Van Gils Carl C, Roeder Brett
Foot & Ankle Institute of Utah and Diabetic Foot Center of Southern Utah, 754 South Main Street, St. George, UT 84770, USA.
Clin Podiatr Med Surg. 2002 Jul;19(3):391-409, vi. doi: 10.1016/s0891-8422(02)00010-1.
The association between ankle equinus and common foot pathologies such as Achilles tendinitis, metatarsalgia, Morton's neuroma, hallux abductovalgus, and plantar fasciitis has been described. However, the association between ankle equinus and diabetic foot pathology has only been recognized recently. Over half of the non-traumatic amputations occurring in the United States are related to complications of diabetes. It is imperative that risk factors for lower extremity ulceration and amputation are identified and addressed. This article reviews the effect of ankle equinus deformity on the diabetic foot and the available treatment options. New data on the prevalence of equinus in a population of patients with diabetes are also presented.
踝关节马蹄足与跟腱炎、跖痛症、莫顿神经瘤、拇外翻和足底筋膜炎等常见足部疾病之间的关联已被描述。然而，踝关节马蹄足与糖尿病足病变之间的关联直到最近才被认识到。在美国发生的非创伤性截肢中，超过一半与糖尿病并发症有关。识别并解决下肢溃疡和截肢的风险因素至关重要。本文综述了踝关节马蹄足畸形对糖尿病足的影响以及现有的治疗选择。还介绍了糖尿病患者群体中马蹄足患病率的新数据。
