yet to reveal a direct connection between AFOs and falls risk, and as a result the issue has become a magnet for debate.
By Cary Groner
August 2012
Idiopathic toe walking: Insights on intervention
As researchers explore the possibility that idiopathic toe walking has an underlying neurologic cause, clinicians continue to refine treatment strategies to keep ITW patients off their toes. Orthotic devices play a key role, with lower-profile devices growing in popularity.
By Emily Delzell
August 2012
Gait alterations associated with diabetic neuropathy
Inconsistent findings from laboratory studies have made it difficult to determine which gait alterations are specific to diabetic peripheral neuropathy and which also affect diabetic patients without neuropathy. Body-worn sensor technology may help clarify the distinctions.
By Tahir Khan, DPM, and Ron Guberman, DPM, DABPS
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