Abstract: A chest wall defect that penetrates deep into the heart is rare, but life threatening. Reconstructing a defect such as this presents challenges regarding timing and surgical approach. The patient in the present case had a chest wall defect with an extensively encroached heart and severely impaired cardiac function as a result of radiation injury af […]
Abstract: A 39-year-old man with previously undiagnosed scleroderma was admitted to the UCSD Medical Center with bilateral, limb-threatening necrotic lower extremity ulcers extending to underlying fascia and muscle. Rather than amputate the extremities, the patient requested alternative treatment and underwent extensive tissue debridement followed by placeme […]
Abstract: This report describes a case of Staphylococcus aureus osteomyelitis associated with a chronic foot ulcer that was successfully treated with surgical debridement and 6 weeks of daptomycin therapy. Daptomycin was chosen because of its excellent activity against the causative organism and the patient’s history of penicillin allergy. Its tolerability a […]
Index: WOUNDS. 2014;26(3):77-82. Abstract: Burn wounds can be particularly painful and stressful for patients, particularly during dressing change and other aspects of wound care. Research into other types of wounds has demonstrated that stress and pain at dressing change are closely linked and related to healing, since high levels of stress and pain are a […]
Index: WOUNDS. 2014;26(1):13-20. Abstract: Up to 25% of people with diabetes will develop a foot ulcer at some point during their lifetime, and 1 in 5 will require an amputation. In 2006, more than 65,700 lower-limb amputations were performed in the United States alone in people with diabetes, and the 5-year mortality rate following an amputation is worse […]
Index: WOUNDS. 2014;26(1):1-12. Abstract: Chronic wounds are a significant health problem worldwide. Often they are initially managed with various focal treatments until a specialist becomes involved, sometimes weeks or months after treatment has begun. Even at the specialist level, practices and guidelines are inconsistent due to a lack of high-level evid […]
Index: WOUNDS. 2013;25(11):313-323. Abstract: Health care-associated infections (HCAIs) are infections acquired through contact with any aspect of health care. They can cause minor complications or serious disability or death, and can involve a wide variety of resistant or emergent organisms. Surgical site infections make up approximately one-fifth of HCAI […]
Index: WOUNDS. 2013;25(9):242-250. Abstract: Background. This literature review serves to develop an evidence-based algorithm for the treatment of venous ulcerations and the development of a guideline to systemically treat venous leg ulcerations (VLUs) that may improve outcomes, restore function of the affected limb, and reduce health care costs. Methods. […]
Traumatic foot wounds via foreign objects are a common encounter in the emergency room for physicians. These authors review a case study of a 27-year-old female patient, who suffered a puncture wound to the foot from a foreign metallic object. read more
A wide range of pathologies can arise at the second MPJ, making an accurate diagnosis vital. Accordingly, these authors offer diagnostic insights, a guide to conservative and surgical treatment options, and an intriguing case study. read more
There is no shortage of over-the-counter and prescription remedies for tinea pedis. With this in mind, this author takes a look at the research and clinical experience regarding several emerging treatment agents, including new topicals and medical socks. read more
The combination of a diehard mindset and the stresses triathletes must endure can lead to repetitive injuries. Accordingly, this author provides a treatment guide for common triathlon injuries such as stress fractures, blisters and Achilles tendonitis. read more
Offering a closer look at the emergence and evolution of locking plates, these authors provide a thorough review of the literature to gauge the effectiveness of this fixation for first MPJ arthrodesis, calcaneal fractures and distal tibia fractures. read more
Offering pertinent biomechanical insights, Lisa M. Schoene, DPM, ATC, FACFAS, examines the positive effects of stretching for plantar heel pain and the potential consequences of equinus. While stretching can be an early treatment for plantar fasciitis, Stephen Pribut, DPM, FACFAS, says it is not always appropriate to recommend stretching to heel pain patient […]
The diabetic population in the United States has grown to over 26 million people and 10 to 15 percent of this population will develop a diabetic foot ulceration (DFU).1,2 That would equal 2.6 to 3.9 million diabetic foot ulcerations in this country. Diabetic foot ulcerations precede 85 percent of all non-traumatic lower extremity amputations and it is known […]
Care has been taken by the authors of this blog to confirm the accuracy of the information presented in describing generally accepted practices.
None of the authors give any guarantee or warranty as to the accuracy of the information nor accept any liability, with respect to loss, damage, injury or expense arising from any errors, omission, currency, or completeness of this blog publication .
These blog publications are not binding and their use should be flexible to accommodate patient needs. Application of this information in a particular situation remains the professional responsibility of the practitioner. The reader, moreover, is urged to check the package insert for each drug and dressing for any change in indications and dosages and for added warnings and precautions.