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oai:docta.ucm.es:20.500.14352/82032024-09-13T18:24:09Zcom_20.500.14352_14col_20.500.14352_15

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 Molines Barroso, Raúl Juan García Álvarez, Yolanda García Klepzig, José Luis García Morales, Esther Alicia Álvaro Afonso, Francisco Javier Lázaro Martínez, José Luis 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. 2023-06-17T09:06:56Z 2023-06-17T09:06:56Z 2020-03-14 journal article 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 eng https://creativecommons.org/licenses/by/3.0/es/ open access Atribución 3.0 España MDPI