Journal of the American Podiatric Medical Association
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J Am Podiatr Med Assoc · May 2013
Comparative StudyReliability and repeatability of the portable EPS-platform digital pressure-plate system.
Abnormal plantar pressures are the hallmark characteristic of several conditions and pathologic abnormalities. Pressure platforms allow for quick and accurate screening of patients and help guide clinical treatment. However, it is essential to evaluate the reliability and repeatability of these devices before making clinical decisions. The purpose of this study was to determine the reliability of the EPS-Platform during static and dynamic activities. ⋯ This study demonstrates that the EPS-Platform is a reliable device for collecting gait plantar pressures. Static trials produce better reliability, most likely owing to the large inherent variability during dynamic gait. Intersession reliability was higher than intrasession reliability owing to the intersession measures being calculated with an average of five trials. By averaging the trials, the variability of gait is decreased, and this improves the accuracy of the results. These results can be used as the basis for future studies and to determine a priori sample sizes for investigations that use the EPS-Platform.
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J Am Podiatr Med Assoc · May 2013
Case ReportsOpen reduction-internal fixation of a navicular body fracture with dorsal displacement of the first and second cuneiforms: a case report.
Body fractures of the tarsal navicular are relatively uncommon. To date, there is little literature discussing a navicular body fracture with dorsal subluxation of the first and second cuneiforms over the navicular. This case study presents a 30-year-old patient with this injury. ⋯ After revisional surgery, he also failed 6 weeks of percutanous pinning with Kirschner-wire fixation. When comparing the literature of a similar injury, the Lisfranc fracture disclocation, the same principles may apply. One should consider rigid open reduction internal fixation or even primary fusion to treat disclocation of the naviculocuneiform joint following a navicular body fracture.
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J Am Podiatr Med Assoc · Jan 2013
Case ReportsClosed total dislocation of talus without any accompanying fractures.
Total talar dislocation, ie, disruption of the talus from the calcaneus, navicula, and tibia, is a rare and severe injury. We present a case of closed peritalar dislocation without any accompanying fractures and, thus, discuss the conflicts encountered in this rare injury. A 25-year-old male patient presented with severe pain, swelling, and deformity in his right ankle within 30 minutes of a fall from a height. ⋯ Closed total dislocation of the talus without any accompanying fractures is a rare entity. The injury is open to various important complications, such as avascular necrosis, infection in patients with open wounds, and arthritic changes. To achieve a good outcome, early reduction of the dislocation has key importance.
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J Am Podiatr Med Assoc · Nov 2012
Comparative StudyInformation-seeking behaviors of podiatric physicians.
The goal of this study was to evaluate the information-seeking behaviors of podiatric physicians as they search for answers to clinical questions that arise during patient care visits. ⋯ Podiatrists recognize the need to become proficient at locating high-quality information, evaluating resources, and improving their understanding and use of resources on evidence-based medicine. Furthermore, with an increased awareness of their own behaviors, practicing podiatric physicians should pursue the best methods to find, judge, and use medical information for patient care.
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J Am Podiatr Med Assoc · Jul 2012
Comparative StudyIntrarater and interrater reliability of first metatarsophalangeal joint dorsiflexion: goniometry versus visual estimation.
Visual estimation (VE) and goniometric measurement (GM) are commonly used to assess first metatarsophalangeal joint dorsiflexion. The purposes of this study were to determine the intrarater and interrater reliability of VE and GM and to establish whether reliability was influenced by the experience of the examiner. ⋯ Although minimal differences between intrarater and interrater reliability of GM and VE are noted, this study suggests that GM is more reliable than VE is when used by experienced examiners. These findings support the continued use of GM for first metatarsophalangeal joint dorsiflexion assessment.