title: Location of plantar ulcerations in diabetic patients referred to a Department of Veterans Affairs podiatry clinic.
abstract: This study described the location of foot ulcerations via a retrospective chart review of diabetic patients in a Department of Veterans Affairs podiatry clinic and correlated location of ulceration with specific medical parameters. The heel was a site of ulceration in 11% of the patients. By multiple logistic regression, patients with diminished vascular function were more than five times more likely to have heel ulceration than patients with adequate vascular status. The findings suggest that heel ulcerations are more common than originally thought and are associated with diminished vascular status. Further work is necessary for reducing plantar heel pressure in individuals who are not presently candidates for vascular interventions.
authors.affiliation: Department of Kinesiology, California State University, Fullerton, 800 North State College Boulevard, Fullerton, CA 92834, USA. kperell@fullerton.edu
authors.forename: Karen L
authors.initials: KL
authors.lastname: Perell
authors.forename: Vincent
authors.initials: V
authors.lastname: Merrill
authors.forename: Aksone
authors.initials: A
authors.lastname: Nouvong
mesh_terms: D017719:Diabetic Foot / Q000473:pathology*; D005260:Female; D005545:Forefoot, Human; D006365:Heel; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014481:United States; D014493:United States Department of Veterans Affairs