Clinics in podiatric medicine and surgery
-
Clin Podiatr Med Surg · Oct 1991
ReviewWound dressings of the nineties: indications and contraindications.
A revolution in wound management has occurred over the past 3 decades. A plethora of wound care dressings appear to enhance the wound repair process in acute and chronic wounds. However, extensive research is needed to discriminate between the beneficial effects of increased attention to all aspects of patient care, including wound management, and the salutary effects of dressing materials.
-
Pseudomonal infections of the skin, soft tissue, bone, and toe web may often be very difficult to treat. This article reviews the microbiology, pathogenesis, and treatment of pseudomonal infections that are related to podiatric medicine and surgery.
-
Animal bite wounds of the lower extremity are considered high-risk wounds for infection, especially in the medically compromised individual. Management should be aggressive. ⋯ Empiric use of an agent containing clavulanic acid or sulbactam is suggested until results are obtained from the bacterial culture and sensitivity. Tetanus prophylaxis should be considered for every bite wound, whereas rabies prophylaxis is warranted in selected cases.
-
Often overlooked in the differential diagnosis of heel pain is neuroma of the medial calcaneal branch of the posterior tibial nerve. Heel neuroma is an important disorder of the foot that has been misdiagnosed by physicians since the early 1900s as heel spur syndrome. The authors show how heel pain rarely has anything to do with calcaneal exostosis, but instead could be related to heel neuroma.
-
Clin Podiatr Med Surg · Apr 1989
ReviewNail changes associated with systemic disease and vascular insufficiency.
In some cases, nail changes may not only be the presenting sign of systemic disease, but a sensitive indicator of treatment efficacy as well. Awareness of nail dystrophies and their association with underlying pathology can aid the practitioner in the diagnosis and management of the podiatric patient.