Instructional Course Lecture   |    
Keratotic Disorders of the Plantar Skin
Roger A. Mann, MD; Jeffrey A. Mann, MD
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An Instructional Course Lecture, American Academy of Orthopaedic Surgeons
Roger A. Mann, MD
Jeffrey A. Mann, MD
3300 Webster Street, Suite 608, Oakland, CA 94609

The authors did not receive grants or outside funding in support of their research or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.

Printed with permission of the American Academy of Orthopaedic Surgeons. This article, as well as other lectures presented at the Academy's Annual Meeting, will be available in March 2004 in Instructional Course Lectures, Volume 53. The complete volume can be ordered online at www.aaos.org, or by calling 800-626-6726 (8 a.m.-5 p.m., Central time).

Look for these related articles in Instructional Course Lectures, Volume 53, which will be published by the American Academy of Orthopaedic Surgeons in March 2004:
• "The Bunionette Deformity," by Roger A. Mann, MD, and Jeffrey A. Mann, MD
• "Evaluation and Treatment of Chronic Ankle Pain," by Mark S. Mizel, MD, Paul J. Hecht, MD, John V. Marymont, MD, and H. Thomas Temple, MD

J Bone Joint Surg Am, 2003 May 01;85(5):938-955
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Keratotic lesions on the plantar aspect of the foot develop beneath an osseous prominence and can result in substantial disability. This occurs because, during a normal step, the metatarsal head area is subjected to more prolonged stress than is any other area on the plantar aspect of the foot. In the treatment of this disorder, it is imperative to establish the etiology, among many possibilities, and then address the specific pathology accordingly. This article discusses the types of keratotic lesions that develop beneath the metatarsal heads and the tibial sesamoid bone.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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