Distribution and correlates of plantar hyperkeratotic lesions in older people

Abstract

Background: Plantar hyperkeratotic lesions are common in older people and are associated with pain, mobility impairment and functional limitations. However, little has been documented in relation to the frequency or distribution of these lesions. The aim of this study was to document the occurrence of plantar hyperkeratotic lesions and the patterns in which they occur in a random sample of older people.

Impact of hallux valgus severity on general and foot‐specific health‐related quality of life

“…There were no differences in those who completed the health survey (n ϭ 2,831) and those who completed the regional pains survey and hallux valgus tool (n ϭ 1,030) in relation to mean Ϯ SD age (62.9 Ϯ 8.6 years versus 62.9 Ϯ 8.2 years; t [3,859] ϭ 0.0, P ϭ 1.00) or sex (56.4% versus 60.2% women; 2 ϭ 2.7, 1 df, P ϭ 0.10).…”

The Relation of Hallux Valgus Severity With Foot Function and Balance in Older Men

“…HV initially affects only the first MTP joint, but as the deformity progresses, the lateral displacement of the hallux interferes with the normal alignment and function of lesser toes, which results in hammer or claw toe deformation, altered weight-bearing patterns, and development of plantar keratotic lesions (5,12). Deformity of the great toe nail, splaying of the forefoot and problems with shoe fitting may also be observed.…”

The Biomechanics of the Diabetic Foot

“…Whether these calluses exist or not on a patients biomechanical timeline, these areas are accepting greater than normal tissue stress which will cascade to ulceration unimpeded in the face of diabetic neuropathy and must be decompensated biomechanically. [45][46][47][48][49] www.intechopen.com Figure 14 introduces the reader to the predictable sites of excess closed chain weight forming callus. Although the body's desire is to protect these areas from injury, like the fingertips of a guitar player, continued ground and shoe reactive forces cascades the clinical picture to that of the very injury it is attempting to prevent .…”

“…[45][46][47][48][49][50][51] Although it cannot be stated with certainty in all cases, there is evidence to state that underlying biomechanical pathology results in reductions in joint range of motion (functional hallux limitus, functional hallux extensus and ankle equinus to name a few) in www.intechopen.com the lower extremity. This results in stress in ligaments and tendons and joints such as the tendo Achilles, plantar fascia and great toe joint, especially in those foot types that are hypermobile such as the rearfoot and forefoot stable and flexible types.…”