Skip to main content
SpringerLink
Log in

Lower Limb Ulcers: Clinical and Diagnostic Workout

  • Chapter
  • First Online:
Pearls and Pitfalls in Skin Ulcer Management

  • 171 Accesses

Abstract

Successful treatment of leg ulcers depends on an accurate diagnosis based on clinical, laboratory, and instrumental data.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 189.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Grayson ML, Gibbons GW, Balogh K, Levin E, Karchmer AW. Probing to bone in infected pedal ulcers: a clinical sign of underlying osteomyelitis in diabetic patients. JAMA. 1995;273(9):721–3.

    Article  CAS  PubMed  Google Scholar 

  2. Valencia IC, et al. Chronic venous insufficiency and venous leg ulceration, 2001.

    Google Scholar 

  3. Youn YJ, Lee J. Chronic venous insufficiency and varicose veins of the lower extremities. Korean J Intern Med. 2019;34(2):269–83.

    Article  PubMed  Google Scholar 

  4. Venermo M, et al. Vascular laboratory for critical limb ischaemia. Scand J Surg. 2012;101(2):86–93.

    Article  CAS  PubMed  Google Scholar 

  5. Mandell JC, Khurana B, Smith JT, Czuczman GJ, Ghazikhanian V, Smith SE. Osteomyelitis of the lower extremity: pathophysiology, imaging, and classification, with an emphasis on diabetic foot infection. Emerg Radiol. 2018;25(2):175–88.

    Article  PubMed  Google Scholar 

  6. Vlajinac H, Marinkovic J, Maksimovic M, Radak D. Factors related to venous ulceration: a cross-sectional study. Angiology. 2014;65:824–30.

    Article  PubMed  Google Scholar 

  7. Tam M, Moschella SL. Vascular skin ulcers of limbs. Cardiol Clin. 1991;9:555–63.

    Article  CAS  PubMed  Google Scholar 

  8. Holloway GA Jr. Arterial ulcers: assessment and diagnosis. Ostomy Wound Manage. 1996;42(46–8):50–1.

    Google Scholar 

  9. Kirsner RS, Vivas AC. Lower-extremity ulcers: diagnosis and management. Br J Dermatol. 2015;173(2):379–90.

    Article  CAS  PubMed  Google Scholar 

  10. Alavi A, Sibbald RG, Mayer D. Diabetic foot ulcers: part I. Pathophysiology and prevention. J Am Acad Dermatol. 2014;70(1):1.e1–18.

    Article  PubMed  Google Scholar 

  11. Lavery LA, Armstrong DG, Harkless LB. Classification of diabetic foot wounds. Ostomy Wound Manage. 1997;43(2):44–8.

    CAS  PubMed  Google Scholar 

  12. Brodsky JW. Classification of foot lesions in diabetic patients. St. Louis: Elsevier; 2007.

    Google Scholar 

  13. Braun LR, Fisk WA, Lev-Tov H, Kirsner RS, Isseroff RR. Diabetic foot ulcer: an evidence-based treatment update. Am J Clin Dermatol. 2014;15(3):267–81.

    Article  PubMed  Google Scholar 

  14. Oluwasanmi JO, Alao MO, Ofodile FA. Tropical ulcers. Plast Reconstr Surg. 1979;64(1):41–6.

    Article  CAS  PubMed  Google Scholar 

  15. Ghaly P, Kim YD, Iliopoulos J, Ahmad M. The management of malignant lower limb ulcers: clinical considerations. Br J Nurs. 2020;29(15):S34–40.

    Article  PubMed  Google Scholar 

  16. Situm M, Kolic M. Atypical wounds: definition and classification. Acta Med Austriaca. 2012;66(Suppl 1):5–11.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Plastic Surgery Unit, University of Trieste, Cattinara Hospital, Trieste, Italy

    Vittorio Ramella, Martin Iurilli, Alessia De Grazia & Laura Grezar

Authors
  1. Vittorio Ramella
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Martin Iurilli
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Alessia De Grazia
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Laura Grezar
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Unit of Plastic and Reconstructive Surgery, Department of Precision and Regenerative Medicine and Jonic Area, University of Bari, Bari, Italy

    Michele Maruccia

  2. Plastic Surgery Unit, University of Trieste, Cattinara Hospital, Trieste, Italy

    Giovanni Papa

  3. Difficult Wound Healing Unit, Policlinico di Monza, Vercelli, Italy, Italy

    Elia Ricci

  4. Plastic and Reconstructive Surgery, University of Bari Aldo Moro, Bari, Italy

    Giuseppe Giudice

Rights and permissions

Reprints and permissions

Copyright information

© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Ramella, V., Iurilli, M., De Grazia, A., Grezar, L. (2023). Lower Limb Ulcers: Clinical and Diagnostic Workout. In: Maruccia, M., Papa, G., Ricci, E., Giudice, G. (eds) Pearls and Pitfalls in Skin Ulcer Management. Springer, Cham. https://doi.org/10.1007/978-3-031-45453-0_43

Download citation

  • DOI: https://doi.org/10.1007/978-3-031-45453-0_43

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-45452-3

  • Online ISBN: 978-3-031-45453-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation