Journal of the American Podiatric Medical Association
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J Am Podiatr Med Assoc · Aug 1990
Case ReportsSubcutaneous emphysema of the lower extremity. A case report.
The case presented is a rare example of subcutaneous emphysema isolated to an extremity. This is a benign condition and should not be confused with necrotizing gas-producing infections. In most cases, the condition rapidly resolves without treatment, usually in less than 48 hr. In rare cases where the mechanical process causing the subcutaneous emphysema persists, interruption of this process is required.
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J Am Podiatr Med Assoc · Aug 1990
Case ReportsPiezogenic pedal papules extending into the arch. Case report and discussion.
A unique presentation of a painful piezogenic papule in the medial longitudinal arch has been presented. This lesion puts pressure on nearby structures, causing pain. Walking without pain is achieved through orthopedic padding. It is essential that these papules be differentiated from similar-appearing lesions of a systemic etiology, so that appropriate treatment can be rendered.
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The authors present information on how to conduct an examination of musculoskeletal structures with the purpose of accurately locating the source of a patient's symptoms when musculoskeletal pathology is suspected. An accurate identification of the structure at fault will enable the physician to formulate a more specific and effective treatment program.
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J Am Podiatr Med Assoc · Jun 1989
Case ReportsJuvenile fracture of tillaux. A distal tibial epiphyseal fracture.
The juvenile fracture of Tillaux is a Salter-Harris type III fracture of the distal tibial epiphysis. The mechanism of injury is an external rotational force of the foot. The fracture fragment is avulsed from the anterolateral aspect of the distal tibial epiphysis by the anteroinferior tibiofibular ligament. ⋯ The prognosis usually is good if anatomical reduction is performed. The most serious complication reported is pain and stiffness secondary to articular incongruity following inadequate closed reduction techniques. The case of a 14-year-old girl with a juvenile Tillaux fracture treated by open reduction with excellent functional results at 11 months follow-up was presented.
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J Am Podiatr Med Assoc · Jun 1989
Complications following midfoot amputation in neuropathic and dysvascular feet.
A review of 64 midfoot amputations performed between 1980 and 1985 revealed that complications occurred in 42% of the series. These included early wound dehiscence and late re-ulceration after the patient began walking again. By providing aggressive management and appropriate local revisions, 84% of the original group's limbs were salvaged at a functionally significant level. These findings underscore the fact that midfoot amputation requires diligent immediate and long-term follow-up if an acceptable success rate is to be achieved.