36-2: Pediatrics

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EDITORIAL

» Health has been rather unkind to me over the last six months. ...  In November, I fractured my right femur and required open reduction/internal fixation. I was out of practice for about six weeks. I returned to practice and then out of the blue went into septic shock and was out another six weeks. I am not looking for any sympathy or pity (but if you have some you don’t need, I will be happy to accept).
These time-outs gave me an opportunity both to reflect and complete projects. For instance, while recovering from the fracture, I finished the feature article for this issue while also Zoom lecturing for the remainder of Scholl’s Pediatric Orthopedics course for the second-year class. While in ICU with sepsis, I did my commentary for this issue. I was reminded by the nursing staff that I had one foot in the grave and the other on a banana peel, but it beat binge watching old TV programs. I also had time to reflect on my 55 years of practicing podiatry and, specifically, of 45 years of focusing my practice on pediatric podiatry.

You must remember that when I graduated in 1970, an adequate number of fellowships didn’t exist. In fact, there were none. You had to improvise. I inherited the pediatric piece at what is now the Scholl College. We didn’t have much in terms of patient variety until we became known for accepting publicly funded children. It’s important to understand that at that time, podiatry was not reimbursed. We saw these patients for educational purposes in addition to providing care for children who had no other place to go. I did the same in my private practice.

Now, I am not a name dropper, but at the same time I was introduced to several of the truly “big-hitter” pediatric orthopedists in the Chicago area, and found them to be totally receptive to sharing their knowledge with anyone who was interested in learning, regardless of their degree. At the same time, I was invited to join the Pediatric Orthopedics section of a University Hospital. Somehow, I managed to worm my way into a group of pediatric orthopedists who met monthly, a muscular dystrophy clinic, and (along with three of my pediatric orthopedist colleagues) the regional clinic that cared for children funded by the State of Illinois. I did that for three years before the administrators kicked me out. I was a little annoyed about it until I realized that I walked away with tremendous knowledge about the entire spectrum of pediatric orthopedic pathology.

That brings us to my idea about where we are going. Podiatry is advancing rapidly, and I believe it should. I see a plenary license in our future as long as we can come to consensus. We must get rid of this attitude: “If I can’ do it, why should you be trained to do it?” We must pay attention to the relentless evolution of medicine as we know it. Think positively, my colleagues, and the future will be bright.

Edwin J. Harris, DPM, FACFAS


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Foot and Ankle Quarterly (FAQ) is a unique program designed to help today’s podiatric physician manage an ever-increasing flow of information. After completing the Foot and Ankle Quarterly, Volume 36 program, the learner should be better able to: develop and refine a perspective on current treatment recommendations, updates, and advances pertinent to podiatric practice; evaluate the implications of the learned information as it pertains to the diagnosis and treatment of podiatric disorders and societal issues and barriers, and; apply current trends, standards, and best practices into learner’s own practice.

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Article Authors and Lecturers

  • Patric Agnew (n.)
  • Patric A. DeHeer (n.)
  • Katherine Dux (n.)
  • ichard N. Goad (n.)
  • Edwin J. Harris (1. Data Trace Publishing Co.)
  • Bryn Laubacher (n.)
  • Alexander L. Kuzma (n.)
  • Hannah K. Park (1. Data Trace Publishing Co.)
  • Mitzi Williams (n.)

FAQ Journal Planning Committee

  • Chrissy Wesolowski (n.)
  • Lauren Molander (n.)
  • Stephanie Wu, DPM, MSc (n.)

Guest Editor

Edwin J. Harris, DPM, FACFAS
Clinical Associate Professor of Orthopedics and Rehabilitation, Loyola University Medical Center, Maywood, IL

Contributors

Patrick Agnew, DPM, FACFAS, FACFAP
Chairman, Department of Podiatry, Macon and Joan Brock Virginia Health Sciences, Old Dominion University, Norfolk, VA; Medical and Scientific Board Member, Ehlers-Danlos Society

Patrick A. DeHeer, DPM, FFPM, RCPS (Glasg), FACFAS, FASPS, FACFAP
Podiatric Surgeon, Upperline Health, Program Director, Ascension St. Vincent Indianapolis Podiatric Residency

Katherine Dux, DPM, FACFAS, FACPM
Associate Professor, Program Director, Podiatric Medicine and Surgery Residency with Reconstructive Rearfoot/Ankle Surgery, Department of Orthopedic Surgery and Rehabilitation, Loyola University, Chicago, IL

Richard N. Goad, DPM, MA
Clinical Assistant Professor, Department of Surgery and Pediatrics, McLane Children’s Medical Center, Baylor College of Medicine, Temple, TX

Bryn Laubacher, DPM, FACFAS
Assistant Professor, Department of Orthopedic Surgery and Rehabilitation, Loyola University, Maywood, IL

Alexander L. Kuzma, MD
Pediatric Orthopedic Surgeon, Department of Orthopedic Surgery, Loyola University Medical Center, Maywood IL

Hannah K. Park, DPM, FACFAS, FACPM
Associate, Weil Foot and Ankle Institute, Oak Park, IL and Chicago, IL; Rush Oak Park Wound Care Center, Oak Park, IL

Mitzi Williams, DPM
Pediatric Foot and Ankle Specialist/Surgeon, Paley Orthopedic and Spine Institute, West Palm Beach, FL


36-2 In This Issue

  • FEATURE ARTICLE: An Incidental Finding on Routine Pediatric Foot and Ankle Radiographs: The Non-Ossifying Fibroma, its Appearance, Natural History and Management
    Edwin J. Harris, DPM, FACFAS
  • CONDENSATIONS and COMMENTARIES
    • MRI of Pediatric Foot and Ankle Conditions
      Commentary by Bryn Laubacher, DPM, FACFAS
    • The Many Facets of Hypermobile Ehlers-Danlos Syndrome
      Commentary by Patrick Agnew, DPM
    • Isolated Gastrocnemius Recession for Progressive Collapsing Foot Deformity
      Commentary by Patrick A. DeHeer, DPM, FFPM, RCPS (Glasg), FACFAS, FASPS, FACFAP
    • Tarsal Coalition
      Commentary by Hannah K. Park, DPM, FACFAS, FACPM
    • Reliability and Reference Norms of Single Heel-Rise Test among Children: A Cross-Sectional Study
      Commentary Edwin J. Harris, DPM, FACFAS
    • Clubfoot: Congenital Talipes Equinovarus
      Commentary by Richard N. Goad, DPM, MA
    • Indication for Achilles Tenotomy in Congenital Clubfoot: Effectiveness of Using the Tibio-Plantar Fascia Angle as a Radiographic Parameter
      Commentary by Edwin J. Harris, DPM, FACFAS
    • Temporary Screw Lateral Hemiepiphysiodesis of the First Metatarsal for Juvenile Hallux Valgus Deformity: A Case Series of 23 Feet
      Commentary by Alexander L. Kuzma, MD
    • Pediatric Foot Fractures
      Commentary by Katherine Dux, DPM, FACFAS, FACPM
    • Results of Treatment of Congenital Vertical Talus by the Dobbs Method
      Commentary by Mitzi Williams, DPM
  • AUDIO LECCTURE 1: Pediatric Pain Management in Podiatric Office and Surgical Settings
    Hannah K. Park, DPM, FACFAS, FACPM, FACFAP
  • AUDIO LECTURE 2: Hypermobile Joint Syndrome and Ehlers-Danlos Syndrome in the Foot and Ankle
    Hannah K. Park, DPM, FACFAS, FACPM, FACFAP
  • 36-2 CME QUIZ: Pediatrics

Issue Content