COMPREHENSIVE EXAMINATION OF FEET
Inspection
The examiner should insist on removal of the shoes and socks or stockings. One should look for neuropathic changes like dry skin, fissures indicative of autonomic neuropathy (Fig. 2) deformities of the toes because of atrophy of small muscles of the foot (motor neuropathy). Common forefoot deformities that are known to increase plantar pressures and making the feet vulnerable for ulceration include metatarsal phalangeal joint hyperextension with interphalangeal flexion (Fig. 3) or distal phalangeal extension (Fig. 4). One should also look for bunions (Fig. 5), callus (Fig. 6) abnormal shape offoot indicating neuroarthropathy or charcot
Inspection
The examiner should insist on removal of the shoes and socks or stockings. One should look for neuropathic changes like dry skin, fissures indicative of autonomic neuropathy (Fig. 2) deformities of the toes because of atrophy of small muscles of the foot (motor neuropathy). Common forefoot deformities that are known to increase plantar pressures and making the feet vulnerable for ulceration include metatarsal phalangeal joint hyperextension with interphalangeal flexion (Fig. 3) or distal phalangeal extension (Fig. 4). One should also look for bunions (Fig. 5), callus (Fig. 6) abnormal shape offoot indicating neuroarthropathy or charcot
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