scholarly journals Clawed toes in the diabetic foot: neuropathy, intrinsic muscle volume, and plantar aponeurosis thickness

2008 ◽  
Vol 1 (S1) ◽  
Author(s):  
William R Ledoux ◽  
Jason Schoen ◽  
Matthew Lovell ◽  
Elizabeth Huff
Keyword(s):  
Diabetic Foot ◽  
Muscle Volume ◽  
Plantar Aponeurosis ◽  
Intrinsic Muscle

scholarly journals Neuropathy, claw toes, intrinsic muscle volume, and plantar aponeurosis thickness in diabetic feet

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Tadashi Kimura ◽  
Eric D. Thorhauer ◽  
Matthew W. Kindig ◽  
Jane B. Shofer ◽  
Bruce J. Sangeorzan ◽  
...  
Keyword(s):  
Muscle Volume ◽  
Plantar Aponeurosis ◽  
Intrinsic Muscle ◽  
Claw Toes

scholarly journals Neuropathy, Claw Toes, Intrinsic Muscle Volume, and Plantar Aponeurosis Thickness in Diabetic Feet

2020 ◽  
Author(s):  
Tadashi Kimura ◽  
Eric D Thorhauer ◽  
Matthew W Kindig ◽  
Bruce J Sangeorzan ◽  
William R Ledoux
Keyword(s):  
Peripheral Neuropathy ◽  
Sagittal Plane ◽  
Ct Images ◽  
Muscle Volume ◽  
Plantar Aponeurosis ◽  
Claw Toe ◽  
Intrinsic Muscle ◽  
Claw Toes ◽  
Toe Deformity ◽  
Inferior Point

Abstract Background: The objective of this study was to explore the relationship between claw toe deformity, peripheral neuropathy, intrinsic muscle volume, and plantar aponeurosis thickness using computed tomography (CT) images of diabetic feet. Methods: Forty randomly-selected subjects with type 2 diabetes were selected for each of the following four groups (n = 10 per group): 1) peripheral neuropathy with claw toes, 2) peripheral neuropathy without claw toes, 3) non-neuropathic with claw toes, and 4) non-neuropathic without claw toes. The intrinsic muscles of the foot were segmented from processed CT images. Plantar aponeurosis thickness was measured in the reformatted sagittal plane at 20% of the distance from the most inferior point of calcaneus to the most inferior point of the second metatarsal. Five measurement sites in the medial-lateral direction were utilized to fully characterize the plantar aponeurosis thickness. A linear mixed effects analysis on the effect of peripheral neuropathy and claw toe deformity on plantar aponeurosis thickness and intrinsic muscle volume was performed. Results: Presence of claw toe deformity ( p = 0.008) and presence of neuropathy ( p = 0.039) were both associated with decreased intrinsic muscle volume. Subjects with both neuropathy and claw toe deformity had significantly thicker plantar aponeurosis tissue compared with the other three permutation subgroups ( p < 0.001). A negative correlation was observed between plantar aponeurosis thickness and intrinsic muscle volume ( R 2 = -0.3233, p < 0.001). Conclusions: In subjects with claw toe deformity, there were strong relationships between smaller intrinsic foot muscle volumes and thicker plantar aponeurosis tissue. Intrinsic muscle atrophy and plantar aponeurosis thickening may be related to the development of claw toes.

The Effect of a Foot Exercise Protocol on Intrinsic Muscle Volume

2019 ◽  
Vol 51 (Supplement) ◽  
pp. 855-856
Author(s):  
Ulisses T. Taddei ◽  
Alessandra B. Matias ◽  
Fernanda IA Ribeiro ◽  
Irene S. Davis ◽  
Isabel CN Sacco
Keyword(s):  
Muscle Volume ◽  
Exercise Protocol ◽  
Intrinsic Muscle

Computed tomography to visualize and quantify the plantar aponeurosis and flexor hallucis longus tendon in the diabetic foot

2005 ◽  
Vol 20 (5) ◽  
pp. 540-546 ◽  
Author(s):  
Nicole R. Mercer Bolton ◽  
Kirk E. Smith ◽  
Thomas K. Pilgram ◽  
Michael J. Mueller ◽  
Kyongtae T. Bae
Keyword(s):  
Computed Tomography ◽  
Diabetic Foot ◽  
Flexor Hallucis Longus ◽  
Plantar Aponeurosis ◽  
Longus Tendon

Use of local intrinsic muscle flaps for diabetic foot and ankle reconstruction: a systematic review

2018 ◽  
Vol 27 (Sup9) ◽  
pp. S22-S28 ◽  
Author(s):  
Crystal L. Ramanujam ◽  
Alan C. Stuto ◽  
Thomas Zgonis
Keyword(s):  
Systematic Review ◽  
Diabetic Foot ◽  
Foot And Ankle ◽  
Muscle Flaps ◽  
Intrinsic Muscle

Surgery Not Always Best Option for Diabetic Foot

2005 ◽  
Vol 36 (11) ◽  
pp. 33
Author(s):  
MARK S. LESNEY
Keyword(s):  
Diabetic Foot
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