Biomechanical abnormalities and ulcers of the great toe in patients with diabetes

Journal of Foot and Ankle Surgery

Volumn 41, Issue 6, 2002, Pages 359-364

  Boffeli, Troy J ^a   Bean, Jeffrey K ^a   Natwick, James R ^a  

^a REGIONS HOSPITAL   (United States)

Author keywords

Diabetes; Great toe; Hallux; Ulcer; Wound

Indexed keywords

ARTICLE; BIOMECHANICS; CLINICAL ARTICLE; DIABETES MELLITUS; FOOT RADIOGRAPHY; FOOT ULCER; GASTROCNEMIUS MUSCLE; HALLUX; HUMAN; INTERPHALANGEAL JOINT; METATARSAL BONE; PES EQUINUS; PHALANX; SESAMOID BONE; SOLEUS MUSCLE; WEIGHT BEARING;

EID: 0036867550     PISSN: 10672516     EISSN: None     Source Type: Journal    
DOI: 10.1016/S1067-2516(02)80081-3     Document Type: Article

References (49)

1. Armstrong, D. G., Lavery, L. A., Harkless, L. B. Validation of a diabetic wound classification system. Diabetes Care 21(5):855-859, 1998.
2. Birke, J. A., Sims, D. S. Plantar sensory threshold in the ulcerative foot. Lepr. Rev. 57:261-267, 1986.
3. Ctercteko, G. C., Dhanendran, M., Hutton, W. C., LeQuisne, L. P. Vertical forces acting on the feet of diabetic patients with neuropathic ulceration. Br. J. Surg. 68:608-614, 1981.
4. Greteman, B., Dale, S. Digital ulcerations in neuropathic feet. J. Am. Podiatr. Med. Assoc. 80:120-126, 1990.
5. Murdoch, D. P., Armstrong, D. G., Dacus, J. B., Laughlin, T. J., Morgan, C. B., Lavery, L. A. The natural history of great toe amputations. J. Foot Ankle Surg. 36(3):204-208, 1997.
6. Quebedeaux, T. L., Lavery, L. A., Lavery, D. C. The development of foot deformities and ulcers after great toe amputation in diabetes. Diabetes Care 19:165-167, 1996.
7. Poppen, N. K., Mann, R. A., O'Konski, M., Buncke, H. J. Amputation of the great toe. Foot Ankle 1(6):333-337, 1981.
8. Mann, R. A., Poppen, N. K., O'Konski, M. Amputation of the great toe: A clinical and biomechanical study. Clin. Orthop. 226:192-205, 1988.
9. Lavery, L. A., Lavery, D. C., Quebedeaux-Farnham, T. L. Increased foot pressures after great toe amputation in diabetics. Diabetes Care 18(11):1460-1462, 1995.
10. Armstrong, D. G., Lavery, L. A. Plantar pressures are higher in diabetic patients following partial foot amputations. Ostomy Wound Manage 44(3):30-36, 1998.
11. Armstrong, D. G., Lavery, L. A., Harkless, L. B., Van Houtum, W. H. Amputation and reamputation of the diabetic foot. J. Am. Podiatr. Med. Assoc. 87(6):255-259, 1997.
12. Armstrong, D. G., Lavery, L. A., Harkless, L. B. Who is at risk for diabetic foot ulceration? Clin. Podiatr. Med. Surg. 15(1):11-15, 1998.
13. Murray, H. J., Boulton, A. J. The pathophysiology of diabetic foot ulceration. Clin. Podiatr. Med. Surg. 12(1):1-9, 1995.
14. Pitei, D. L., Lord, M., Foster, A., Wilson, S., Watkins, P. J., Edmonds, M. E. Plantar pressures are elevated in the neuroischemic and the neuropathic diabetic foot. Diabetes Care 22(12):1966-1970, 1999.
15. Hall, O. C., Brand, P. W. The etiology of the neuropathic plantar ulcer. J. Am. Podiatry Assoc. 69(3):173-177, 1979.
16. Cavanagh, P. R., Simoneau, G. G., Ulbrecht, J. S. Ulceration, unsteadiness, and uncertainty: The biomechanical consequences of diabetes mellitus. J. Biomech. 26(1):23-40, 1993.
17. Mueller, M. J., Minor, S. D., Diamond, J. E., Vilray, P. B. Relationship of foot deformity to ulcer location in patients with diabetes mellitus. Phys. Ther. 70(6):356-362, 1990.
18. Lang-Stevenson, A. I., Sharrard, W. J. W., Betts, R. P., Duckworth, T. Neuropathic ulcers of the foot. J. Bone Joint Surg. 67-B:438-442, 1985.
19. Veves, H. J., Murray, H. J., Young, M. J., Boulton, A. J. M. The risk of foot ulceration in diabetic patients with high foot pressure: A prospective study. Diabetologia 35:660-663, 1992.
20. Boyko, E. J., Ahroni, J. H., Stensel, V., Forsberg, R. C., Davignon, D. R., Smith, D. G. A prospective study of risk factors for diabetic foot ulcer. Diabetes Care 22(7):1036-1042, 1999.
21. Smith, D. G., Barnes, B. C., Sands, A. K., Boyko, E. J., Ahroni, J. H. Prevalence of radiographic foot abnormalities in patients with diabetes. Foot Ankle Int. 18(6):342-346, 1997.
22. Cavanagh, P. R., Ulbrecht, J. S., Caputo, G. M. Biomechanical aspects of diabetic foot disease: Aetiology, treatment, and prevention. Diabet. Med. 13:S17-S22, 1996.
23. Frykberg, R. G. Biomechanical considerations of the diabetic foot. Lower Extremity 2(3):207-214, 1995.
24. Barrett, J. P., Mooney, V. Neuropathy and diabetic pressure lesions. Orthop. Clin. North Am. 4(1):43-47, 1973.
25. Carter, S. The relationship of distal systolic pressures to healing of skin lesions in limbs with arterial occlusive disease, with special reference to diabetes mellitus. Scand. J. Clin. Invest. 31:239-244, 1973.
26. Carter, S. A., Tate, R. B. The value of toe pulse waves in determination of risks for limb amputation and death in patients with peripheral arterial disease and skin ulcers or gangrene. J. Vasc. Surg. 33(4):708-714, 2001.
27. Vayssariat, M., Gouny, P., Cheynel, C., Gaitz, J. P., Baudot, N., Nussaume, O. Haemodynamics of patients with severe lower limb arterial disease: The critical aspects of critical ischemia. Eur. J. Vasc. Endovasc. Surg. 14(4):284-289, 1997.
28. Ramsey, D. E., Manke, D. A., Sumner, D. S. Toe blood pressure. A valuable adjunct to ankle pressure measurements for assessing peripheral arterial disease. J. Cardiovasc. Surg. 24(1):43-48, 1983.
29. Stevens, M. J., Goss, D. E., Foster, A. V., Pitei, D., Edmonds, M. E., Watkins, P. J. Abnormal digital pressure measurement in diabetic neuropathic foot ulceration. Diabet. Med. 10(10):909-915, 1993.
30. Bowers, B. L., Valentine, R. J., Myers, S. I., Chervu, A., Clagett, G. P. The natural history of patients with claudication with toe pressures of 40 mm Hg or less. J. Vasc. Surg. 18(3):506-511, 1993.
31. Apelqvist, J., Castenfors, J., Larsson, J., Stenstrom, A., Agardh, C. D. Prognostic value of systolic ankle and toe blood pressure levels in outcome of diabetic foot ulcer. Diabetes Care 12(6):373-378, 1989.
32. Joseph, J. Range of movement of the great toe in men. J. Bone Joint Surg. 36-B:450, 1954.
33. Dananberg, H. J. Gait style as an etiology to chronic postural pain. Part 1: Functional hallux limitus. J. Am. Podiatr. Med. Assoc. 83(8):431-441, 1993.
34. Root, M. L., Orien, W. D., Weed, J. H. Normal and Abnormal Function of the Foot, vol. 1, Clinical Biomechanics Corp., Los Angeles, 1977.
35. Sgarlato, T. A Compendium of Podiatric Biomechanics, California College of Podiatric Medicine, San Francisco, 1971.
36. Gastwirth, B. W. Biomechanical examination of the foot and lower extremity. In Clinical Biomechanics of the Lower Extremities, edited by R. L. Valmassy, Mosby-Year Book, St. Louis, 1996.
37. Stevens, H. M. The diabetic plantar hallux ulcer: A curative soft tissue procedure. Foot Ankle Int. 21(4):954-955, 2000.
38. Sorto, L. A., Balding, M. G., Weil, L. S. Hallux abductus interphalangeus: Etiology, x-ray evaluation and treatment. J. Am. Podiatr. Med. Assoc. 82:85-97, 1992.
39. Dannels, E. Neuropathic foot ulcer prevention in diabetic American Indians with hallux limitus. J. Am. Podiatr. Med. Assoc. 79(9):447-450, 1989.
40. Fernando, J. S., Masson, E. A., Veves, A., Boulton, A. J. M. Relationship of limited joint mobility to abnormal foot pressures and diabetic foot ulceration. Diabetes Care 14(1):8-11, 1991.
41. Lin, S. S., Lee, T. H., Wapner, K. L. Plantar forefoot ulceration with equinus deformity of the ankle in diabetic patients: The effect of tendo-Achilles lengthening and total contact casting. Orthopedics 19(5):465-475, 1996.
42. Armstrong, D. G., Stacpoole-Shea, S., Nguyen, H., Harkless, L. G. Lengthening of the Achilles tendon in diabetic patients who are at high risk for ulceration of the foot. J. Bone Joint Surg. 81-A(4):535-538, 1999.
43. Subotnick, S. I. Equinus deformity as it affects the forefoot. J. Am. Podiatry Assoc. 61(11):423-427, 1971.
44. Sarrafian, S. K. Anatomy of the Foot and Ankle: Descriptive, Topographic, Functional, 2nd Ed, J. B. Lippincott, Philadelphia, 1993.
45. Dananberg, H. J. Functional hallux limitus and its relationship to gait efficiency. J. Am. Podiatr. Med. Assoc. 76:648-652, 1986.
46. Birke, J. A., Franks, B. D., Foto, J. G. First ray joint limitation, pressure, and ulceration of the first metatarsal head in diabetes mellitus. Foot Ankle Int. 16(5):277-284, 1995.
47. Barnett, C. H. Valgus deviation of the distal phalanx of the great toe. J. Anat. 96:171, 1962.
48. Jack, E. A. The aetiology of hallux rigidus. Br. J. Surg. 27:492-497, 1940.
49. Camasta, C. A. Hallux limitus and hallux rigidus: Clinical examination, radiographic findings, and natural history. Clin. Podiatr. Med. Surg. 13:423-448, 1996.