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Biomedical subjects

F A Spinosa

Publications and source records attributed to F A Spinosa.

7 recordsLinked to original sources

Digital fractures. A comprehensive review.

Fractures of the phalanges of the feet are the most common types of injury to the forefoot. There is, however, little available literature concerning pedal digital fractures. There is a misconception that fractured toes will heal by themselves. In fact, mistreated digital fractures can lead to many painful and serious complications. A review of the classifications, mechanisms of injury, clinical presentation, complications, and various treatments of digital fractures is presented.

Fractures, Bone

Benign schwannoma of the foot.

Schwannoma is a relatively uncommon tumor of the nerve sheath and is rare in the foot. The lesion is almost always benign, but when a major nerve is involved, parasthesia and anesthesia may result. In addition, the unlikely appearance of multiple schwannoma may signal the onset of von Recklinghausen's disease.

Adult

Nail changes in the seropositive and seronegative arthridities.

There are a number of nail changes that can represent the presence of an underlying arthritic pathology. The changes may be secondary to the underlying pathology or its treatment. The astute practitioner should learn to recognize these findings in addition to other clinical presentations of the disease to aid in making a diagnosis. The podiatrist sees hundreds of nails each day. Knowledge of nail changes along with the salient features of these arthridities will aid the practitioner in diagnosing the appropriate arthritic process.

Arthritis

Nail changes associated with scleroderma: a case report.

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.

Adult

Squamous cell carcinoma of the plantar aspect of the foot.

A case involving a 70-year-old man with squamous cell carcinoma of the sole is presented. Squamous cell carcinoma, a malignant tumor of the skin, is relatively rare in the foot. Pathologic, clinical, and histologic findings are included.

Aged

Leiomyoma of the foot.

A case involving a 68-year-old female with a leiomyoma of the heel is presented. Leiomyoma, a benign tumor of smooth muscle origin, is relatively rare in the foot. Pathologic, clinical, and histologic findings are included.

Aged

Osteoid osteoma of the hallux.

A case involving a 29-year-old female with aspirin allergy who exhibited osteoid osteoma at the distal phalanx of the hallux is presented. Osteoid osteoma is a relatively rare occurrence in the foot (1). It is a benign bone tumor usually consisting of an oval osteolytic area with a central nidus (2). Pathologic, clinical, and radiographic findings are included.

Adult