Foot and Ankle Disorders

May 1, 2018 Issue
Charcot Foot: Clinical Clues, Diagnostic Strategies, and Treatment Principles [Article]

Recognizing Charcot neuroarthropathy of the foot and ankle is critical because if untreated, patients are at risk of ulceration, infection, and amputation. Physicians should suspect Charcot foot in patients older than 40 years who present with peripheral neuropathy and acute swelling with associated erythema and warmth. The mainstay of treatment is immobilization in a total contact cast.

Feb 1, 2018 Issue
Injected Corticosteroids for Plantar Heel Pain [Cochrane for Clinicians]

There is low-quality evidence that corticosteroid injections slightly reduce heel pain at one month, but they make no significant difference beyond that time. Patients treated with corticosteroid injections were less likely to experience treatment failureā€”a designation that was defined differently b...

Jan 15, 2018 Issue
Heel Pain: Diagnosis and Management [Article]

The differential diagnosis of heel pain is extensive, but a mechanical etiology is the most common. Learn the most likely causes of heel pain based on the specific anatomic location affected.

Apr 15, 2017 Issue
Acquired Nail Disorder in an Older Person [Photo Quiz]

An older man with poor personal hygiene presents with deformed toenails and foot pain.

Aug 15, 2016 Issue
Foot Deformity at Time of Delivery in a Premature Infant [Photo Quiz]

A newborn presented with a grossly externally rotated foot at birth.

Feb 1, 2016 Issue
Diagnosis and Management of Common Foot Fractures [Article]

Find out which types of fractures can be treated conservatively and which ones require orthopedic referral, as well as typical healing times for the most common types of foot fractures seen in primary care: metatarsal shaft fractures, proximal fifth metatarsal fractures, and toe fractures.

Oct 1, 2015 Issue
Focused Extracorporeal Shock Wave Therapy Better Than Placebo to Relieve Pain in Patients with Chronic Plantar Fasciitis [POEMs]

In this study, unlike others, patients with chronic plantar fasciitis treated with extra-corporeal shock wave therapy had greater pain relief than those treated with placebo.

May 15, 2014 Issue
Enlarging, Painful Nodule Under the Toenail [Photo Quiz]

Photo Quiz presents readers with a clinical challenge based on a photograph or other image.

Aug 1, 2013 Issue
Diabetic Foot Infections [Article]

Diabetic foot infection, defined as soft tissue or bone infection below the malleoli, is the most common complication of diabetes mellitus leading to hospitalization and the most frequent cause of nontraumatic lower extremity amputation. Diabetic foot infections are diagnosed clinically based on the...

Jun 15, 2012 Issue
Update on Acute Ankle Sprains [Article]

Ankle sprains are a common problem seen by primary care physicians, especially among teenagers and young adults. Most ankle sprains are inversion injuries to the lateral ankle ligaments, although high sprains representing damage to the tibiofibular syndesmosis are becoming increasingly recognized. P...

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