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Contents
Thomas J. Chang (Source: Clinics in Podiatric Medicine and Surgery)
Source: Clinics in Podiatric Medicine and Surgery - September 17, 2021 Category: Podiatry Source Type: research

Forthcoming Issues
Pediatric Orthopedics (Source: Clinics in Podiatric Medicine and Surgery)
Source: Clinics in Podiatric Medicine and Surgery - September 17, 2021 Category: Podiatry Source Type: research

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Speaking personally, Dermatology continues to be a challenging area to gain knowledge and confidence in my clinical practice. As a student at PCPM, we were all impressed when Dr Harvey Lemont would come into clinic and make an instant diagnosis of skin conditions from the doorway. Over the past decades, I have appreciated and benefited from occasional dermatologic exposure from Dr Gary Dockery, Dr Mary Crawford, and Dr Brad Bakotic. They have enhanced our knowledge of Podiatric Dermatology in countless lectures, hands-on workshops, and written publications. (Source: Clinics in Podiatric Medicine and Surgery)
Source: Clinics in Podiatric Medicine and Surgery - September 17, 2021 Category: Podiatry Authors: Thomas J. Chang Tags: Foreword Source Type: research

Podiatric Dermatology for the Practicing Podiatric Physician
I am pleased to present a wide range of podiatric dermatology topics that should prove useful to the physician in practice. From dermoscopy of the nails to plantar melanoma, these articles provide the latest information for the practitioner to make evidenced-based choices for patients. Podiatric dermatology is my passion in this profession, and it has always been my goal to give back to my profession with the experience and knowledge I have gained over the years. That said, as a challenge to my students, I encouraged them to critically analyze the literature and write reviews of the topics that are relevant to podiatric me...
Source: Clinics in Podiatric Medicine and Surgery - June 29, 2021 Category: Podiatry Authors: Tracey C. Vlahovic Tags: Preface Source Type: research

Utilization of Intraoperative Biphasic Waveform Nerve Stimulator for Performing Nerve Transfer for the Treatment of Drop Foot
This article provides the surgeon with a detailed technique guide using an alternating current biphasic waveform intraoperative nerve stimulator, such as the Checkpoint surgical nerve stimulator. The Checkpoint surgical nerve stimulator is an intraoperative hand-held biphasic device that is essential when performing nerve transfer techniques for the treatment of drop foot. This specific device provides the surgeon safe, accurate, reproducible, and continuous stimulation without fatigue or a decreased response to the nerve. An in-depth technique guide is provided while using this device while performing a nerve transfer for...
Source: Clinics in Podiatric Medicine and Surgery - June 16, 2021 Category: Podiatry Authors: Stephanie Oexeman, Edgardo Rodriguez-Collazo Source Type: research

The Cavovarus Ankle
Pathologic affects from a cavus foot deformity range from flexible subtle to rigid severe deformities and are related to many pathologic conditions of the foot and ankle. Understanding the underlying deformity and the deforming force is essential in treating the cavus ankle and foot. Every deformity is different and unique to a given patient; therefore, surgical plans should be modified to each patient. (Source: Clinics in Podiatric Medicine and Surgery)
Source: Clinics in Podiatric Medicine and Surgery - May 28, 2021 Category: Podiatry Authors: Lawrence A. DiDomenico, Sharif Abdelfattah, David Chan, Clay Shumway Source Type: research

Ankle and Pantalar Arthrodesis
Bony alignment is the primary goal in foot and ankle reconstruction of the cavovarus foot. This condition presents as a malalignment causing a medial overload of the ankle articular surface and lateral overload of the hindfoot, midfoot, and forefoot. A painful gait associated with articular degeneration of the numerous joints can lead to a chronic and rigid arthrosis of joints, warranting arthrodesis of the affected joints accordingly. (Source: Clinics in Podiatric Medicine and Surgery)
Source: Clinics in Podiatric Medicine and Surgery - May 28, 2021 Category: Podiatry Authors: David E. Karges, Joshua Wolfe, Raul Aviles Source Type: research

The Subtle Cavovarus Foot Deformity
Conditions of ankle instability, peroneal tendon tears, and stress fractures of the lateral metatarsals are commonly encountered in a clinical foot and ankle practice. Evaluation of the supporting foot structure is critical to prevent failure of index procedures. The prominence of the subtle cavus foot is now a recognized entity and must be properly diagnosed and addressed surgically. (Source: Clinics in Podiatric Medicine and Surgery)
Source: Clinics in Podiatric Medicine and Surgery - May 28, 2021 Category: Podiatry Authors: Harry John Visser, Hannan H. Zahid, Jared J. Visser, Brittany R. Staples, Nicholas J. Staub Source Type: research

Management of Midfoot Cavus
There is a deficiency in publications on the topic of midfoot cavus. The limited research available does not have a standard definition for the diagnosis of this deformity and lacks a reliable algorithm for its surgical management. The authors performed an extensive review of the literature that found a majority of patients are satisfied with the Cole osteotomy and the dorsiflexory first metatarsal osteotomy for treatment of this condition. High patient satisfaction has been observed with lateralizing calcaneal osteotomies in the setting of midfoot cavus with a secondary rigid rearfoot deformity. Further research on this t...
Source: Clinics in Podiatric Medicine and Surgery - May 28, 2021 Category: Podiatry Authors: John F. Grady, Jaclyn Schumann, Clare Cormier, Kathryn LaViolette, Austin Chinn Source Type: research

Tendon Transfers and Their Role in Cavus Foot Deformity
Management of the cavus foot is a difficult task for the foot and ankle surgeon. Tendon transfers have been a longstanding accepted treatment for the flexible cavus foot. Performing tendon transfers requires an in-depth understanding of the patient ’s medical history, factors leading to the development of deformity, as well as the deforming forces contributing to the deformity. Evaluation of the patient for rigid, progressive, and/or spastic deformities is critical to avoid postoperative complications. Educating the patient on postoperative rehabilitation, potential complications, and postoperative expectations is essent...
Source: Clinics in Podiatric Medicine and Surgery - May 28, 2021 Category: Podiatry Authors: Thorsten Q. Randt, Joshua Wolfe, Emily Keeter, Harry John Visser Source Type: research

The Role of Peroneal Tendinopathy and the Cavovarus Foot and Ankle
Peroneal tendon pathology is often an overlooked and underdiagnosed condition. It is often confused with chronic ankle instability. It is important when surgically managed to assess the condition of the tendons, muscle viability and strength, and associated cavovarus deformity. Complex reconstruction may be needed, including 2-stage procedures with a silicone rod and tendon transfer. (Source: Clinics in Podiatric Medicine and Surgery)
Source: Clinics in Podiatric Medicine and Surgery - May 28, 2021 Category: Podiatry Authors: Harry John Visser, Blake T. Savage, Jay J. Moradia, Robert K. Duddy Source Type: research

Neurologic Conditions Associated with Cavus Foot Deformity
The cavus foot deformity is an often less understood deformity within the spectrum of foot and ankle conditions. The hallmark concern is the possibility of an underlying neurologic or neuromuscular disorder. Although a proportion of these deformities are idiopathic, a significant majority do correlate with an underlying disorder. The appropriate evaluation of this deformity, in coordination within the multidisciplinary scope of health care, allows for a timely diagnosis and understanding of the patient's condition. We provide an abbreviated survey of possible underlying etiologies for the patient with the cavus foot deform...
Source: Clinics in Podiatric Medicine and Surgery - May 28, 2021 Category: Podiatry Authors: Harry John Visser, Joshua Wolfe, Rekha Kouri, Raul Aviles Source Type: research

Use of Calcaneal Osteotomies in the Correction of Inframalleolar Cavovarus Deformity
Cavovarus deformity is a complicated condition most commonly resulting from neurologic, posttraumatic, or iatrogenic pathologic conditions. Careful evaluation of the cavovarus patient is necessary in determining appropriate treatment course. Weight-bearing radiographs are necessary, and advances in computed tomographic technology can be beneficial in identifying level of involvement. In the case of operative treatment of inframalleolar deformity, assessment of the subtalar joint position and relation of calcaneocuboid joint can be of assistance. Multiple osteotomies have been described providing uniplanar, biplanar, and tr...
Source: Clinics in Podiatric Medicine and Surgery - May 28, 2021 Category: Podiatry Authors: Jesse R. Wolfe, Tyler D. McKee, Melinda Nicholes Source Type: research

Consideration for Total Ankle Replacement in the Varus Ankle and Cavovarus Foot Type
The varus ankle and cavus foot pose challenges in surgical correction with regard to total ankle replacement surgery. Etiology of cavus foot type and varus ankle must be evaluated and confirmed. Pes cavus is increased height of the arch with metatarsus adductus and increased calcaneal inclination angle. There often is intrinsic musculature irregularity leading to imbalance of the foot. Although not all cavus foot types and varus ankle deformities are sequelae of neuromuscular disorder, neurologic etiology must be considered. Attaining neutral alignment of ankle joint articular surface is paramount to longevity and function...
Source: Clinics in Podiatric Medicine and Surgery - May 28, 2021 Category: Podiatry Authors: Jordan Tacktill, Zachary Rasor, Benjamin Savasky, Charles M. Zelen Source Type: research

Imaging of the Pes Cavus Deformity
Direct-type cavus foot deformities are most commonly encountered and are primarily sagittal plane deformities. Direct deformities should be delineated from rarer triplane pes cavovarus deformities. The lateral weight-bearing radiograph is the cornerstone of imaging evaluation of direct pes cavus foot deformity. The apex of Meary talo-first metatarsal angle on the lateral radiograph represents the pinnacle of the cavus deformity and assists in subclassification of the deformity. With routine application, ancillary radiographic imaging techniques, such as the modified Saltzman view or the modified Coleman block test, can giv...
Source: Clinics in Podiatric Medicine and Surgery - May 28, 2021 Category: Podiatry Authors: Lawrence Osher, Jeffrey E. Shook Source Type: research