Ankle equinus deformity and its relationship to high plantar pressure in a large population with diabetes mellitus

Lawrence A. Lavery, David G. Armstrong, Andrew J M Boulton

Research output: Contribution to journalArticle

118 Citations (Scopus)

Abstract

The authors undertook a study to evaluate the prevalence of ankle equinus and its potential relationship to high plantar pressure in a large, urban population with diabetes mellitus. The first 1,666 consecutive people with diabetes (50.3% male; mean [±SD] age, 69.1 ± 11.1 years) presenting to a large, urban, managed-care outpatient clinic were enrolled in this longitudinal, 2-year outcomes study. Patients received a standardized medical and musculoskeletal assessment at the time of enrollment, including evaluation at an onsite gait laboratory. Equinus was defined as less than 0° of dorsiflexion at the ankle. The overall prevalence of equinus in this population was 10.3%. Patients with equinus had significantly higher peak plantar pressures than those without the deformity and were at nearly three times greater risk for presenting with elevated plantar pressures. There were no significant differences in age, weight, or sex between the two groups. However, patients with equinus had a significantly longer duration of diabetes than those without equinus. Having a high index of suspicion for this deformity and subsequently addressing it through conservative or surgical means may help to reduce the risk of foot ulceration and amputation.

Original languageEnglish (US)
Pages (from-to)479-482
Number of pages4
JournalJournal of the American Podiatric Medical Association
Volume92
Issue number9
StatePublished - Oct 2002

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Equinus Deformity
Ankle
Diabetes Mellitus
Pressure
Population
Urban Population
Managed Care Programs
Ambulatory Care Facilities
Gait
Amputation
Foot
Outcome Assessment (Health Care)
Weights and Measures

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

Cite this

Ankle equinus deformity and its relationship to high plantar pressure in a large population with diabetes mellitus. / Lavery, Lawrence A.; Armstrong, David G.; Boulton, Andrew J M.

In: Journal of the American Podiatric Medical Association, Vol. 92, No. 9, 10.2002, p. 479-482.

Research output: Contribution to journalArticle

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