美国足病医学协会杂志是该协会的官方期刊，是足踝医学领域历史最悠久、被引用次数最多的同行评审期刊。它成立于 1907 年，每年出版 6 次，出版研究报告、病例报告、文献综述、特殊通讯、临床通信、致编辑的信函、书评和各种其他类型的投稿。该期刊被收录在生物医学文献的主要索引和摘要服务中。

The Journal of the American Podiatric Medical Association is the official journal of the American Podiatric Medical Association and is the oldest and most cited peer-reviewed journal in the field of foot and ankle medicine. Established in 1907, it publishes six issues per year, featuring research articles, case reports, literature reviews, special communications, clinical communications, letters to the editor, book reviews, and various other types of submissions. The journal is indexed in major biomedical literature indexing and abstracting services.

《Journal of the American Podiatric Medical Association》是美国足病医学协会的官方期刊，也是足踝医学领域历史最悠久、引用次数最多的同行评审期刊。该期刊成立于1907年，每年出版6期，涵盖研究报告、病例报告、文献综述、特别通讯、临床通信、致编辑的信函、书评及其他多种类型的投稿。该期刊被主要的生物医学文献索引和摘要服务收录。

Journal of the American Podiatric Medical Association

Elephantiasis nostras verrucosa is a rare disorder that results from chronic obstructive lymphedema. It is characterized clinically by deforming, nonpitting edema; malodorous hyperkeratosis with generalized lichenification; cobblestoned papules; and verrucous changes, that often result in extreme enlargement of the involved body part. Although elephantiasis nostras verrucosa is striking in clinical appearance, biopsy reveals only moderately abnormal findings: pseudoepitheliomatous hyperplasia with dilated lymphatic spaces in the dermis, accompanied by chronic inflammation and fibroblast proliferation. The term elephantiasis nostras (nostras means "from our region") has traditionally been used to differentiate temperate zone disease from the classic disease process, elephantiasis tropica, which is defined by chronic filarial lymphatic obstruction caused by Wuchereria bancrofti, Wuchereria malayi, or Wuchereria pacifica. We present a case report of elephantiasis nostras verrucosa arising as a result of lymphedema praecox.

Amy L. Duckworth

Jugnoo Husain

Patrick DeHeer

Elephantiasis Nostras Verrucosa or “Mossy Foot Lesions” in Lymphedema Praecox

早发性淋巴水肿中的象皮病疣状病变或“苔藓足病变”

The structure, classification, function, and regulation of matrix metalloproteinases in normal and abnormal wound healing is discussed. Results from key studies suggest that neutrophil-derived matrix metalloproteinase 8 (MMP-8) is the predominant collagenase present in normal healing wounds, and that overexpression and activation of this collagenase may be involved in the pathogenesis of nonhealing chronic leg ulcers. Excessive collagenolytic activity in these chronic wounds is possible because of the reduced levels of tissue inhibitor metalloproteinase 1 (TIMP-1). However, until recently, there have been no studies evaluating levels of matrix metalloproteinase or tissue inhibitors of metalloproteinase activity in chronic diabetic foot wounds. Improving basic knowledge and pharmaceutical intervention in this area ultimately may help clinicians identify and proactively intervene in an effort to prevent normal wounds from becoming chronic. This may prevent the high prevalence of morbidity associated with this significant health problem. (J Am Podiatr Med Assoc 92(1): 12-18, 2002)

David G. Armstrong

Edward B. Jude

JAPMA

The Role of Matrix Metalloproteinases in Wound Healing

基质金属蛋白酶在伤口愈合中的作用

This cross-sectional retrospective study aimed to present the influence of unilateral and bilateral flatfoot on coronal spinopelvic alignment in asymptomatic young healthy males.

Pinar Kisacik

Erman Ceyhan

The Influence of Bilateral and Unilateral Flat Foot on Coronal Spinopelvic Alignment in Asymptomatic Young Healthy Males

双侧和单侧扁平足对无症状年轻健康男性冠状位脊柱骨盆对齐的影响

The authors investigated the function of the tarsus and the skeletal segments of the foot in terms of the biomechanical significance of the individual links of the foot-ankle-leg complex. A performance model based on pressure-washed trabecular systems and the interface of the different segments making up the articular foot skeleton is presented and discussed. The biomechanical influence of these segments on each other and on their appendicular companion bones is assessed, and an explanation of their function is provided.

HW Vogler

F Bojsen-M√∏ller

Tarsal functions, movement, and stabilization mechanisms in foot, ankle, and leg performance

足、踝和腿部运动中的跗骨功能、运动及稳定机制

Background: This study aimed to compare two-point discrimination in feet with ankle sprains and feet without ankle problems, and to determine whether there was a change in the two-point discrimination values in ankle sprains. Methods: A total of 108 people were included in the study. These subjects were aged between 18 and 40 years and visited the Medical Faculty of Yozgat Bozok University for various reasons in July and September of 2022. These people were divided into two groups: subjects with an ankle sprain and subjects with no ankle problems. Two-point discrimination values measured in millimeters were recorded for both groups using a caliper (esthesiometer) used in six regions of 216 feet. The two-point discrimination threshold values of the feet were compared statistically according to feet with ankle sprains and feet without ankle problems, and in right and left feet. Results: The study determined that the two-point discrimination threshold values measured at the first toe tip, heel, third plantar metatarsal head, medial malleolus, and lateral malleolus in subjects with an ankle sprain was higher than in subjects with no ankle problems. When comparing both feet of the subjects with an ankle sprain, the two-point discrimination threshold value in the heel of the foot with an ankle sprain was higher than in the heel of the foot without ankle problems. Conclusions: The two-point discrimination threshold value was higher in subjects with an ankle sprain than in subjects with no ankle problems. The data suggest that the two-point discrimination threshold may be higher in people with an ankle sprain. Further studies are needed to better understand the two-point discrimination threshold in ankle sprains.

Hacı ali Olcar

Ökkeş H. Miniksar

Berna Güngör

Tolgahan Kuru

Enes E. Kapukaya

Davut Aydın

Murat Korkmaz

Two-Point Discrimination in Feet with Ankle Sprains

踝关节扭伤后的两点辨别觉

Abstract Aims: We aimed to determine the relative risk of pedal vessel calcification (PVC) on major adverse foot events (MAFEs) and chronic kidney disease (CKD) stage in patients with diabetes mellitus (DM) and peripheral neuropathy (PN). Methods: Retrospective electronic medical record review of 152 patients with diagnoses of DM, PN, and CKD stages 1–5 who had at least one foot x-ray obtained. PVC was scored (from 0–4) based on foot anatomic location and radiology reported MAFEs, which includes foot fracture, Charcot neuroarthropathy, foot ulcer, osteomyelitis, or minor amputation. Risk ratios (RR) with 95% confidence intervals (95% CI) and Poisson regressions were performed assessing the risk of sustaining MAFEs with number of PVCs and stage of CKD. Results: The risk of any MAFE increased as PVC score increased (RR = 1.23 ); the risk of any MAFE increased as CKD stage increased (RR = 1.35 ); and risk of any PVC increased as CKD stage increased (RR = 1.71 ). Conclusions: Pedal vessel calcification (PVC) on a foot radiograph increases the risk of any MAFE and increases with progressive stage of CKD. PVC may serve as a gateway to prompt investigation, treatment, or referral for at-risk diabetic neuropathic, nephropathic patients.

Michael A. Jones

Garrett S. Bullock

Meghan M. Crowfoot

David R. Sinacore

Pedal Vessel Calcification and Risk of Major Adverse Foot Events in the Diabetic Neuropathic, Nephropathic Foot

糖尿病神经病变、肾病足中足部血管钙化与主要不良足部事件风险

Background: We compared the effectiveness of metatarsal osteotomy, specifically using the osteoclasis (OC) technique, with that of metatarsal head resection (MHR) in healing distal metatarsal plantar ulcers. Methods: This retrospective study reviewed patients who underwent OC or MHR for the treatment of submetatarsal ulcers between January 1, 2014, and December 31, 2017. Patients with infected ulcers or osteomyelitis were excluded. A 1-year follow-up was used to evaluate the results. Results: Of the 31 study patients (seven women and 24 men; mean ± SD age, 55.3 ± 11.7 years), 17 underwent MHR and 14 underwent OC. All of the patients had diabetic neuropathy and distal submetatarsal ulcer. Four of 17 patients in the MHR group and three of 14 patients in the OC group had moderate peripheral vascular disease. All of the patients in the MHR group healed their ulcers in a mean ± SD of 5.8 ± 2.3 weeks. During 12-month follow-up of the MHR group, one patient needed revision, one developed a transfer ulcer, and two developed toe ulcers. In the OC group, all of the patients healed after surgery in a mean ± SD of 4.2 ± 1.8 weeks. During the 12-month follow-up of the OC group, one patient developed Charcot’s neuropathy and two developed transfer ulcers. Conclusions: For metatarsal head neuropathic ulcers, both OC and MHR achieved healing in a relatively short time, with few complications. A prospective study with a larger patient population is needed to better compare the two procedures.

Wei Tseng

Maria Bolla

Amy Wong

Ewald R. Mendeszoon

Hau T. Pham

Metatarsal Osteotomy versus Metatarsal Head Resection for Distal Diabetic Foot Ulcers

跖骨截骨术与跖骨头切除术治疗远端糖尿病足溃疡

Background: Reamputations are frequent after minor amputations performed for diabetic foot osteomyelitis (DFO). Whether the type of amputation is associated with a particular outcome is unknown. The aim of this study was to evaluate whether amputations of the transarticular compared with the transosseous type have different rates of clinical and microbiological failure. Methods: We actively followed 284 patients with DFO (543 episodes of minor foot amputations: 203 transarticular and 340 transosseous) for 1 year. We assessed the long-term effect of transarticular compared with transosseous amputations on the rates of clinical and microbiological failure using comparative statistics, log-rank survival analyses, Kaplan-Meier curves, and multivariate Cox regressions. Results: In 122 episodes (22.5%) there was clinical failure that led to reamputation. The difference in the risk of clinical failure of transarticular versus transosseous amputations was nonsignificant (44 [21.7%] versus 78 [22.9%]; Pearson χ 2 test: P = .73). Similarly, the difference in microbiological failure (32 episodes, 5.9% overall) between groups was nonsignificant (11 [5.4%] and 21 [6.2%], respectively; P = .72). The mean time between the index surgery and clinical failure was 2.2 months for transarticular and 3.2 months for transosseous amputations (Mann-Whitney U test; P = .39). Survival analyses showed similar evolutions for each group (log-rank test; P = .85). In the multivariate Cox regression analysis, the type of amputation did not significantly influence clinical or microbiological failures. Conclusions: In DFO, there is no significant difference between transarticular and transosseous amputations within 1 year in the incidence of clinical or microbiological failures.

Felix W.A. Waibel

Madlaina Schöni

Thomas V. Häller

Daniel Langthaler

Martin C. Berli

Benjamin A. Lipsky

Ilker Uçkay

Lukas Jud

Transarticular versus Transosseous Amputations in Diabetic Foot Osteomyelitis: A Retrospective Comparative Study

糖尿病足骨髓炎中经关节与经骨截肢的比较研究：一项回顾性对比研究

Background: The use of telemedicine has garnered significant traction amidst the COVID-19 pandemic. The sudden adoption of certain practices in podiatry was not always supported by empirical evidence, resulting in the development of guidelines and metrics that lacked a foundation in rigorous research. Methods: A modified Delphi composed of three rounds was conducted with 16 stakeholders (service users, foot and ankle health-care providers, and policymakers) from a primary-care setting to develop a podiatric telemedicine framework for a primary-care setting. The first round consisted of focus group discussions, the second round consisted of a questionnaire composed of different statements that emerged from focus group discussions, and the final third round consisted of a questionnaire with statements from the second round that required further reiterations. Statements that achieved an 80% or higher level of agreement were accepted to form part of the podiatric telemedicine framework. Results: Excellent consensus data was obtained to develop the podiatric telemedicine framework. Although podiatric telemedicine for low-risk patients in a primary-care setting is relatively new, stakeholders highlighted the importance of having podiatric telemedicine guidelines and setting service user and provider expectations clear on what podiatric telemedicine has to offer and its pitfalls. Conclusions: The podiatric telemedicine framework developed is recommended to all foot and ankle health-care professionals in a primary-care setting who wish to provide telemedicine consultations. Moreover, it is recommended that a pilot study be carried out to look into the feasibility of this framework being translated and implemented as a guideline related to foot and ankle telemedicine consultations.

Lisa Ann Stojmanovski Mercieca

Cynthia Formosa

Nachiappan Chockalingam

Developing a Podiatric Telemedicine Framework for Service Users and Providers in a Primary-Care Setting

开发初级保健环境中服务用户和提供者的足病远程医疗框架

Gout is a common inflammatory arthritic condition, commonly affecting the first metatarsophalangeal joint (MPJ) in the foot. As reported in literature, only 6.8% of patients with pedal gout have the interphalangeal joints affected. Surgical treatment of gouty tophi in the foot is at times necessary in addition to diet modification and oral medications. We report on 7 cases of gout affecting interphalangeal joints that necessitated surgical treatment. Six out of 7 of the patients had no complications after surgery, and no reoccurrence, with an average follow-up time of 26 months.

Marc D. Jones

Jordan F. Hirschi

Surgical Treatment of Gout in Interphalangeal Joints of the Foot: A Case Series

足趾间关节痛风的外科治疗：病例系列研究

Abbreviation	J. Am. Podiatr. Med. Assoc.
Journal Impact	0.53
Quartiles(Global)	ORTHOPEDICS(Q4)

ISSN	1930-8264, 8750-7315
h-index	65

Publication Information	Publisher: American Podiatric Medical Association，Publishing cycle: Bimonthly，Journal Type: journal，Open Access Journals: No
Basic data	Year of publication: 1985，Proportion of original research papers: 0.00%，Self Citation Rate:0.00%， Gold OA Rate: 0.00%
Average review cycle	网友分享经验：较慢,6-12周
Average recruitment ratio	网友分享经验：容易

Journal of the American Podiatric Medical Association

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