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How much time did you really spend studying Metatarsal Trauma in the past?  Well, I can assure you that this week’s curriculum lecture by Dr. Marin on ‘Metatarsal Trauma’ will be the best 43 minutes you ever spend on the topic.  I think you will find the lecture to be well illustrated, practical, and comprehensive.  It seems that many of us apply stringent criteria to the diagnosis and treatment of most rearfoot fractures, but when it comes to metatarsal fractures anything goes…  Once you have reviewed this lecture you will have a new and useful understanding of this relatively common injury.

The 2nd year residents are scheduled this week to review ‘Hyperbaric Oxygen’ with Dr. Niezgoda.  As a well respected authority on the topic, Jeff will help you gain new insight into this clinical adjunct tool.  The field of hyperbaric medicine has long been debated as an area that does not have sufficient evidence to prove its effect, but this is a thing of the past now with several recent studies including a comprehensive review by the authoritative Cochrane Collaboration.  The better you understand the technology and its physiologic role, the better you will be at properly selecting patients for referral to hyperbaric treatment centers.

Have a great week.

 

John S. Steinberg, DPM
Assistant Professor, Department of Plastic Surgery
Georgetown University
jsteinberg@podiatry.com

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Lecture Assignment for
Week
29 starting 1/16/2006
2005-2006 Residency Year


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1st Year
Residents
Metatarsal Trauma
2nd Year
Residents
Introduction to Hyperbaric Oxygen Therapy
3rd Year
Residents
Metatarsal Trauma

PRESENT Curriculum Preview for 2005-2006
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1st Year Lecture

  Metatarsal Trauma 


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Injury to the metatarsals can be seen in a wide variety of patient populations and is often underrated in terms of long-term outcomes and severity. Although commonly seen in industrial settings secondary to direct, heavy equipment injury, it can also present indirectly by a seemingly minor mechanism. Due to the important role the metatarsals play in ambulation and proper foot function, careful treatment and recognition of these injuries requires not only an ability to recognize but to appropriately treat such injuries. In addition to radiographic findings, soft tissue damage and sequelae can compound the patient's prognosis and recovery. This lecture provides the basis tenets toward recognizing and treating various metatarsal insults that will be encountered in clinical practice. Although many methods of fixation have been identified over the years, a basic description of principles is outlined from which each surgeon can build upon. Please use this lecture as a guide in treating metatarsal trauma, keeping in mind that each patient must be treated as a unique case and that subjective and objective findings, combined with good clinical judgment, should take priority in each case

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2nd Year Lecture

Introduction to Hyperbaric Oxygen Therapy


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Jeffrey A. Niezgoda, MD, introduces the listener to the topic of Hyperbaric Oxygen Therapy (HBOT). The lecture begins with an overview of compromised wound healing and a detailed discussion of the critical role oxygen plays in the healing cascade. Hyperbaric Oxygen Therapy is defined and Dr. Niezgoda explains the physiology and mechanism of action of HBOT. The history of HBOT is then briefly highlighted. Finally, a review of the literature, as well as the indications, contraindications and risks and benefits of HBOT is presented.

3rd Year Lecture

 Metatarsal Trauma


CLICK ON IMAGE TO GO TO LECTURE

Injury to the metatarsals can be seen in a wide variety of patient populations and is often underrated in terms of long-term outcomes and severity. Although commonly seen in industrial settings secondary to direct, heavy equipment injury, it can also present indirectly by a seemingly minor mechanism. Due to the important role the metatarsals play in ambulation and proper foot function, careful treatment and recognition of these injuries requires not only an ability to recognize but to appropriately treat such injuries. In addition to radiographic findings, soft tissue damage and sequelae can compound the patient's prognosis and recovery. This lecture provides the basis tenets toward recognizing and treating various metatarsal insults that will be encountered in clinical practice. Although many methods of fixation have been identified over the years, a basic description of principles is outlined from which each surgeon can build upon. Please use this lecture as a guide in treating metatarsal trauma, keeping in mind that each patient must be treated as a unique case and that subjective and objective findings, combined with good clinical judgment, should take priority in each case

This PRESENT lecture is brought to you
by the generous sponsorship of

 
CLICK HERE FOR MORE INFORMATION

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