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Previous Volume 343:787-793 September 14, 2000 Number 11 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Ulcers result from breaks in the dermal barrier, with subsequent erosion of underlying subcutaneous tissue. In severe cases, the breach may extend to muscle and bone. Primary care providers are often the first to evaluate nonhealing pedal ulcers. Early recognition of the cause and prompt management of ulcers are essential for a good functional outcome. In many cases, successful salvage of an extremity depends on a multidisciplinary team of specialists, and timely consultation is warranted.

Causes

Walking consists of a complex series of biomechanical events involving triplanar movements of the foot and ankle (Figure 1A). ² A variety of external . . . [Full Text of this Article]

Arterial Insufficiency

Neuropathy

Musculoskeletal Abnormalities

Diabetes Mellitus

Assessment and Management

Vascular Causes

Neurologic and Musculoskeletal Causes

Wound

Summary

Source Information

From the Department of Surgery (Vascular), Yale University School of Medicine, New Haven, Conn.

Address reprint requests to Dr. Sumpio at the Yale University School of Medicine, 333 Cedar St., New Haven, CT 06510, or at bauer.sumpio@yale.edu.

References

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