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. 2017 Nov 16:359:j5064.
doi: 10.1136/bmj.j5064.

Diabetic foot

Satish Chandra Mishra  1 , Kunal C Chhatbar  2 , Aditi Kashikar  3 , Abha Mehndiratta  4
Affiliations

Diabetic foot

Satish Chandra Mishra et al. BMJ. .
No abstract available

PubMed Disclaimer

Conflict of interest statement

Competing interests: We have read and understood BMJ policy on declaration of interests and declare the following: SM, KC, and AK were members of the guideline development group for the standard treatment guideline on the diabetic foot: prevention and management in India, 2016 published by the Ministry of Health and Family Welfare, government of India. AM provided technical input on methodology to this guideline development group.

Figures

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Fig 1 Risk factors and mechanism for foot ulcer and amputation
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Fig 2 Gangrene and ulcer in foot at high risk (previous toe amputation)
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Fig 3 Hammer toe deformity with callus and ulcer. Hammer toe is caused by weakened muscles in the foot. The joint connecting the foot with the toe bends upwards (metatarsophalangeal extension) and the joint in middle of the toe bends downwards towards the floor (proximal interphalangeal flexion). This results in the toe curling under the foot and being subjected to excessive ground reaction forces during walking.
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Fig 4 Monofilament test: testing sites and application. The nine plantar sites are the distal great toe; third toe; fifth toe; first, third, and fifth metatarsal heads; medial foot, lateral foot, and heel; and one dorsal site
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Fig 5 Offloading footwear reduces pressure on a specific part of the foot to allow an ulcer on that part to heal or to prevent new ulcers. The top figure shows footwear that reduced pressure on the forefoot and the footwear shown underneath allows pressure on the heel to be offloaded
See this image and copyright information in PMC

References

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