Kakagia Despoina D, Karadimas Efthimios J, Stouras Ioannis A, Papanas Nikolaos
Department of Plastic Surgery, Democritus University of Thrace, Alexandroupolis, Greece.
Department Trauma and Orthopaedics, Hellenic Red Cross Hospital, Athens, Greece.
Int J Low Extrem Wounds. 2023 Sep 26:15347346231203279. doi: 10.1177/15347346231203279.
Feet suffer significant stress throughout a lifetime and undergo ageing-associated problems due to gradual tissue degeneration affecting the skin, connective tissue, and nerves. Oxygen supply to the tissues may be diminished. The skin gets dry and calluses, ulcers and fungal infections of the skin and nails are not uncommon. Ligaments and tendons degenerate and, without proper prevention, deformities including claw toes, hammer toes, tendonitis, and bursitis may occur. Skeletal toe deformities such as bunions, bony spurs, and hallux valgus may increase discomfort, while stress fractures may have an adverse impact on the patients' quality of life. The ageing foot pathology may add up to common age-related problems, such as crystal deposition arthropathies, diabetes mellitus, peripheral circulatory disorders, and peripheral edema, increasing morbidity. This review summarizes ageing-related feet problems, focusing on prevention and treatment. Foot health has a paramount role in overall wellbeing, therefore prevention, proper foot care, and prompt diagnosis and management of ageing-related changes are vital for maintaining a healthy, active status.
足部在一生中承受着巨大的压力,由于影响皮肤、结缔组织和神经的组织逐渐退化,会出现与衰老相关的问题。组织的氧气供应可能会减少。皮肤会变得干燥并形成老茧,皮肤和指甲的溃疡及真菌感染并不罕见。韧带和肌腱会退化,若没有适当的预防措施,可能会出现包括爪形趾、槌状趾、肌腱炎和滑囊炎在内的畸形。诸如拇囊炎、骨赘和拇外翻等骨骼性趾畸形可能会增加不适感,而应力性骨折可能会对患者的生活质量产生不利影响。足部衰老病理可能会叠加一些常见的与年龄相关的问题,如晶体沉积性关节病、糖尿病、外周循环障碍和外周水肿,从而增加发病率。本综述总结了与衰老相关的足部问题,重点关注预防和治疗。足部健康在整体健康中起着至关重要的作用,因此,预防、适当的足部护理以及对与衰老相关变化的及时诊断和管理对于维持健康、活跃的状态至关重要。