Abstract
Plantar lesions at the first (13) and those at the 2nd to 5th (14) metatarsal head (MTH) are treated in this chapter. These lesions are for many the epitome of a neuropathic diabetic foot. They do indeed show characteristic core aspects of the diabetic foot:
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The atrophy of the plantar subcutaneous fat pad.
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The dysbalance in muscle function with deformities and a damaging rise in plantar pressure while walking.
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3.
The usefulness of pressure-reducing footwear with optimised insoles and rocker bottom outsoles.
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4.
The presence of a typical pattern of calluses with subcutaneous haemorrhage before ulcers develop.
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Brash PD, Foster J, Vennart W, Anthony P, Tooke JE. Magnetic resonance imaging techniques demonstrate soft tissue damage in the diabetic foot. Diabet Med. 1999;16(1):55–61.
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Hochlenert, D., Engels, G., Morbach, S., Schliwa, S., Game, F.L. (2018). Plantar MTHs (13–14). In: Diabetic Foot Syndrome. Springer, Cham. https://doi.org/10.1007/978-3-319-92055-9_14
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DOI: https://doi.org/10.1007/978-3-319-92055-9_14
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Publisher Name: Springer, Cham
Print ISBN: 978-3-319-92054-2
Online ISBN: 978-3-319-92055-9
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