Cutaneous plantar warts may be treated using several optional methods, with the use of laser surgery having increased in the last few years. This work examined the efficacy of laser treatment combined with simple cooling to reduce pain. The cure rate was approximately 84%. There were no significant differences in the efficacy of treatment for different viral genotypes. The laser parameters were 500 msec pulses, 30 W of power, and a fluence of 212 J/cm² delivered in up to four sessions. Successful treatment was achieved after an average of 3.6 sessions.

The Catalan diabetic foot health program was established in 2009 in order to prevent complications caused by type 2 diabetes. This study aims to describe its application from 2009 to 2018. The objective was to describe diabetic foot care provision in the National Health System of Catalonia between 2009 and 2018, including the number of patients and professionals involved, the causes behind patients’ visits, and the most demanded codes for diagnosis and treatment filled by the podiatrist in each consultation during 2018–2020. This description was addressed through an analysis of the database provided by the Association of Podiatrists to evaluate the implementation of the program. The results for the diabetic foot health program in Catalonia showed a growth in demand from 2009 (1726) to 2018 (213,095) in terms of visits and from 2009 (1541) to 2018 (104,629) in terms of patients. The number of registered podiatrists from 2009 to 2018 increased from 165 to 470. The most commonly used diagnosis codes were (a) without sensory alterations in control and treatment of grade 1 lesions; (b) grade 0 without neuropathic, vascular, structural, or biomechanical alteration; (c) no sensory structural alterations in the foot; (d) keratopathies. The treatments most commonly used were (a) conservative (chiropody), (b) without ortho-podiatric treatment, and (c) plantar supports. The conclusions show that the health program is in great demand amongst the population. Similarly, the coding system has made it possible to identify the diagnosis and treatment of such demand.

Forefoot Varus is characterized by inversion of the metatarsal heads relative to the calcaneal bisector. It is present in 83.67 % of cases and contributes to overpronation and related foot/knee/hip pathologies. Despite multiple assessment methods, their reliability remains unclear. This systematic review evaluates the most reliable measurement technique. This systematic review and meta-analysis selected studies from several databases: PubMed, Scopus, Cochrane Library, Web of Science, and PEDro. The search strategies included keywords such as "forefoot", "varus forefoot", "supinatus forefoot", "varus alignment of the foot-ankle complex" or "shank-forefoot" and their combinations were used. Studies published in the English, French, and Spanish language were included until July 4th, 2024. After identifying the articles, the methodological quality was assessed using the GRRAS checklist. The reported results were intra-class correlation coefficient, influence on gait, biomechanical factors, and pathologies. This meta-analysis of 13 studies (n = 1238) found excellent intra-observer reliability for forefoot varus measurements (pooled ICC = 0.92, 95 %CI 0.89-0.94), with significant inter-observer differences (Q = 38.7, p < 0.001): goniometry showed ICCs of 0.56-0.68 (isolated forefoot or JIG shank-forefoot alignment goniometer) versus 0.81-0.91 (shank-forefoot alignment), while photogrammetry maintained consistently higher reliability (ICCs 0.90-0.93). Photogrammetry and goniometry demonstrated moderate correlation between methods (r = 0.71, 95 %CI 0.63-0.78) across predominantly healthy populations studies (76.9 %, mean age 31.5 ± 15.2 years). Photogrammetric and shank-forefoot alignment methods demonstrate excellent reliability (ICC >0.90) for forefoot varus assessment, while traditional goniometry shows inconsistent results. Standardized protocols are recommended to ensure cross-study comparability.

Background: Viscosupplementation consists of intraarticular hyaluronic acid injections applied to treat pain and improve joint mobility. The objective of the study was to analyze the improvement of the range of mobility of the first metatarsophalangeal joint with a single dose of cross-linked hyaluronic acid. Methods: Ten fresh frozen specimens of feet sectioned below the knee were selected. Before and after the infiltration procedure, the range of flexion was calculated for all specimen’s metatarsophalangeal joints. To detect complications due to the procedure, five feet were dissected and five were sectioned with a diamond saw. Results: The range of the first metatarsophalangeal joint flexion differences between the preoperative and the postoperative period was as follows: (1) 47° (range, 37–51.5) to 58° (range, 49–69.5) degrees of loaded dorsiflexion (p > 0.006); (2) 41° (range, 40–51.5) to 58° (range, 52.5–66.5) degrees of unloaded dorsiflexion (p > 0.009); and (3) 14° (range, 10.5–24.25) to 16° (range, 14.25–28.5) degrees of unloaded plantarflexion (p > 0.083). No injuries of anatomical structures were observed either by anatomical dissection or in the anatomical sections. Conclusions: The results obtained in this viscosupplementation study demonstrate the improvement of the range of mobility of the first metatarsophalangeal joint without evidence of extravasation and lesions of the periarticular anatomical structures.

Introduction: Forefoot varus prevalence varies widely (8.6–83.67%) and may be attributable to the lack of a gold standard. Clinical methods are limited by subjective positioning and landmark variability. This study established a reliable radiographic reference using a dual-method approach. Methods: Following GRRAS guidelines, 70 lower limbs (35 participants) were evaluated using consecutive sampling. Three blinded investigators performed the measurements. Reliability was assessed throughout inter-rater (30-min interval) and intra-rater (≥30-day washout) sessions. Dual radiographic methods (metallic nail vs. radiopaque markers) were compared against standardized goniometry. The analysis included ICC(2,1) and ICC(3,1), SEM, MDC₉₅, and Bland–Altman plots, with a significance threshold of p < 0.005. A sensitivity analysis using one randomly selected limb per participant (n = 35) confirmed the robustness of the findings. Results: Participants (mean age 32.77 ± 10.8 years, 54% female) had a mean forefoot varus of 15.53 ± 7.35°, with a prevalence of 97.1% (≥0°). Goniometric inter-rater reliability was excellent (ICC = 0.987, MDC₉₅ = 1.382°). The marker-based radiographic method demonstrated excellent intra-rater reliability (ICC = 0.906, MDC₉₅ = 1.129°). The agreement between goniometry and marker-based radiography was strong (ICC = 0.898). All analyses surpassed the p < 0.005 threshold. No significant differences were found for sex or laterality (p > 0.005). Conclusions: Marker-based radiography provides a validated reference standard with excellent reliability. Standardized clinical goniometry demonstrated excellent reliability and strong radiographic agreement, making it appropriate for routine assessment (changes > 1.4° represent true structural change). Radiography should be reserved for research or definitive structural confirmation. Limitations include the lack of inter-reader radiographic reproducibility assessment and limited generalizability to young adults (mean age 33 years) with predominantly forefoot varus alignment.

INTRODUCCIÓ. L’anamnesi és part fonamental de la història clínica, imprescindible per a la recerca del diagnòstic. Les metodologies docents prèvies han demostrat no ser suficients en el grau en Podologia de la Universitat de Barcelona. Aquest projecte té com a objectiu millorar el grau competencial de l’alumnat per assolir la seva òptima activitat assistencial futura. MÈTODE. S’està duent a terme una actuació durant els quatre anys del grau en què s’estan implementant metodologies específiques. Es comparen els resultats dels alumnes amb formació específica i sense, i també es determina el nivell d’empatia dels alumnes a l’inici i final del grau en Podologia, tant de la Universitat de Barcelona com de la Universitat de València. RESULTATS. Durant les primeres fases s’ha observat una millora substancial de la competència d’elaboració de l’anamnesi. S’espera que l’alumnat aconsegueixi un nivell òptim de la competència clínica en l’elaboració de l’anamnesi i en les habilitats relacionades. DISCUSSIÓ. El foment de l’empatia i la creació de recorreguts curriculars en els graus sanitaris s’ha demostrat que és imprescindible. Als estudiants se’ls dificulta sistematitzar l’anamnesi, ja que no disposen d’un model teòric pràctic de referència. Les intervencions pedagògiques proposades milloren l’elaboració de l’anamnesi i afavoreixen l’òptima activitat assistencial futura.