Journal of the American Podiatric Medical Association
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J Am Podiatr Med Assoc · Jan 1995
Use of Z-skin plasty in scar revisions and skin contractures of the lower extremity.
A discussion of the design and use of the Z-skin plasty to revise scars and lengthen skin contractures of the lower extremities is presented. One of the most commonly used rotational flaps to alter scar direction or relieve tension on the existing scar or skin, the Z-plasty can also be the most difficult to perform and carries a high risk of flap loss if inaccurately planned or poorly placed. Several variations of the standard procedure and examples of common usage are presented.
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J Am Podiatr Med Assoc · Jul 1993
ReviewAntimicrobial therapy of skin and soft tissue infection in children.
Skin and soft tissue infection and cutaneous abscesses are common in children. They may be polymicrobial in nature, especially when located proximal to mucous membranes. A general knowledge of the common causative bacterial organisms in these infections enables the physician to empirically institute antimicrobial therapy before culture results are available. ⋯ Staphylococcus aureus and Streptococcus pyogenes were recovered from infections occurring at all body sites, but predominated in infections of the leg, neck, and hand. Group D streptococci, Enterobacteriaceae, Neisseria gonorrhoeae, Bacteroides fragilis, and Prevotella species were isolated mostly from infections of the external genitalia and perirectal areas; pigmented Prevotella and Porphyromonas and Haemophilus influenzae can be isolated from infections of the head and neck. Management of skin and soft tissue infections in children should include surgical and medical therapy.
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Because a stress fracture is rare and easily missed on an x-ray, it might go undetected. If a patient presents with an activity related injury to the midfoot and x-rays are negative, a computed tomography scan can be helpful in diagnosing a cuboid stress fracture. Also, computed tomography scans graphically show the fracture location and size, in addition to tracking progressive bone changes during the healing process.