Journal of Foot and Ankle Surgery
Volume 48, Issue 6 , Pages 648-652 , November 2009

Is There Histomorphological Evidence of Plantar Metatarsal Fat Pad Atrophy in Patients with Diabetes?

  • Ute Waldecker, PD. Dr. Med.

      Affiliations

    • PD. Dr. med, Chefärztin der Abteilung für Orthopädie, Hufeland Klinik, Bad Ems, Germany
    • Corresponding Author InformationAddress correspondence to: Ute Waldecker, PD. Dr. med., Abteilung für Orthopädie, Hufeland Klinik, Taunusallee 5, 56130 Bad Ems, Germany.
    • ,
  • Hans-Anton Lehr, Prof. Dr. Med.

      Affiliations

    • Prof. Dr. med, Médecin chef, Institut Universitaire de Pathologie, Centre Hospitalier Universitaire Vaudois (CHUV), Lausanne, Switzerland

References 

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  3. Wrobel JS, Birkmeyer NJ, Dercoli JL, Connolly JE. Do clinical examination variables predict plantar pressures in the diabetic foot?. J Am Podiatr Med Assoc. 2003;93(5):367–372
  4. Huijberts MS, Schaper NC, Schalkwijk CG. Advanced glycation end products and diabetic foot disease. Diabetes Metab Res Rev. 2008;24(suppl 1):19–24
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  9. Waldecker U. Plantar fat pad atrophy—a cause of metatarsalgia. J Foot Ankle Surg. 2001;40(1):21–27
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  11. Bus SA, Maas M, Cavanagh PR, Michels RP, Levi M. Plantar fat pad displacement in neuropathic diabetic patients with toe deformity: a magnetic resonance imaging study. Diabetes Care. 2004;17(10):2376–2381
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  13. Hermann B. Form und Statik der Metatarsalköpfchenreihe beim Erwachsenen. Z Orthop Ihre Grenzgeb. 1995;133(4):335–340
  14. Jahss MH, Michelson JD, Desai P, Kaye R, Kummer F, Buschman W, et al. Investigations in the fat pads of the sole of the foot: anatomy and histology. Foot Ankle. 1992;13(5):233–242
  15. Kao PF, Davis BL, Hardy PA. Characterization of the calcaneal fat pad in diabetic and non diabetic patients using magnetic resonance imaging. J Magn Reson Imaging. 1999;17:851–857
  16. Bus SA, Maas M, Lindeboom R. Reproducibility of foot structure measurements in neuropathic diabetic patients using magnetic resonance imaging. J Magn Reson Imaging. 2006;24(1):25–32
  17. Robertson DD, Mueller MJ, Smith KE, Commean PK, Pilgram T, Johnson JE. Structural changes in the forefoot of individuals with diabetes and prior plantar ulcer. J Bone Joint Surg Am. 2002;84A:1395–1404
  18. Brash PD, Foster J, Vennart W, Anthony P, Tooke JE. Magnetic resonance imaging techniques demonstrate soft tissue damage in the diabetic foot. Diabetes Med. 1999;16(1):55–61
  19. Cheung YY, Doyley M, Miller TB, Kennedy F, Lynch F, Wrobel JS, et al. Magnetic resonance elastography of the plantar fat pads: preliminary study in diabetic patients and asymptomatic volunteers. J Comput Assist Tomogr. 2006;30(2):321–326
  20. Hsu TC, Lee YS, Shau YW. Biomechanics of the heel pad for type 2 diabetic patients. Clin Biomech. 2002;17(4):291–296
  21. Hsu TC, Tsai WC, Shau YW, Lee KL, Hu CF. Altered energy dissipation ratio of the plantar soft tissues under the metatarsal heads in patients with type 2 diabetes mellitus: a pilot study. Clin Biomech. 2007;22(1):67–73
  22. Bus SA, Maas M, de Lange A, Michels RP, Levi M. Elevated plantar pressures in neuropathic diabetic patients with claw/hammer toe deformity. J Biomech. 2005;38(9):1918–1925
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 Financial Disclosure: None reported.

 Conflict of Interest: None reported.

PII: S1067-2516(09)00292-0

doi: 10.1053/j.jfas.2009.07.008

Journal of Foot and Ankle Surgery
Volume 48, Issue 6 , Pages 648-652 , November 2009

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