Plantar fat-pad displacement in neuropathic diabetic patients with toe deformity a magnetic resonance imaging study
The aim of this study was to quantify the association between claw/hammer toe deformity and changes in submetatarsal head (sub-MTH) fat-pad geometry in diabetic neuropathic feet. Thirteen neuropathic diabetic subjects (mean age 56.2 years) with toe deformity, 13 age- and sex-matched neuropathic diab...
Gespeichert in:
| Veröffentlicht in: | Diabetes care 2004-10, Vol.27 (10), p.2376-2381 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 2381 |
|---|---|
| container_issue | 10 |
| container_start_page | 2376 |
| container_title | Diabetes care |
| container_volume | 27 |
| creator | BUS, Sicco A MAAS, Mario CAVANAGH, Peter R MICHELS, Robert P. J LEVI, Marcel |
| description | The aim of this study was to quantify the association between claw/hammer toe deformity and changes in submetatarsal head (sub-MTH) fat-pad geometry in diabetic neuropathic feet.
Thirteen neuropathic diabetic subjects (mean age 56.2 years) with toe deformity, 13 age- and sex-matched neuropathic diabetic control subjects without deformity, and 13 age- and sex-matched healthy control subjects without deformity were examined. From high-resolution sagittal plane magnetic resonance images of the second and third ray of the foot, toe angle (a measure of deformity), sub-MTH fat-pad thickness, and subphalangeal fat-pad thickness were measured. The ratio of these thicknesses was used to indicate fat-pad displacement.
Sub-MTH fat pads were significantly thinner (2.5 +/- 1.3 vs. 6.0 +/- 1.4 mm, P < 0.001) and subphalangeal fat pads significantly thicker (9.1 +/- 1.9 vs. 7.6 +/- 1.2 mm, P < 0.005) in the neuropathic group with deformity compared with neuropathic control subjects. As a result, thickness ratio was substantially smaller in the deformity group: 0.28 +/- 0.14 vs. 0.79 +/- 0.14 in neuropathic control subjects (P < 0.001). A significant correlation of 0.85 was present between toe angle and thickness ratio (P < 0.001). No significant differences were found between neuropathic and healthy control subjects.
This study shows a distal displacement and subsequent thinning of the sub-MTH fat pads in neuropathic diabetic patients with toe deformity and suggests that, as a result, the capacity of the tissue in this region to reduce focal plantar pressure is severely compromised. This condition is likely to increase the risk of plantar ulceration in these patients. |
| doi_str_mv | 10.2337/diacare.27.10.2376 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_66914948</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A123326426</galeid><sourcerecordid>A123326426</sourcerecordid><originalsourceid>FETCH-LOGICAL-g287t-35b0d17b4969ed7dc17eaf9c7f49213c62b2937de9ec0e901b5f232772f04da83</originalsourceid><addsrcrecordid>eNqFkU9rFTEUxYMo9ln9Ai4kCHY3z_yb5GVZilahoAtdD3eSO9OUmcyYZJD37Y3tE0EKkkWSc3-55J5DyGvO9kJK894HcJBwL8z-XjL6CdlxK9umbdXhKdkxrmzTWivOyIuc7xhjSh0Oz8kZb1XLLZM7kr9OEAskOkBpVvDUh7xO4HDGWGiINOKWlhXKbXC1Bj2Weqj3UOuZ_gzllpYFqcdhSXMoRwp0hjHeYwnzEiE6pKFqIY40l80fX5JnA0wZX532c_L944dvV5-amy_Xn68ub5pRHExpZNszz02vrLbojXfcIAzWmUFZwaXTohdWGo8WHUPLeN8OQgpjxMCUh4M8JxcPfde0_Ngwl24O2eFUJ8Zly53Wthqk_g9yq347Jyr49h_wbtlSrEN0QkhmWKtVhZoHaIQJuxCHpSRwI0ZMMC0Rh1DlS14jFFoJXfn9I3xdHufgHn3w5vSLrZ_Rd2uq9qZj9yfVCrw7AZAdTEOqGYT8l9NcM1b7_QIAkLJ6</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>223070564</pqid></control><display><type>article</type><title>Plantar fat-pad displacement in neuropathic diabetic patients with toe deformity a magnetic resonance imaging study</title><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><creator>BUS, Sicco A ; MAAS, Mario ; CAVANAGH, Peter R ; MICHELS, Robert P. J ; LEVI, Marcel</creator><creatorcontrib>BUS, Sicco A ; MAAS, Mario ; CAVANAGH, Peter R ; MICHELS, Robert P. J ; LEVI, Marcel</creatorcontrib><description>The aim of this study was to quantify the association between claw/hammer toe deformity and changes in submetatarsal head (sub-MTH) fat-pad geometry in diabetic neuropathic feet.
Thirteen neuropathic diabetic subjects (mean age 56.2 years) with toe deformity, 13 age- and sex-matched neuropathic diabetic control subjects without deformity, and 13 age- and sex-matched healthy control subjects without deformity were examined. From high-resolution sagittal plane magnetic resonance images of the second and third ray of the foot, toe angle (a measure of deformity), sub-MTH fat-pad thickness, and subphalangeal fat-pad thickness were measured. The ratio of these thicknesses was used to indicate fat-pad displacement.
Sub-MTH fat pads were significantly thinner (2.5 +/- 1.3 vs. 6.0 +/- 1.4 mm, P < 0.001) and subphalangeal fat pads significantly thicker (9.1 +/- 1.9 vs. 7.6 +/- 1.2 mm, P < 0.005) in the neuropathic group with deformity compared with neuropathic control subjects. As a result, thickness ratio was substantially smaller in the deformity group: 0.28 +/- 0.14 vs. 0.79 +/- 0.14 in neuropathic control subjects (P < 0.001). A significant correlation of 0.85 was present between toe angle and thickness ratio (P < 0.001). No significant differences were found between neuropathic and healthy control subjects.
This study shows a distal displacement and subsequent thinning of the sub-MTH fat pads in neuropathic diabetic patients with toe deformity and suggests that, as a result, the capacity of the tissue in this region to reduce focal plantar pressure is severely compromised. This condition is likely to increase the risk of plantar ulceration in these patients.</description><identifier>ISSN: 0149-5992</identifier><identifier>EISSN: 1935-5548</identifier><identifier>DOI: 10.2337/diacare.27.10.2376</identifier><identifier>PMID: 15451903</identifier><identifier>CODEN: DICAD2</identifier><language>eng</language><publisher>Alexandria, VA: American Diabetes Association</publisher><subject>Adipose Tissue - pathology ; Age Distribution ; Aged ; Analysis of Variance ; Biological and medical sciences ; Case-Control Studies ; Cohort Studies ; Diabetes ; Diabetes. Impaired glucose tolerance ; Diabetic Foot - diagnosis ; Diabetic Foot - epidemiology ; Diabetic Foot - etiology ; Diabetic neuropathies ; Diabetic Neuropathies - complications ; Diabetic Neuropathies - diagnosis ; Diabetics ; Diagnosis ; Endocrine pancreas. Apud cells (diseases) ; Endocrinopathies ; Etiopathogenesis. Screening. Investigations. Target tissue resistance ; Female ; Fingers & toes ; Foot Deformities, Acquired - diagnosis ; Foot Deformities, Acquired - etiology ; Health aspects ; Humans ; Incidence ; Magnetic Resonance Imaging ; Male ; Medical sciences ; Middle Aged ; Oils & fats ; Probability ; Prognosis ; Reference Values ; Risk Assessment ; Risk factors ; Sensitivity and Specificity ; Severity of Illness Index ; Sex Distribution ; Tissues ; Toes - abnormalities ; Toes - pathology</subject><ispartof>Diabetes care, 2004-10, Vol.27 (10), p.2376-2381</ispartof><rights>2005 INIST-CNRS</rights><rights>Copyright 2004 American Diabetes Association</rights><rights>COPYRIGHT 2004 American Diabetes Association</rights><rights>Copyright American Diabetes Association Oct 2004</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16160012$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15451903$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>BUS, Sicco A</creatorcontrib><creatorcontrib>MAAS, Mario</creatorcontrib><creatorcontrib>CAVANAGH, Peter R</creatorcontrib><creatorcontrib>MICHELS, Robert P. J</creatorcontrib><creatorcontrib>LEVI, Marcel</creatorcontrib><title>Plantar fat-pad displacement in neuropathic diabetic patients with toe deformity a magnetic resonance imaging study</title><title>Diabetes care</title><addtitle>Diabetes Care</addtitle><description>The aim of this study was to quantify the association between claw/hammer toe deformity and changes in submetatarsal head (sub-MTH) fat-pad geometry in diabetic neuropathic feet.
Thirteen neuropathic diabetic subjects (mean age 56.2 years) with toe deformity, 13 age- and sex-matched neuropathic diabetic control subjects without deformity, and 13 age- and sex-matched healthy control subjects without deformity were examined. From high-resolution sagittal plane magnetic resonance images of the second and third ray of the foot, toe angle (a measure of deformity), sub-MTH fat-pad thickness, and subphalangeal fat-pad thickness were measured. The ratio of these thicknesses was used to indicate fat-pad displacement.
Sub-MTH fat pads were significantly thinner (2.5 +/- 1.3 vs. 6.0 +/- 1.4 mm, P < 0.001) and subphalangeal fat pads significantly thicker (9.1 +/- 1.9 vs. 7.6 +/- 1.2 mm, P < 0.005) in the neuropathic group with deformity compared with neuropathic control subjects. As a result, thickness ratio was substantially smaller in the deformity group: 0.28 +/- 0.14 vs. 0.79 +/- 0.14 in neuropathic control subjects (P < 0.001). A significant correlation of 0.85 was present between toe angle and thickness ratio (P < 0.001). No significant differences were found between neuropathic and healthy control subjects.
This study shows a distal displacement and subsequent thinning of the sub-MTH fat pads in neuropathic diabetic patients with toe deformity and suggests that, as a result, the capacity of the tissue in this region to reduce focal plantar pressure is severely compromised. This condition is likely to increase the risk of plantar ulceration in these patients.</description><subject>Adipose Tissue - pathology</subject><subject>Age Distribution</subject><subject>Aged</subject><subject>Analysis of Variance</subject><subject>Biological and medical sciences</subject><subject>Case-Control Studies</subject><subject>Cohort Studies</subject><subject>Diabetes</subject><subject>Diabetes. Impaired glucose tolerance</subject><subject>Diabetic Foot - diagnosis</subject><subject>Diabetic Foot - epidemiology</subject><subject>Diabetic Foot - etiology</subject><subject>Diabetic neuropathies</subject><subject>Diabetic Neuropathies - complications</subject><subject>Diabetic Neuropathies - diagnosis</subject><subject>Diabetics</subject><subject>Diagnosis</subject><subject>Endocrine pancreas. Apud cells (diseases)</subject><subject>Endocrinopathies</subject><subject>Etiopathogenesis. Screening. Investigations. Target tissue resistance</subject><subject>Female</subject><subject>Fingers & toes</subject><subject>Foot Deformities, Acquired - diagnosis</subject><subject>Foot Deformities, Acquired - etiology</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Incidence</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Oils & fats</subject><subject>Probability</subject><subject>Prognosis</subject><subject>Reference Values</subject><subject>Risk Assessment</subject><subject>Risk factors</subject><subject>Sensitivity and Specificity</subject><subject>Severity of Illness Index</subject><subject>Sex Distribution</subject><subject>Tissues</subject><subject>Toes - abnormalities</subject><subject>Toes - pathology</subject><issn>0149-5992</issn><issn>1935-5548</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkU9rFTEUxYMo9ln9Ai4kCHY3z_yb5GVZilahoAtdD3eSO9OUmcyYZJD37Y3tE0EKkkWSc3-55J5DyGvO9kJK894HcJBwL8z-XjL6CdlxK9umbdXhKdkxrmzTWivOyIuc7xhjSh0Oz8kZb1XLLZM7kr9OEAskOkBpVvDUh7xO4HDGWGiINOKWlhXKbXC1Bj2Weqj3UOuZ_gzllpYFqcdhSXMoRwp0hjHeYwnzEiE6pKFqIY40l80fX5JnA0wZX532c_L944dvV5-amy_Xn68ub5pRHExpZNszz02vrLbojXfcIAzWmUFZwaXTohdWGo8WHUPLeN8OQgpjxMCUh4M8JxcPfde0_Ngwl24O2eFUJ8Zly53Wthqk_g9yq347Jyr49h_wbtlSrEN0QkhmWKtVhZoHaIQJuxCHpSRwI0ZMMC0Rh1DlS14jFFoJXfn9I3xdHufgHn3w5vSLrZ_Rd2uq9qZj9yfVCrw7AZAdTEOqGYT8l9NcM1b7_QIAkLJ6</recordid><startdate>200410</startdate><enddate>200410</enddate><creator>BUS, Sicco A</creator><creator>MAAS, Mario</creator><creator>CAVANAGH, Peter R</creator><creator>MICHELS, Robert P. J</creator><creator>LEVI, Marcel</creator><general>American Diabetes Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>3V.</scope><scope>7RV</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0K</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M2P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7TK</scope><scope>7X8</scope></search><sort><creationdate>200410</creationdate><title>Plantar fat-pad displacement in neuropathic diabetic patients with toe deformity a magnetic resonance imaging study</title><author>BUS, Sicco A ; MAAS, Mario ; CAVANAGH, Peter R ; MICHELS, Robert P. J ; LEVI, Marcel</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-g287t-35b0d17b4969ed7dc17eaf9c7f49213c62b2937de9ec0e901b5f232772f04da83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adipose Tissue - pathology</topic><topic>Age Distribution</topic><topic>Aged</topic><topic>Analysis of Variance</topic><topic>Biological and medical sciences</topic><topic>Case-Control Studies</topic><topic>Cohort Studies</topic><topic>Diabetes</topic><topic>Diabetes. Impaired glucose tolerance</topic><topic>Diabetic Foot - diagnosis</topic><topic>Diabetic Foot - epidemiology</topic><topic>Diabetic Foot - etiology</topic><topic>Diabetic neuropathies</topic><topic>Diabetic Neuropathies - complications</topic><topic>Diabetic Neuropathies - diagnosis</topic><topic>Diabetics</topic><topic>Diagnosis</topic><topic>Endocrine pancreas. Apud cells (diseases)</topic><topic>Endocrinopathies</topic><topic>Etiopathogenesis. Screening. Investigations. Target tissue resistance</topic><topic>Female</topic><topic>Fingers & toes</topic><topic>Foot Deformities, Acquired - diagnosis</topic><topic>Foot Deformities, Acquired - etiology</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Incidence</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Oils & fats</topic><topic>Probability</topic><topic>Prognosis</topic><topic>Reference Values</topic><topic>Risk Assessment</topic><topic>Risk factors</topic><topic>Sensitivity and Specificity</topic><topic>Severity of Illness Index</topic><topic>Sex Distribution</topic><topic>Tissues</topic><topic>Toes - abnormalities</topic><topic>Toes - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>BUS, Sicco A</creatorcontrib><creatorcontrib>MAAS, Mario</creatorcontrib><creatorcontrib>CAVANAGH, Peter R</creatorcontrib><creatorcontrib>MICHELS, Robert P. J</creatorcontrib><creatorcontrib>LEVI, Marcel</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Agricultural Science Database</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Diabetes care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>BUS, Sicco A</au><au>MAAS, Mario</au><au>CAVANAGH, Peter R</au><au>MICHELS, Robert P. J</au><au>LEVI, Marcel</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Plantar fat-pad displacement in neuropathic diabetic patients with toe deformity a magnetic resonance imaging study</atitle><jtitle>Diabetes care</jtitle><addtitle>Diabetes Care</addtitle><date>2004-10</date><risdate>2004</risdate><volume>27</volume><issue>10</issue><spage>2376</spage><epage>2381</epage><pages>2376-2381</pages><issn>0149-5992</issn><eissn>1935-5548</eissn><coden>DICAD2</coden><abstract>The aim of this study was to quantify the association between claw/hammer toe deformity and changes in submetatarsal head (sub-MTH) fat-pad geometry in diabetic neuropathic feet.
Thirteen neuropathic diabetic subjects (mean age 56.2 years) with toe deformity, 13 age- and sex-matched neuropathic diabetic control subjects without deformity, and 13 age- and sex-matched healthy control subjects without deformity were examined. From high-resolution sagittal plane magnetic resonance images of the second and third ray of the foot, toe angle (a measure of deformity), sub-MTH fat-pad thickness, and subphalangeal fat-pad thickness were measured. The ratio of these thicknesses was used to indicate fat-pad displacement.
Sub-MTH fat pads were significantly thinner (2.5 +/- 1.3 vs. 6.0 +/- 1.4 mm, P < 0.001) and subphalangeal fat pads significantly thicker (9.1 +/- 1.9 vs. 7.6 +/- 1.2 mm, P < 0.005) in the neuropathic group with deformity compared with neuropathic control subjects. As a result, thickness ratio was substantially smaller in the deformity group: 0.28 +/- 0.14 vs. 0.79 +/- 0.14 in neuropathic control subjects (P < 0.001). A significant correlation of 0.85 was present between toe angle and thickness ratio (P < 0.001). No significant differences were found between neuropathic and healthy control subjects.
This study shows a distal displacement and subsequent thinning of the sub-MTH fat pads in neuropathic diabetic patients with toe deformity and suggests that, as a result, the capacity of the tissue in this region to reduce focal plantar pressure is severely compromised. This condition is likely to increase the risk of plantar ulceration in these patients.</abstract><cop>Alexandria, VA</cop><pub>American Diabetes Association</pub><pmid>15451903</pmid><doi>10.2337/diacare.27.10.2376</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0149-5992 |
| ispartof | Diabetes care, 2004-10, Vol.27 (10), p.2376-2381 |
| issn | 0149-5992 1935-5548 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_66914948 |
| source | MEDLINE; EZB-FREE-00999 freely available EZB journals |
| subjects | Adipose Tissue - pathology Age Distribution Aged Analysis of Variance Biological and medical sciences Case-Control Studies Cohort Studies Diabetes Diabetes. Impaired glucose tolerance Diabetic Foot - diagnosis Diabetic Foot - epidemiology Diabetic Foot - etiology Diabetic neuropathies Diabetic Neuropathies - complications Diabetic Neuropathies - diagnosis Diabetics Diagnosis Endocrine pancreas. Apud cells (diseases) Endocrinopathies Etiopathogenesis. Screening. Investigations. Target tissue resistance Female Fingers & toes Foot Deformities, Acquired - diagnosis Foot Deformities, Acquired - etiology Health aspects Humans Incidence Magnetic Resonance Imaging Male Medical sciences Middle Aged Oils & fats Probability Prognosis Reference Values Risk Assessment Risk factors Sensitivity and Specificity Severity of Illness Index Sex Distribution Tissues Toes - abnormalities Toes - pathology |
| title | Plantar fat-pad displacement in neuropathic diabetic patients with toe deformity a magnetic resonance imaging study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-20T07%3A35%3A59IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Plantar%20fat-pad%20displacement%20in%20neuropathic%20diabetic%20patients%20with%20toe%20deformity%20a%20magnetic%20resonance%20imaging%20study&rft.jtitle=Diabetes%20care&rft.au=BUS,%20Sicco%20A&rft.date=2004-10&rft.volume=27&rft.issue=10&rft.spage=2376&rft.epage=2381&rft.pages=2376-2381&rft.issn=0149-5992&rft.eissn=1935-5548&rft.coden=DICAD2&rft_id=info:doi/10.2337/diacare.27.10.2376&rft_dat=%3Cgale_proqu%3EA123326426%3C/gale_proqu%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=223070564&rft_id=info:pmid/15451903&rft_galeid=A123326426&rfr_iscdi=true |