Abstract:
:A case report and literature review on the association of nail changes and scleroderma was presented. The exact etiology of these nail changes seen in scleroderma and of the disease entity itself, has not yet been determined. The current treatment regimen, which is at best supportive, was discussed. Proper treatment of the nail changes depends on a good understanding of what to expect as the disease or condition progresses to its later stages. The extent and severity of the onychodystrophy can be correlated with the duration of the disease. Nonetheless, there are still questions that remain to be answered regarding the nail changes associated with scleroderma. For example, are these nail changes the result of Raynaud's phenomenon and its associated arterial insufficiency, or are they a normal sequelae of the integumentary degeneration so characteristic of scleroderma? Whatever the answer may be, it should be recognized that these changes are a source of clinical concern. Practitioners should take note of this clinical entity and record their findings so that these perplexing questions, as well as many others, may be discussed in the future.
journal_name
Clin Podiatr Med Surgjournal_title
Clinics in podiatric medicine and surgeryauthors
Spinosa FA,Murphy ES,Murphy C,Berkowitz Bsubject
Has Abstractpub_date
1989-04-01 00:00:00pages
319-25issue
2eissn
0891-8422issn
1558-2302journal_volume
6pub_type
杂志文章abstract::This article has attempted to provide some insight into the subject of death, dying, and the patient with AIDS. Even though the thought of death and dying is common, it is a topic that at most times is left unspoken. This is especially true in relationship to an illness that, among many, is considered taboo. This arti...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章
doi:
更新日期:1992-10-01 00:00:00
abstract::Hyaline cartilage is avascular in nature, relying on surrounding synovial fluid for its nutrient supply. Lacking an inflammatory response, hyaline cartilage is unable to be repaired itself after injury. BMS technique allows reparative cartilage to be produced, taking the form of fibrocartilage. Fibrocartilage is weake...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cpm.2014.09.012
更新日期:2015-01-01 00:00:00
abstract::The choice of anterior ankle arthroplasty conducted by anterolateral arthrotomy versus arthroscopic techniques depends on the severity of the osteophytosis and the dominance type. This can be determined in most cases by conventional radiology, contrast arthrography, or MRI. Diagnostic arthroscopy may be required when ...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:
更新日期:1994-07-01 00:00:00
abstract::Posterior calcaneal osteotomy is a technically simple procedure that may be used to correct frontal, transverse, or sagittal plane displacement of the calcaneus associated with flatfoot deformity. In selected individuals, subluxation about the oblique axis of the midtarsal joint may be stabilized. Forefoot supinatus m...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:
更新日期:1991-07-01 00:00:00
abstract::The Agility total ankle replacement system was the most commonly performed implant in the United States for more than 20 years and has undergone four generations and seven phases of improvement. Much attention has been placed on intraoperative complications, such as malleolar fracture; nerve or tendon injury; and inci...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 历史文章,杂志文章,评审
doi:10.1016/j.cpm.2012.10.001
更新日期:2013-04-01 00:00:00
abstract::This article focuses on the application of the carbon dioxide (CO2) laser at various levels of power density to achieve a level of efficacy in tissue ablation for cutaneous and deep indolent ulcerations that afflict the lower extremities. This article also supports theories of the CO2 laser generating a sterile nonpat...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章
doi:
更新日期:1992-07-01 00:00:00
abstract::A method for the orthopedic evaluation of a child during the neonatal period of life has been discussed. Emphasis has been placed on conditions affecting the lower extremities such as spinal anomalies, congenitally dislocated hip, and congenital foot disorders. Early detection and medical intervention can play an impo...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章
doi:
更新日期:1988-07-01 00:00:00
abstract::Pilon fractures are one of the most complicated injuries confronting the lower extremity traumatologist. When faced with the pilon fracture, the surgeon must adhere to the principles of anatomic reduction and rigid stabilization to achieve early range of motion. Open reduction and internal or external fixation or a co...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:
更新日期:1999-10-01 00:00:00
abstract::Antibiotic-loaded bone cement is a useful adjunct in the management of chronic osteomyelitis and in the prevention of recurrent osteomyelitis after an initial attack. Additionally, antibiotic-loaded bone cement stimulated the formation of granulation tissue in excess of that which would normally be expected. Our exper...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:
更新日期:1990-07-01 00:00:00
abstract::The supination of the forefoot that develops with adult acquired flatfoot is defined as forefoot supinatus. This deformity is an acquired soft tissue adaptation in which the forefoot is inverted on the rearfoot. Forefoot supinatus is a reducible deformity. Forefoot supinatus can mimic, and often be mistaken for, a for...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cpm.2014.03.009
更新日期:2014-07-01 00:00:00
abstract::Achilles tendon pathologic conditions are implicated in contributing to the development of many diabetic foot complications including diabetic foot ulceration and Charcot neuroarthropathy. Surgical correction of the diabetic equinus deformity has been studied as an isolated or adjunctive treatment when dealing with di...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cpm.2016.10.013
更新日期:2017-04-01 00:00:00
abstract::Amputation surgery should be approached as the first step in the rehabilitation of a patient with a non-functioning, salvageable limb. Before performing amputation surgery, the rehabilitation team should have an understanding of outcome expectations for the individual patient. Biologic joints are energy couples. When ...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:
更新日期:1997-10-01 00:00:00
abstract::Current literature disputes Whitman's belief that muscle action plays the primary role in foot stability. Because of this faulty premise, Whitman included an excessively high medial flange in his orthosis. The high medial flange caused many patients a great deal of discomfort. To avoid this pain, the patients would no...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 历史文章,杂志文章
doi:
更新日期:1994-04-01 00:00:00
abstract::The indications for arthroscopy have expanded over the years. Arthroscopic-assisted open reduction internal fixation in the setting of acute trauma is gaining popularity with foot and ankle surgeons. It serves to facilitate direct visualization of fracture fragments and allows for precise articular reduction with mini...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cpm.2017.12.004
更新日期:2018-04-01 00:00:00
abstract::Amputation may be the most appropriate therapy for an ischemic or infected limb, but the level at which to amputate is often difficult to determine. Selecting the appropriate level is crucial when performing an amputation. The goals of surgery are to maintain maximal limb length and ensure successful healing. When mor...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cpm.2005.03.002
更新日期:2005-07-01 00:00:00
abstract::There are many options for perioperative pain control available to surgeons. Given these options, adequate levels of analgesia should be achieved and maintained in all surgical patients. Data suggest that analgesia may be improved by combining different analgesic approaches. To avoid high-dose requirements, dose-depen...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/S0891-8422(03)00006-5
更新日期:2003-04-01 00:00:00
abstract::Distinction must be made between tissue movability and tissue elasticity when considering tissue movement with the hope of predicting good results. Tissue movability is either inherent, as on the back of the thigh, or is created by undermining, back-cutting, or cutting out Bürow's triangles. The elasticity of skin is ...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章
doi:
更新日期:1986-07-01 00:00:00
abstract::Tibiotalocalcaneal arthrodesis is a successful and proven surgical procedure for patients who have significant arthritic changes, deformity, and failed previous operations. Surgical technique varies depending on the type of fixation. Basic surgical principles should not be violated. Correction of the deformity with ap...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cpm.2008.12.009
更新日期:2009-04-01 00:00:00
abstract::We have attempted to show a correlation between heel pain and tumors and tumor-like conditions. The anatomy and size of the calcaneus predisposes it to increased incidence of trauma. Furthermore, the increased vascularity of the heel versus other areas of the foot may contribute to a higher incidence of both local and...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:
更新日期:1990-04-01 00:00:00
abstract::Endoscopic decompression for forefoot nerve entrapments is discussed in this article from not only the perspective of preoperative indications, intraoperative technique, and postoperative management, but with reference to the changing paradigm for management of this condition. Surgical results are discussed and compar...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cpm.2006.05.002
更新日期:2006-07-01 00:00:00
abstract::The systemic treatment of fungal infections has changed considerably over the past 10 to 20 years. Griseofulvin, the only drug approved by the Food and Drug Administration for the systemic treatment of onychomycosis, has a cure rate that seldom exceeds 40%. Many new drugs are targeting the three main kinds of drug the...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:
更新日期:1995-04-01 00:00:00
abstract::The current understanding is that gastrocnemius equinus is caused by a pathologic tightening of the muscle leading to decreased ankle joint dorsiflexion. However, an alternative hypothesis is that it is a normal limitation of available muscle length. Passive muscular insufficiency of the gastrocnemius muscle acts on a...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cpm.2019.08.006
更新日期:2020-01-01 00:00:00
abstract::Surgical treatment of the elderly can be a very difficult and complex endeavor. Appropriate and thorough evaluation of this group of patients is essential to identify surgical candidates who may be at increased risk for developing age-related problems, such as cognitive impairment or postoperative delirium. Involvemen...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cpm.2018.08.006
更新日期:2019-01-01 00:00:00
abstract::Ankle stability in basketball players is affected by footwear. Athletic shoe manufacturers have introduced specialized lacing systems and high-top performance shoes to improve ankle stability. These performance shoes not only aid in preventing ankle injuries, but also protect injured ankles. ...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:
更新日期:1988-04-01 00:00:00
abstract::Combined flexor hallucis longus tendon transfer and bone-tendon allograft transplantation is a reasonable option for advanced distal-segment Achilles tendinopathy. This procedure provides anatomic restoration and improved function of the posterior muscle group without sacrificing the regional anatomy. Allograft transp...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cpm.2015.07.003
更新日期:2016-01-01 00:00:00
abstract::The literature contains various nomenclature and classifications regarding the pigmented villonodular pathology that have proven to be quite confusing. This article clarifies this and emphasizes the fact that there is a spectrum of inflammatory pathologies that may affect synovial tissue. The primary focus of this art...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/s0891-8422(02)00049-6
更新日期:2002-10-01 00:00:00
abstract::Rehabilitation of foot and ankle injuries is essential for full functional recovery and prevention of chronic disease. Rehabilitation includes the usage of physical therapy modalities and rehabilitative exercise whose goals are the reduction of pain and edema and the increase of strength and proprioception. Physical t...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:
更新日期:1997-07-01 00:00:00
abstract::This study shows that equinus has a definite impact on predisposing a child to Sever's disease. The clinician may still need to rule out other possible causes of this condition, but equinus is a probable cause and must be treated appropriately. ...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章
doi:
更新日期:1990-04-01 00:00:00
abstract::Gaseous nitric oxide under increased atmospheric pressure (gNOp) has shown ability to kill multidrug-resistant bacteria in an in vitro model and in a live mammalian (porcine) model. Factors impacting the kill rate of the multidrug-resistant bacteria include atmospheric pressures, concentration of gaseous NO, flow rate...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cpm.2019.11.001
更新日期:2020-04-01 00:00:00
abstract::Over the last 30 years, the impurities in the vancomycin product have been reduced, perhaps resulting in a lower rate of adverse reactions. Vancomycin is bactericidal against most susceptible organisms, but is bacteriostatic against the enterococcus. Vancomycin is the drug of choice for methicillin-resistant Staphyloc...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:
更新日期:1992-04-01 00:00:00