2. Edition - April 2010
85.90 Euro
2010. 260 Pages, Hardcover
- Professional Book -
ISBN-10: 1-4051-9179-1
ISBN-13: 978-1-4051-9179-1 - John Wiley & Sons






Sample Chapter

Short description
Fully updated, with new chapters on surgical treatments to restore or improve circulation, the use of pharmacological agents as preventive treatment, and hyperbaric oxygen treatment for advanced foot ulcers, this new edition will once again provide podiatrists, diabetic specialists, orthopedic surgeons, endocrinologists and podiatry nurse specialists with a full color, case-based atlas to be used both as a teaching instrument and as a reference guide in the identification of patients at risk of severe foot problems associated with diabetes.

From the contents
INTRODUCTION.

Epidemiology.

Economy aspects.

Aetiopathogenesis of foot problems in diabetes - text & 2 graphs.

Classification of foot problems - text & table & graphs.

I. DIABETIC NEUROPATHY.

Methods of assessment of the foot at risk.

Physical examination.

Monofilaments.

Tactile sensation (Light touch - cotton wool).

Vibration perception (tuning fork) Biothesiometer.

Pain sensation.

Proprioception.

Temperature percption.

Reflexes.

Pedobarograph.

II. ANATOMY RISK FACTORS FOR THE DIABETIC FOOT - FOOT DEFORMITIES.

Muscle weakness.

Prominence of metatarsal heads.

Claw toes.

Hammer toes.

Hallux valgus.

Halux varus.

Hallux rigidus.

Hallux pronation.

Bunionette.

Splaying of the front foot.

Curly toes.

Mallet.

Toe overriding.

Pes cavus.

Pes planus.

Previous (minor) amputation.

III. OTHER FOOT RISK FACTORS.

Callus.

Haemorhagic callus.

Oedema.

Corns.

Nail deformities.

Bullae diabeticorum.

Inappropriate footware.

IV. OTHER RISK FACTORS.

Postural instability.

Poor vision.

Social factors.

V. NEUROPATHIC ULCERS.

Over a callus in various sites of the foot.

Over a bone prominence or in various foot deformities.

On a toe (tips, dorsum of phalanges).

Over a metatarsal head.

Heat injuries.

(figures, pedobarograph images, radiology studies etc as applied in each case)

VI. PERIPHERAL VASCULAR DISEASE.

Clinical history.

Physical examination.

Non-invasive tests.

Arteriography.

VII. ISCHAEMIC ULCERS.

At various sites.

Toes and inner aspects of toes.

Foot dorsum.

Sole.

Outer and inner aspect of the foot.

Dry gangrene.

Wet gangrene.

VIII. CHARCOT FOOT.

Ulcer on a Charcot foot.

IX. THE NEUROISCHAEMIC ULCER.

X. INFECTIONS.

Nail infections.

Fungal infections of toes and foot.

Cellulites.

Deep tissue infections.

Osteomyelitis.

(radiology studies, CT scans, MRI, scintigraphy etc).

XI. METHODS OF PREVENTION.

Patient education.

Appropriate footware, socks.

XII. METHODS OF ULCER HEALING.

OFFLOADING.

Bed resting, wheelchair, crutches, total cast, scotch cast boot, shoes, insoles.

DRESSINGS.

OTHER METHODS.

Hyperbaric oxygen.