scholarly journals The effectiveness of electroneuromyography in the early diagnosis of diabetic foot development

2021 ◽  
Vol 4 (2) ◽  
pp. 213-218
Author(s):  
Fatma KESMEZ CAN ◽  
Nuray BİLGE ◽  
Handan ALAY ◽  
Mehmet PARLAK
Author(s):  
Goretti G. Hernandez-Cardoso ◽  
Mariana Alfaro-Gomez ◽  
Sandra C. Rojas-Landeros ◽  
Irving Salas-Gutierrez ◽  
Enrique Castro-Camus

2016 ◽  
Vol 106 (2) ◽  
pp. 128-132
Author(s):  
Chia-Ding Shih ◽  
Irina Bazarov ◽  
Tara Harrington ◽  
Mher Vartivarian ◽  
Alexander M. Reyzelman

Osteomyelitis is one of the most feared sequelae of diabetic foot ulceration, which often leads to lower-extremity amputation and disability. Early diagnosis of osteomyelitis increases the likelihood of successful treatment and may limit the amount of bone resected, preserving ambulatory function. Although a variety of techniques exist for imaging the diabetic foot, standard radiography is still the only in-office imaging modality used today. However, radiographs lack sensitivity and specificity, making it difficult to diagnose bone infection at its early stages. In this report, we describe our initial experience with a cone beam computed tomography (CBCT)–based device, which may serve as an accurate and readily available tool for early diagnosis of osteomyelitis in a patient with diabetes. Two patients with infected diabetic foot ulcers were evaluated for osteomyelitis using radiography and CBCT. Positive imaging findings were confirmed by bone biopsy. In both patients, CBCT captured early osteolytic changes that were not apparent on radiographs, leading to early surgical intervention and successful treatment. The CBCT was helpful in facilitating detection and early clinical intervention for osteomyelitis in two diabetic patients with foot ulcers. These results are encouraging and warrant future evaluation.


2018 ◽  
Vol 146 ◽  
pp. 148-154 ◽  
Author(s):  
Irene Sanz-Corbalán ◽  
José Luis Lázaro-Martínez ◽  
Esther García-Morales ◽  
Raúl Molines-Barroso ◽  
Francisco Álvaro-Afonso ◽  
...  

2017 ◽  
Vol 20 (2) ◽  
pp. 99-107
Author(s):  
Yana Vladimirovna Girsh ◽  
Oksana Petrovna Davidenko

Background. Epidemiological studies in regions of Russia have revealed significant differences in the prevalence of diabetic foot syndrome (DFS). Aims. To determine the epidemiological characteristics and associated complications of DFS in Khanty-Mansi Autonomous Okrug (KHMAO)-Yugra Materials and methods.The epidemiological indicators and complications of diabetes were determined in diabetic patients in KHMAO-Yugra. The statistical reporting form №12 was used. Data from patients diagnosed with type 1 or type 2 diabetes and DFS were gathered from the service area of hospitals, the state registry (20072014) and outpatient clinics in the city of Surgut (20092014). A prospective observational study with active screening and characterisation of DFS was conducted. Results.Of all patients, 43% were at high/very high risk of developing DFS. DFS was diagnosed in 4.1% of patients with diabetes and was characterised as neuropathic (57.3%), neuroischaemic (35.1%) and ischaemic (7.6%). Conclusions.Prevention and early diagnosis of DFS is crucial in the prevention and reduction of amputations in patients with diabetes. Given that DFS can present in various forms, programmes aimed at promoting DFS awareness are required to increase the identification and treatment of this syndrome. Additionally, improvements in the statistical tests used and better organisation of the flow patients referred to general physicians, endocrinologists, podiatrists and surgeons, are also important in the prevention and early diagnosis of DFS and its associated complications.


Author(s):  
Juliana De Souza Senteio ◽  
Elen Ferraz Teston ◽  
Maria Antônia Ramos Costa ◽  
Verusca De souza Soares ◽  
Dandara Novakowski Spigolon

Objetivo: Identificar a prevalência de fatores de risco para o desenvolvimento de pé diabético. Métodos: Estudo descritivo, com abordagem quantitativa, realizado junto a 71 indivíduos com diabetes mellitus tipo 2 cadastrados em uma Unidade de Saúde da região noroeste do Paraná. Os dados foram coletados por meio de entrevista e exame clínico dos pés e analisados por meio de estatística descritiva. Resultados: Os fatores de risco mais prevalentes para o desenvolvimento de pé diabético foram: pele ressecada (78,9%), a utilização de calçados inadequados diariamente (70,4%), rachadura nos pés (60,6%) e presença de calosidade (56,3%). A prevalência do pé de risco para ulceração foi de 35,2%, predominando alterações grau 2 (33,8%). Conclusão: O exame clinico dos pés deve fazer parte da consulta de enfermagem ao indivíduo com diabetes, para que seja possível a identificação precoce de fatores de risco e posterior planejamento de ações de cuidado.


2002 ◽  
Vol 58 (1) ◽  
pp. 1-9 ◽  
Author(s):  
A Piaggesi ◽  
L Rizzo ◽  
F Golia ◽  
D Costi ◽  
F Baccetti ◽  
...  

2010 ◽  
Vol 3 (5) ◽  
pp. 223-230 ◽  
Author(s):  
Claire M. Capobianco ◽  
John J. Stapleton ◽  
Thomas Zgonis

Delayed treatment of any diabetic foot infection can lead to a limb- or life-threatening scenario. Urgent and/or emergent surgery may be necessary in the early diagnosis of a severe diabetic foot infection that is fol- lowed by staged reconstructive proce- dures. This article provides the reader with a thorough understanding of the surgical management of severe dia- betic foot infections and describes and guides treatment based on a rational schematic approach that identifies the anatomic location of the diabetic foot infection


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