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Predictive Radiographic Values for Foot Ulceration in Persons with Charcot Foot Divided by Lateral or Medial Midfoot Deformity

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López Moral, Mateo and Molines Barroso, Raúl J. and Sanz Corbalán, Irene and Tardáguila García, Aroa and García-Madrid Martín de Almagro, Marta and Lázaro Martínez, José Luis (2022) Predictive Radiographic Values for Foot Ulceration in Persons with Charcot Foot Divided by Lateral or Medial Midfoot Deformity. Journal of Clinical Medicine, 11 (3). p. 474. ISSN 2077-0383

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Official URL: https://doi.org/10.3390/jcm11030474




Abstract

Background: To identify differences in radiographic outcomes in weight-bearing lateral X-ray to predict the probability of ulceration in patients with midfoot Charcot neuroarthropathy (CN) differentiated by lateral and medial column deformities. Methods: Thirty-five patients who suffered from CN midfoot deformity participated in this 1 year prospective study in a specialized diabetic foot unit. Lateral talar-first metatarsal angle, calcaneal pitch, and cuboid height were performed by digital radiographs in the weight-bearing lateral view. Patients were followed up for 1 year or until an ulcer ulceration event occurred in the midfoot region. Results: ROC analyses showed that all patients with medial pattern deformity that developed a midfoot ulcer had a lateral talar-first metatarsal angle greater (negative) than −27.5 degrees (°). All patients with lateral pattern deformity that developed a midfoot ulcer had a calcaneal pitch greater (more negative) than −5° and a cuboid height greater (more negative) than −1.5°. Conclusions: Lateral talar-first metatarsal angle was the greatest predictor of midfoot ulceration, with greater than −27.5° measurement correlating with ulceration occurrence in patients with medial deformity. Calcaneal pitch and cuboid height were the greatest predictors of midfoot ulceration with greater than −5 and −1.5°, respectively in patients with CN lateral deformity.


Item Type:Article
Uncontrolled Keywords:diabetic foot; Charcot neuroarthropathy; midfoot deformity; radiographic measures
Subjects:Medical sciences > Nursing > Podiatry
ID Code:72860
Deposited On:29 Jun 2022 14:38
Last Modified:30 Jun 2022 07:39

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