ACPM PRESENTS... Updates in Perioperative Medicine: Practical Pearls.
Bran M. Brooks
Dr. Brooks is the acting chief of podiatry at the Dorn VA Medical Center in Columbia, SC.

Previously, he was the APMA's 6th Public Health Fellow at Dartmouth College in Hanover, NH, where he completed numerous research projects on pain management.

Notably, Dr. Brooks was the first clinician to demonstrate that clinically meaningful postoperative opioid prescribing variation exists on a national level within podiatry. 

He is the creator of the Fellowship Research Institute’s Guide to Opioid Prescribing and The 10 Principles of Opioid Prescribing for Podiatry Residents; both are downloadable for free at the end of his lecture.

On December 10th, Dr. Brooks will present:
Perioperative and Postoperative Pain Management: Moving Beyond Opioids.

ACPM Journal Literature
Reviews Now Available
September 2022

Topics Reviewed: Wound Care, Radiology
1) Limb salvage versus amputation in patients with osteosarcoma of the extremities: an update in the modern era using the National Cancer Database, Evans D. et al., BMC Cancer, 2020


Level of Evidence: 2

Reviewer: Zaria St. Lawrence, MS-III
Barry University School of Podiatric Medicine

2) A dual pressure indicator, two-layer compression system for treatment of venous leg ulcers: a review, Tai et al. Journal of Wound Care, Volume 30, Issue Sup. 12, 2022

Level of Evidence: 2

Reviewer: Linda Do, MS-III
Barry University School of Podiatric Medicine

3) Four-Week Ankle-Rehabilitation Programs in Adolescent Athletes With Chronic Ankle Instability Cain et al, Journal of Athletic Training, Volume 55, Issue 8, 2020

DOI: 10.4085/1062-6050-41-19

Level of Evidence: 2

Reviewer: Ricardo Rodriguez, MS-III
Barry University School of Podiatric Medicine

4) Peripheral Nerve Responses to Muscle Stretching: A Systematic Review, Thomas, et al. Journal of Sports Science and Medicine, Volume 20, Issue 2, March 2021

DOI: 10.52082/jssm.2021.258

Level of Evidence: 3

Reviewer: Alex Chen, MS-III
California School of Podiatric Medicine

5) Three Weeks Versus Six Weeks of Antibiotic Therapy for Diabetic Foot Osteomyelitis: A Prospective, Randomized, Noninferiority Pilot Trial, Gariani et. al, Clinical Infectious Diseases, Volume 73, 
Issue 7, October 2021


Level of Evidence: 2

Reviewer: Amanda DeWitt, MS-III
Barry University School of Podiatric Medicine

Case of the Month

SEPTEMBER 2022: Angioleiomyoma
A 51-year old male presented to the clinic for consultation of a soft tissue mass of the right lower extremity [Figure 1]. Patient reported an insidious onset of tissue growth over one month’s duration, denying precipitous injury and without pain, ulceration, or similar tissue growth systemically. Plain film [Figure 2] and MRI imaging failed to demonstrate periosteal reaction or associated bony change while MRI [Figures 3-5] revealed a 2.0cm x 2.0cm well-circumscribed soft tissue tumor of the medial ankle with predominant fat signaling concerning for a well-differentiated liposarcoma. Physical examination showed a firm, non-mobile, non-pulsatile mass residing within the subcutaneous tissue anteromedial aspect of the right ankle.
After conference with orthopedic oncology and the provisional diagnosis of fibrosarcoma, definitive surgical excision was performed. A curvilinear incision was planned over the lesion and blunt dissection was carried out to the level of the subcutaneous tissue whereby the tumorous mass was identified. No tourniquet was used so to easily identify the vascular anatomy of the mass while also assuring strict hemostasis within the surgical field in a setting of possible malignancy. A high-frequency ultrasound scalpel was employed to carefully dissect the tumor from the medial ankle including ligation of the saphenous vein which was found to have a direct extension to the tumor along its posterior margin [Figure 6]. At the time of excision, the mass measured 4.0cm x 2.6cm x 2.7cm to the level of fascia tagged with suture to maintain anatomical orientation [Figure 7].

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