2026-06-08T13:39:33Zhttps://docta.ucm.es/rest/oai/request
oai:docta.ucm.es:20.500.14352/82032024-09-13T18:24:09Zcom_20.500.14352_14col_20.500.14352_15
Docta Complutense author Molines Barroso, Raúl Juan author García Álvarez, Yolanda author García Klepzig, José Luis author García Morales, Esther Alicia author Álvaro Afonso, Francisco Javier author Lázaro Martínez, José Luis 2023-06-17T09:06:56Z 2023-06-17T09:06:56Z 2020-03-14 2077-0383 10.3390/jcm9030794 https://hdl.handle.net/20.500.14352/8203 https://doi.org/10.3390/jcm9030794 https://www.mdpi.com/2077-0383/9/3/794 We aimed to evaluate the differences in the sub-metatarsal skin and fat pad atrophy between patients at a high risk of ulceration with and without previous metatarsal head resection. A cross-sectional study was performed in a diabetic foot unit involving 19 participants with a history of metatarsal head resection (experimental group) and 19 (control group) without a history of metatarsal head resection but with an ulcer in other locations in the metatarsal head. No participants had active ulcerations at study inclusion. Sub-metatarsal skin thickness and fat pad thickness in the first and second metatarsals were evaluated by an ultrasound transducer. The experimental group showed sub-metatarsal fat pad atrophy (3.74 ± 1.18 mm and 2.52 ± 1.04 mm for first and second metatarsal, respectively) compared with the control group (5.44 ± 1.12 mm and 4.73 ± 1.59 mm) (p < 0.001, confidence interval: (CI): 0.943–2.457 and p < 0.001, CI: 1.143–3.270 for first and second metatarsal, respectively); however, sub-metatarsal skin thickness was not different between groups (experimental 2.47 ± 0.47 mm vs. control 2.80 ± 0.58 mm (p = 0.063, CI: −0.019–0.672) and 2.24 ± 0.60 mm vs. 2.62 ± 0.50 mm (p = 0.066, CI: −0.027–0.786) for first and second metatarsal, respectively). Patients with previous metatarsal head resection showed sub-metatarsal fat pad atrophy, which could be associated with the risk of reulceration in the metatarsal head. eng Atribución 3.0 España Differences in the Sub-Metatarsal Fat Pad Atrophy Symptoms between Patients with Metatarsal Head Resection and Those without Metatarsal Head Resection: A Cross-Sectional Study journal article URL https://docta.ucm.es/bitstreams/74b12e36-6f9c-422c-ab61-23a3b7aa2128/download File MD5 7880fd1cb43b7ecb994d7400508424e9 1480302 application/pdf jcm-09-00794.pdf