Failed Intramedullary Screw Fixation of a Proximal Fifth Metatarsal Fracture (Jones Fracture) in a Division I Athlete: A case report
by Dane K. Wukich, MD, Bora Rhim, DPM, Dekarlos M. Dial, DPM
|Full Text| |PDF for Print|

A recent post in The Foot and Ankle Online Journal highlights a stingray envenomation injury.  Stacy was on vacation and sustained a traumatic envenomation from a stingray barb just above the ankle.

“I go to surgery thursday for a stingray attack that occurred on 4/13/09 while I was on vacation. It was not cleaned at all in the er, I was put on doxycycline and given a tetanus shot. I went to the er where I live on 4/16/09. It was obviously infected. I was put on bactrim ds. The wound was not opened and cleaned. I have some pretty gnarly pics. The barb went through my leg right above my ankle and then back out. After the incision and debridement the doc told me a skin graft will have to be done because you can see the tendon (the sheath has partially liquified) and the muscles. the hole is too big to close itself. aaarrrrggghhh. I am SO tired of this.”

This is a devestating injury.  To read the article and view Stacy’s comments of her injury, following this link.

Essential Insights On Treating Fifth Metatarsal Fractures (Jones fractures)
Author(s):
By Nicholas Romansky, DPM, and Todd Becker, DPM

Minimal Incision Surgery: Can It Have An Impact In Diabetic Limb Salvage?
Author(s):
Thomas S. Roukis, DPM, PhD, FACFAS, and Borys Markewych, DPM, FAAFAS

Case Study: Working Through The Differential Diagnosis Of Diabetic Neuropathy
Author(s):
Kathleen Satterfield, DPM

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Herbal remedies are alternative treatments that use plants and plant extracts. Therefore, herbal remedies for athlete’s foot contain only plant-based ingredients. Home remedies for athlete’s foot often use plant extracts, but also use other ingredients such as Epsom salts.

Ginger is one herbal remedy for athlete’s foot. Ginger contains caprylic acid. This natural acid fights fungal infections. To prepare a herbal remedy using ginger, one ounce of crushed ginger is added to a cup of boiling water. This mixture should simmer for twenty minutes. After the mixture has cooled, it can be applied directly to the affected area.

One powerful anti-fungal herb is licorice. Licorice contains twenty-five fungicidal compounds. In addition to athlete’s foot, it has been used to treat ringworm. To make a strong licorice tonic, add five to seven teaspoons of dried licorice to a cup of boiling water. The mixture should be brought to a boil and simmered for twenty minutes. The licorice tonic can be applied to the athlete’s foot infection.

Chamomile is a member of the ragweed family. Chamomile oil can be used alone or mixed with tea tree oil. If the person is allergic to ragweed, it should be used cautiously or not at all. If it is used by someone with an allergy, the person should watch the area of application after a small amount is applied. The person should wait a few days to judge if an allergic reaction has occurred before reapplying.

Goldenseal has an antifungal and an antibacterial agent. It can be used as an antibiotic. Goldenseal is available as a tincture or it can be made into a tonic by adding five to seven teaspoons of dried goldenseal to a cup of boiling water. When making the tonic, the mixture should simmer for twenty minutes. After it cools, it should be applied to the affected area three times a day.

Lemongrass tea can be consumed or used lemongrass tea bags can be applied to the affected area as a compress. Tomato sauce with herbs can be used as an antifungal treatment for athlete’s foot. Generous amounts of basil, celery, carrot, dill, fennel, sage, and thyme can be added to a sauce made from tomatoes. The feet can soak in the sauce or people with athlete’s foot can place the sauce between their toes.

From:  Foot Care Advice

A good friend sent this link.  I hate Crocs dot com.  It makes for a good read.  What is my spin on crocs? 

1.  They are not fashionable shoes.

2.  They are not shoes, but rather, a sandle.  Just because they have a strap does not make them an athletic shoe.

3.  They are made of rubber and have been banned by many hospitals for harboring MRSA and other infectious diseases.

4.  They may make your feet feel good, but so will earth shoes and other sandles with a little bit of arch support. 

5.  Crocs are not a good substitute for “tennis shoes”.

6.  Glueing glitter, rhinestones and other decorative gadgets on crocs will not make them look any better.

7.  If your having foot pain,  see your podiatrist or orthopaedic surgeon.

MRSA And Diabetic Foot Wounds: Where Do We Go From Here?

                                Live Accredited Webcast with Q&A:
Wednesday, September 24, 2008, 12:00pm – 1:00pm ET

Rebroadcasts:
Wednesday, October 1, 2008, 7:30pm – 8:30pm ET
Thursday, October 2, 2008, 3:00pm – 4:00pm ET    

Click here to register.                        

PERIPHERAL ARTERIAL DISEASE (PAD) AND CRITICAL LIMB ISCHEMIA (CLI): Managing Vascular and Wound Healing Challenges with Current and Emerging Technologies

                                Archived Accredited Webcast with Q&A:

Click here for more information.

How To Treat Turf Toe Injuries                              By Bruce E. Williams, DPM                                                                                          Turf toe injuries can have a significant impact upon the playing time of professional athletes. Accordingly, this author reviews the etiology of these injuries and assesses the available literature. He also offers key tips on diagnosis and effective treatment.                                                                                          Full story

Study Points To Increase Of Melanoma Among Young Women By Brian McCurdy, Senior Editor                              Melanoma incidence has been on the rise in Caucasians, especially women, according to a recent study published in the Journal of Investigative Dermatology. Researchers speculate that this may be due to increasing ultraviolet ray exposure.                                                            Full story

Continuing Education: Key Insights On Imaging Techniques And Tendon Pathology                              By Molly S. Judge, DPM, FACFAS                                                            When failed conservative therapy raises doubts about your original diagnosis, ancillary imaging may aid in identifying the scope of tendon pathology. This author details the merits and drawbacks of MRI, ultrasound and nuclear medicine imaging, and how they may facilitate a better treatment plan.                                                            Full story

A Closer Look At Motor Neuropathy In Patients With Diabetes                              By Allen Mark Jacobs, DPM, FACFAS                                                            Although motor neuropathy can have significant complications in patients with diabetes, the condition can go undetected since many physicians do not screen for it. Accordingly, this author discusses clinical manifestations of motor neuropathy, keys to diagnosis and recommendations for appropriate treatment.                                                            Full story

New Products
                             
                             More patients can utilize the proven benefits of silver, thanks to a new dressing.
                             
                             Full story

Love your flip flops, but worried by the recent “flip flops are bad foryour feet” stories? Or can’t keep flip flops on at all? Try Gisele’s designs for Ipanema Flip Flops – particularly the Ikatu Strap and Clear.

I suffer from Charcot Marie Tooth disease, which has damaged the nerves inmy lower legs and lead to muscle wasting. I can’t really wiggle my toes atall, and I have foot drop in my left foot. My shoes are all flat andsensible, and I’ve not been able to wear flip flops in more than 20 years,and I’m only 27! So imagine my delight when I discovered a pair of Ikatu Strap flip flops ina shoe shop in London. They look like flip flops, but I can keep them on -dead toes and all! (I did take off the ankle tie though – not my style…)I bought four pairs. Then, a year later, I was distraught to discover that the chain I boughtthem from had gone out of business. With the help of Google, I foundIpanema Flop Flops, and this year’s Clear style – another winner with thefeel of a flip flop but enough straps to keep them on without any effort atall. And no, I don’t work for them! I know there are plenty of other sandals outthere with lots of straps, but none that come close in terms of comfort,cushioning or the ability to walk straight into the sea wearing themwithout worrying, and then stick them under the tap when you get home. Definitely worth a go for anyone suffering from wearing normal flip flopsor not able to wear them at all.

Caroline

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Do you have a post you would like to share about feet on The Foot Blog? 

Send your entry to The Foot Blog Staff (i.e. picomstaff@hotmail.com).  Our staff will publish your entry as soon as we get them.

Neurological Conditions Specialist Library

Original study-Purpose: To review the effects of shoes and other ankle or foot appliances (AFA) on balance in older people and individuals with peripheral nervous system disorders (PNSD). The Author’s conclusioned that no definitive conclusions can be drawn because of the lack of studies and the poor quality of the evidence.

See data abstract

ABC News-Do you wear your shoes in the house or leave them at the door? It’s an especially important choice for people with small children who play on the floor.

Soles in tests had as many as nine forms of bacteria.
In some countries and cultures, it’s scandalous to walk into a home with shoes on. But in the U.S., most people do.

“I don’t really think that much about it,” said New Jersey mom Michelle Ciocon.

“Good Morning America” tested the bottoms of eight different people’s shoes, as well as two dogs’ paws, for bacteria. Ciocon’s shoes contained the most bacteria of all — 66 million organisms.

Read more . . .