John Dipreta - Academia.edu (original) (raw)
Papers by John Dipreta
Case Reports in Orthopedics
Propionibacterium acnes osteomyelitis secondary to intraosseous (IO) cannulation is not well docu... more Propionibacterium acnes osteomyelitis secondary to intraosseous (IO) cannulation is not well documented in literature. We report here an extremely rare incident of P. acnes tibial osteomyelitis at the IO access site, in a 4-year-old child, who presented 3 months after an episode of fluid resuscitation for streptococcal toxic shock syndrome necessitating irrigation and debridement and prolonged antibiotic therapy. We advocate for heightened awareness of osteomyelitis in patients with continued pain after IO cannulation. Low-grade persistent symptoms may be caused by less virulent organisms and may dictate need for early magnetic resonance imaging studies for diagnosis and treatment planning.
American journal of orthopedics (Belle Mead, N.J.)
Traumatic dislocation of an intact tarsal navicular is an uncommon injury. In this article, we re... more Traumatic dislocation of an intact tarsal navicular is an uncommon injury. In this article, we report a case of open medial navicular dislocation in a 45-year-old man. The injury was managed with open reduction and stabilization with Kirschner wires within the acute period. Ten months after injury, the patient developed avascular necrosis of the navicular and exhibited progressive collapse of the medial midfoot. He underwent naviculocuneiform arthrodesis 1 year after the index surgery. Two years after fusion, he was pain-free and ambulating independently. Successful treatment of midfoot fractures and dislocations requires an intimate understanding of anatomy, biomechanics, and both short- and long-term sequelae of injury.
Data Revues 10837515 V11i4 S1083751506000544, Aug 17, 2011
Foot & ankle specialist, Jan 29, 2015
The Internet is one of the most widely utilized resources for health-related information. Evaluat... more The Internet is one of the most widely utilized resources for health-related information. Evaluation of the medical literature suggests that the quality and accuracy of these resources are poor and written at inappropriately high reading levels. The purpose of our study was to evaluate the quality, accuracy, and readability of online resources pertaining to hallux valgus. Two search terms ("hallux valgus" and "bunion") were entered into Google, Yahoo, and Bing. With the use of scoring criteria specific to hallux valgus, the quality and accuracy of online information related to hallux valgus was evaluated by 3 reviewers. The Flesch-Kincaid score was used to determine readability. Statistical analysis was performed with t tests and significance was determined by P values <.05. Sixty-two unique websites were evaluated. Quality was significantly higher with use of the search term "bunion" as compared to "hallux valgus" (P = .045). Quality and a...
Clinical orthopaedics and related research, Jan 15, 2015
Clinical Orthopaedics and Related Research®, 2015
Foot & ankle specialist, Jan 29, 2015
Approximately 33% of Americans have inadequate health literacy, which is associated with decrease... more Approximately 33% of Americans have inadequate health literacy, which is associated with decreased medical knowledge, increased hospitalization and use of emergency care, and worse control of diseases. In this study, the Literacy in Musculoskeletal Problems (LiMP) questionnaire was used to evaluate the prevalence of limited musculoskeletal literacy in patients presenting to the emergency department (ED) with foot and ankle-related complaints, as these individuals may be at increased risk for inferior outcomes. In this cross-sectional study, individuals ≥18 years of age presenting with foot and ankle-related complaints to the ED were invited to participate. Participants completed a demographic survey and the LiMP questionnaire, with scores ≥6 indicative of adequate musculoskeletal literacy. The prevalence of adequate health literacy and the influence of demographic parameters was assessed. P values <.05 were considered significant. The mean LiMP score was 5 ± 2.06. Limited musculo...
Jacques Lisfranc (1790-1847), a field surgeon in Napoleon's army, described an amputation involvi... more Jacques Lisfranc (1790-1847), a field surgeon in Napoleon's army, described an amputation involving the tarsometatarsal (TMT) joint due to a severe gangrene that developed when a soldier fell from a horse with his foot caught in a stirrup. 1-3 Although this is one type of TMT joint injury, it must be understood that the so-called Lisfranc injury does not delineate any one specific fracture or dislocation, but instead a spectrum of processes involving the TMT joint complex.
Clinical orthopaedics and related research, Jan 22, 2015
Foot & Ankle Specialist, 2013
Clinical Orthopaedics and Related Research®, 2014
Orthopedics, 2011
The tarsometatarsal joint complex is an osseous and capsuloligamentous network that includes the ... more The tarsometatarsal joint complex is an osseous and capsuloligamentous network that includes the 5 metatarsals, their articulations with the cuneiforms and cuboid, and the Lisfranc ligament, a strong interosseous attachment between the medial cuneiform and second metatarsal. A multitude of injury patterns exist involving the tarsometatarsal joint complex; a Lisfranc injury does not delineate a specifi c injury, but instead a spectrum of processes involving the tarsometatarsal joint complex. MD 1987; 18 :105-114. 22. Arntz CT, Veith RG, Hansen ST Jr. Fractures and fracture-dislocations of the tarsometatarsal joint. J Bone Joint Surg Am. 1988; 70(2):173-181. 23. Kuo RS, Tejwani NC, DiGiovanni CW, et al. Outcome after open reduction and internal fi xation of Lisfranc joint injuries.
Medical Clinics of North America, 2014
Ankle injuries are among the most common injuries presenting to primary care providers and emerge... more Ankle injuries are among the most common injuries presenting to primary care providers and emergency departments and may cause considerable time lost to injury and long-term disability. Inversion injuries about the ankle involve about 25% of all injuries of the musculoskeletal system and 50% of all sports-related injuries. Medial-sided ankle sprains occur less frequently than those on the lateral side. High ankle sprains occur less frequently in the general population, but do occur commonly in collision sports. Providers should apply the Ottawa ankle rules when radiography is indicated and refer fractures and more severe injuries to orthopedic surgery as needed.
Medical Clinics of North America, 2014
Most foot and ankle disorders can be diagnosed after a proper history and clinical examination an... more Most foot and ankle disorders can be diagnosed after a proper history and clinical examination and can be effectively managed in a primary care setting. It is important to assess the entirety of patient disorders that present as they can be multifactorial in cause. A broad differential should include disorders of bones, joints, muscles, neurovasculature, and surrounding soft tissue structures. Physical examination should be thorough and focused on inspection, palpation, range of motion, and appropriate special tests when applicable. This article highlights some of the salient features of the foot and ankle examination and diagnostic considerations.
Medical Clinics of North America, 2014
Plantar heel pain Plantar fascia Plantar fasciitis Windlass mechanism Heel spur Baxter nerve Firs... more Plantar heel pain Plantar fascia Plantar fasciitis Windlass mechanism Heel spur Baxter nerve First branch lateral plantar nerve Extracorporeal shock-wave therapy
International Journal of Surgery, 2011
Case Reports in Orthopedics
Propionibacterium acnes osteomyelitis secondary to intraosseous (IO) cannulation is not well docu... more Propionibacterium acnes osteomyelitis secondary to intraosseous (IO) cannulation is not well documented in literature. We report here an extremely rare incident of P. acnes tibial osteomyelitis at the IO access site, in a 4-year-old child, who presented 3 months after an episode of fluid resuscitation for streptococcal toxic shock syndrome necessitating irrigation and debridement and prolonged antibiotic therapy. We advocate for heightened awareness of osteomyelitis in patients with continued pain after IO cannulation. Low-grade persistent symptoms may be caused by less virulent organisms and may dictate need for early magnetic resonance imaging studies for diagnosis and treatment planning.
American journal of orthopedics (Belle Mead, N.J.)
Traumatic dislocation of an intact tarsal navicular is an uncommon injury. In this article, we re... more Traumatic dislocation of an intact tarsal navicular is an uncommon injury. In this article, we report a case of open medial navicular dislocation in a 45-year-old man. The injury was managed with open reduction and stabilization with Kirschner wires within the acute period. Ten months after injury, the patient developed avascular necrosis of the navicular and exhibited progressive collapse of the medial midfoot. He underwent naviculocuneiform arthrodesis 1 year after the index surgery. Two years after fusion, he was pain-free and ambulating independently. Successful treatment of midfoot fractures and dislocations requires an intimate understanding of anatomy, biomechanics, and both short- and long-term sequelae of injury.
Data Revues 10837515 V11i4 S1083751506000544, Aug 17, 2011
Foot & ankle specialist, Jan 29, 2015
The Internet is one of the most widely utilized resources for health-related information. Evaluat... more The Internet is one of the most widely utilized resources for health-related information. Evaluation of the medical literature suggests that the quality and accuracy of these resources are poor and written at inappropriately high reading levels. The purpose of our study was to evaluate the quality, accuracy, and readability of online resources pertaining to hallux valgus. Two search terms ("hallux valgus" and "bunion") were entered into Google, Yahoo, and Bing. With the use of scoring criteria specific to hallux valgus, the quality and accuracy of online information related to hallux valgus was evaluated by 3 reviewers. The Flesch-Kincaid score was used to determine readability. Statistical analysis was performed with t tests and significance was determined by P values <.05. Sixty-two unique websites were evaluated. Quality was significantly higher with use of the search term "bunion" as compared to "hallux valgus" (P = .045). Quality and a...
Clinical orthopaedics and related research, Jan 15, 2015
Clinical Orthopaedics and Related Research®, 2015
Foot & ankle specialist, Jan 29, 2015
Approximately 33% of Americans have inadequate health literacy, which is associated with decrease... more Approximately 33% of Americans have inadequate health literacy, which is associated with decreased medical knowledge, increased hospitalization and use of emergency care, and worse control of diseases. In this study, the Literacy in Musculoskeletal Problems (LiMP) questionnaire was used to evaluate the prevalence of limited musculoskeletal literacy in patients presenting to the emergency department (ED) with foot and ankle-related complaints, as these individuals may be at increased risk for inferior outcomes. In this cross-sectional study, individuals ≥18 years of age presenting with foot and ankle-related complaints to the ED were invited to participate. Participants completed a demographic survey and the LiMP questionnaire, with scores ≥6 indicative of adequate musculoskeletal literacy. The prevalence of adequate health literacy and the influence of demographic parameters was assessed. P values <.05 were considered significant. The mean LiMP score was 5 ± 2.06. Limited musculo...
Jacques Lisfranc (1790-1847), a field surgeon in Napoleon's army, described an amputation involvi... more Jacques Lisfranc (1790-1847), a field surgeon in Napoleon's army, described an amputation involving the tarsometatarsal (TMT) joint due to a severe gangrene that developed when a soldier fell from a horse with his foot caught in a stirrup. 1-3 Although this is one type of TMT joint injury, it must be understood that the so-called Lisfranc injury does not delineate any one specific fracture or dislocation, but instead a spectrum of processes involving the TMT joint complex.
Clinical orthopaedics and related research, Jan 22, 2015
Foot & Ankle Specialist, 2013
Clinical Orthopaedics and Related Research®, 2014
Orthopedics, 2011
The tarsometatarsal joint complex is an osseous and capsuloligamentous network that includes the ... more The tarsometatarsal joint complex is an osseous and capsuloligamentous network that includes the 5 metatarsals, their articulations with the cuneiforms and cuboid, and the Lisfranc ligament, a strong interosseous attachment between the medial cuneiform and second metatarsal. A multitude of injury patterns exist involving the tarsometatarsal joint complex; a Lisfranc injury does not delineate a specifi c injury, but instead a spectrum of processes involving the tarsometatarsal joint complex. MD 1987; 18 :105-114. 22. Arntz CT, Veith RG, Hansen ST Jr. Fractures and fracture-dislocations of the tarsometatarsal joint. J Bone Joint Surg Am. 1988; 70(2):173-181. 23. Kuo RS, Tejwani NC, DiGiovanni CW, et al. Outcome after open reduction and internal fi xation of Lisfranc joint injuries.
Medical Clinics of North America, 2014
Ankle injuries are among the most common injuries presenting to primary care providers and emerge... more Ankle injuries are among the most common injuries presenting to primary care providers and emergency departments and may cause considerable time lost to injury and long-term disability. Inversion injuries about the ankle involve about 25% of all injuries of the musculoskeletal system and 50% of all sports-related injuries. Medial-sided ankle sprains occur less frequently than those on the lateral side. High ankle sprains occur less frequently in the general population, but do occur commonly in collision sports. Providers should apply the Ottawa ankle rules when radiography is indicated and refer fractures and more severe injuries to orthopedic surgery as needed.
Medical Clinics of North America, 2014
Most foot and ankle disorders can be diagnosed after a proper history and clinical examination an... more Most foot and ankle disorders can be diagnosed after a proper history and clinical examination and can be effectively managed in a primary care setting. It is important to assess the entirety of patient disorders that present as they can be multifactorial in cause. A broad differential should include disorders of bones, joints, muscles, neurovasculature, and surrounding soft tissue structures. Physical examination should be thorough and focused on inspection, palpation, range of motion, and appropriate special tests when applicable. This article highlights some of the salient features of the foot and ankle examination and diagnostic considerations.
Medical Clinics of North America, 2014
Plantar heel pain Plantar fascia Plantar fasciitis Windlass mechanism Heel spur Baxter nerve Firs... more Plantar heel pain Plantar fascia Plantar fasciitis Windlass mechanism Heel spur Baxter nerve First branch lateral plantar nerve Extracorporeal shock-wave therapy
International Journal of Surgery, 2011