Dry Gangrene Of The

Collateral Circulation Diabetic Foot

A 52-year-old woman with type 2 diabetes mellitus diagnosed at the age of 42 years and being treated with sulfonylureas, was referred to the outpatient diabetic foot clinic Figure 7.9 Digital subtraction ang-iography of the foot illustrated in Figures 7.7 and 7.8, showing severe multifocal stenosis of both iliac arteries and almost complete obstruction of both superficial femoral arteries Figure 7.9 Digital subtraction ang-iography of the foot illustrated in Figures 7.7 and 7.8, showing severe...

First Ray Amputation

Year Old Foot Ray

A 72-year-old male patient with type 2 diabetes diagnosed at the age of 56 years and Figure 3.30 X-ray image of the foot illustrated in Figures 3.28 and 3.29. Disarticulation of the left second toe, dislocation of the metatarsophalangeal joint of the great toe, medial pronation of the first metatarsal head, and hallux valgus deformity with rotation, together with dislocation at the sesamoids and arthritis necrosis of the head of the third metatarsal bone is also evident Figure 3.31 Photograph...

Digital Subtraction Angiography

Base Proximal Phalanx 5th Toe

A 54-year-old female suffering from type 2 diabetes and being treated with metformin Figure 7.14 Post-stent digital subtraction angiography of the foot shown in Figures 7.12 and 7.13. Courtesy of C. Liapis Figure 7.14 Post-stent digital subtraction angiography of the foot shown in Figures 7.12 and 7.13. Courtesy of C. Liapis and insulin, was admitted to the vascular surgery ward she complained of worsening intermittent claudication in her right leg which had occurred over the previous 2 months....

Postoperative Hallux Valgus After Second Toe Removal

Diabetic Pictures Are Gross

A 55-year-old female patient with type 2 diabetes diagnosed at the age of 40 years, treated with insulin, and erratic glycemic control, visited the diabetic foot clinic because of recurrent callus formation. She had background retinopathy, hypertension, and severe peripheral neuropathy, and a history of amputation of her left second toe 3 years previously due to osteomyelitis after a perforated ulcer. After removal of her second toe, her left great toe gradually dislocated to a val-gus posture,...