Clinics in podiatric medicine and surgery
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Clin Podiatr Med Surg · Jan 1999
ReviewPeripheral nerve surgery of the foot and ankle. A review of current principles.
Planning for peripheral nerve surgery requires consideration of a multitude of factors, as well as a surgeon's meticulous skill and experience. With so little room for error, every advantage must be taken to optimize repair. Peripheral nerve surgery of the foot and ankle is an underappreciated area of neurosurgery with comparatively limited published reports and data. The authors reviewed the current trends in the surgical management of peripheral nerve injuries of the foot and ankle in the hope that an understanding of the basic principles involved will allow for future study of the results of such surgery by more surgeons who deal with these problems.
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A patient's HIV status often has significant impact on a physician's willingness and ability to provide quality medical care. A physician may face substantial penalties for refusing to treat a patient who has HIV. Even the referral of a patient with HIV to an HIV specialist may constitute a discriminatory act. The law provides certain guidelines that, if followed, may keep a physician out of the courtroom.
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Heel-spur syndrome is a condition encountered on a daily basis by those practitioners who primarily treat athletes. The authors discuss anatomy, the clinical examination, radiographic evaluation, exercise, and alternative medicines.
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Incorrect techniques repeated daily by a dancer can lead to overuse injuries. This article discusses the causes and treatment of foot and ankle injuries in the ballet dancer. The author also addresses skin lesions that are common in dancers who wear pointe shoes.
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The goal of the physician treating the athlete with Morton's neuroma should be the same as the goal of the athlete. This is to relieve the pain while allowing the athlete to continue with his or her activity as much as possible. Therefore, conservative therapy should be stressed. If it fails, all surgical methods, including the EDIN procedure, and their disadvantages should be considered before choosing to undertake one.