The DOI matches its Crossref record; 12 of the 12 references it cites were found in a registry or an index.
Ankle equinus deformity and its relationship to high plantar pressure in a large population with diabetes mellitus.
Abstract
The authors undertook a study to evaluate the prevalence of ankle equinus and its potential relationship to high plantar pressure in a large, urban population with diabetes mellitus. The first 1,666 consecutive people with diabetes (50.3% male; mean [+/-SD] age, 69.1 +/- 11.1 years) presenting to a large, urban, managed-care outpatient clinic were enrolled in this longitudinal, 2-year outcomes study. Patients received a standardized medical and musculoskeletal assessment at the time of enrollment, including evaluation at an onsite gait laboratory. Equinus was defined as less than 0 degrees of dorsiflexion at the ankle. The overall prevalence of equinus in this population was 10.3%. Patients with equinus had significantly higher peak plantar pressures than those without the deformity and were at nearly three times greater risk for presenting with elevated plantar pressures. There were no significant differences in age, weight, or sex between the two groups. However, patients with equinus had a significantly longer duration of diabetes than those without equinus. Having a high index of suspicion for this deformity and subsequently addressing it through conservative or surgical means may help to reduce the risk of foot ulceration and amputation.
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“Among patients with a new diabetic foot ulcer, those who had been seen by a podiatrist for preventive care in the year before ulcer development had a lower risk of major lower extremity amputation relative to those who had not seen a podiatrist in the past year(1.20%vs1.84%;OR,0.61[95%CI,0.51-0.72];P< .001).27”
From Diabetic Foot Ulcers: A Review (2023) · cites this paper as [27]
Citations
Cites
Pham, H., Armstrong, D. G., Harvey, C., Harkless, L. B., Giurini, J. M., & Veves, A. (2000) · Diabetes Care · doi:10.2337/diacare.23.5.606 · Cited by 654
Self-citationPractical Criteria for Screening Patients at High Risk for Diabetic Foot Ulceration
Lavery, L. A., Armstrong, D. G., Vela, S. A., Quebedeaux, T. L., & Fleischli, J. G. (1998) · Archives of Internal Medicine · doi:10.1001/archinte.158.2.157 · Cited by 481
Self-citationChoosing a Practical Screening Instrument to Identify Patients at Risk for Diabetic Foot Ulceration
Armstrong, D. G., Lavery, L. A., Vela, S. A., Quebedeaux, T. L., & Fleischli, J. G. (1998) · Archives of Internal Medicine · doi:10.1001/archinte.158.3.289 · Cited by 450
Self-citationPeters, E. J. G., & Lavery, L. A. (2001) · Diabetes Care · doi:10.2337/diacare.24.8.1442 · Cited by 286
Self-citationElectron microscopic investigation of the effects of diabetes mellitus on the Achilles tendon
Grant, W. P., Sullivan, R., Sonenshine, D. E., Adam, M., Slusser, J. H., Carson, K. A., & Vinik, A. I. (1997) · The Journal of Foot & Ankle Surgery · doi:10.1016/s1067-2516(97)80072-5 · Cited by 283
Elevated Peak Plantar Pressures in Patients Who Have Charcot Arthropathy*
Armstrong, D. G., & Lavery, L. A. (1998) · Journal of Bone and Joint Surgery · doi:10.2106/00004623-199803000-00009 · Cited by 186
Self-citationBirke, J. A., Franks, B. D., & Foto, J. G. (1995) · Foot & Ankle International · doi:10.1177/107110079501600506 · Cited by 125
The Development of Foot Deformities and Ulcers After Great Toe Amputation in Diabetes
Quebedeaux, T. L., Lavery, L. A., & Lavery, D. C. (1996) · Diabetes Care · doi:10.2337/diacare.19.2.165 · Cited by 119
Self-citationRosenbloom, A. L., Silverstein, J. H., Lezotte, D. C., Riley, W. J., & Maclaren, N. K. (1982) · The Journal of Pediatrics · doi:10.1016/s0022-3476(82)80351-x · Cited by 61
Arkkila, P. E. T., Kantola, I. M., & Viikari, J. S. A. (1997) · Journal of Diabetes and its Complications · doi:10.1016/s1056-8727(96)00038-4 · Cited by 54
Research works printed but not linked: 3
- Boulton AJ, Vileikyte L: The diabetic foot: the scope of the problem [review]. .J Fam Pract49::S3. ,2000. .11093553
- Armstrong DG, Lavery LA, Harkless LB: Who is at risk for diabetic foot ulceration? [review]. Clin Podiatr Med Surg15::11. ,1998. .9463765
- Kirkwood BR: Essentials of Medical Statistics, Blackwell, Oxford, 1988..
Cited by
Sorted by citations
Diabetic Foot Ulcers: A Review
Armstrong, D. G., Tan, T.-W., Boulton, A. J. M., & Bus, S. A. (2023) · JAMA · doi:10.1001/jama.2023.10578 · Cited by 1,928
Self-citationDiabetic Foot Disorders: A Clinical Practice Guideline (2006 Revision)
Frykberg, R. G., Zgonis, T., Armstrong, D. G., Driver, V. R., Giurini, J. M., Kravitz, S. R., Landsman, A. S., Lavery, L. A., Moore, J. C., Schuberth, J. M., et al. (2006) · The Journal of Foot & Ankle Surgery · doi:10.1016/s1067-2516(07)60001-5 · Cited by 844
Self-citationRisk Factors for Foot Infections in Individuals With Diabetes
Lavery, L. A., Armstrong, D. G., Wunderlich, R. P., Mohler, M. J., Wendel, C. S., & Lipsky, B. A. (2006) · Diabetes Care · doi:10.2337/dc05-2425 · Cited by 791
Self-citationRogers, L. C., Frykberg, R. G., Armstrong, D. G., Boulton, A. J. M., EDMONDS, M. E., Van, G. H., Hartemann, A., Game, F. L., Jeffcoate, W. J., Jirkovská, A., et al. (2011) · Diabetes Care · doi:10.2337/dc11-0844 · Cited by 597
Self-citationLavery, L. A., Armstrong, D. G., Wunderlich, R. P., Tredwell, J., & Boulton, A. J. M. (2003) · Diabetes Care · doi:10.2337/diacare.26.5.1435 · Cited by 492
Self-citation
Metadata
- Authors
- Lavery, L. A., Armstrong, D. G., & Boulton, A. J. M.
- Affiliations
- Loyola University Chicago (US)
- Manchester Royal Infirmary (GB)
- University of Miami (US)
- Venue
- Journal of the American Podiatric Medical Association
- Publisher
- MDPI AG
- Published
- 2002-10
- Volume
- 92
- Issue
- 9
- Pages
- 479-482
- ISSN
- 1930-8264 (ISSN-L)
- 8750-7315
- OpenAlex
- W2027846313
- Cited by
- 196
- References
- 12
- Citations by year
- 2026: 6 · 2025: 4 · 2024: 3 · 2023: 8 · 2022: 14 · 2021: 5 · 2020: 11 · 2019: 15 · 2018: 9 · 2017: 9 · 2016: 8 · 2015: 15 · 2014: 8 · 2013: 8 · 2012: 12
- FWCI
- 1.69
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American Podiatric Medical Association (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetic Foot Ulcer Assessment and Management
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Foot and Ankle Surgery
- Physical Sciences › Engineering › Biomedical Engineering › Lower Extremity Biomechanics and Pathologies
- Keywords
- plantar pressure, diabetes mellitus, prevalence, foot ulcer, amputation risk, ankle dorsiflexion, diabetes duration, gait analysis, diabetic foot
- MeSH terms
- Aged, Aged, 80 and over, Awards and Prizes, Diabetes Mellitus, Equinus Deformity, Female, Foot, Humans, Longitudinal Studies, Male, Pressure, Risk Factors, Prevalence, Diabetes Complications
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