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2015 | OriginalPaper | Buchkapitel

3. Diagnostik

verfasst von : Prof. Dr. med. R. Lobmann, Univ.Prof. C. Espinola-Klein, Prof. Dr. med. H.H. Krämer, Dr. med. S. Schadmand-Fischer, Dr. med. U. Waldecker, Prof. Dr. med. A. Eckardt

Erschienen in: Der diabetische Fuß

Verlag: Springer Berlin Heidelberg

Zusammenfassung

Die Diagnostik des diabetischen Fußes muss interdisziplinär erfolgen. Hier gehen Diabetologie, Angiologie und Neurologie Hand in Hand. Neben der Beschreibung des Status des Lokalbefundes ist die Evaluation einer begleitenden Neuropathie ebenso wichtig wie der Gefäßstatus, sodass vor allen invasiven Maßnahmen eine entsprechende Gefäßrekonstruktion erfolgt. Dritte Komponente im Rahmen der diagnostischen Sicherung ist der Status der Infektsituation, da der nicht adäquat behandelte Infekt ein hohes Risikopotential für eine nachfolgende Major-Amputation beinhaltet. Sofern die Diagnostik bereits auf diese drei Hauptaspekte des diabetischen Fußes fokussiert ist, ergeben sich Vorteile für die Therapieplanung und für das Outcome des Patienten.
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Zurück zum Zitat Muller MJ (1989) Insensitivity, limited joint mobility andplantar ulcers in patients with diabetes mellitus. PhysTher 69: 453–462 Muller MJ (1989) Insensitivity, limited joint mobility andplantar ulcers in patients with diabetes mellitus. PhysTher 69: 453–462
Zurück zum Zitat Pecoraro R, Reiber G, Burgess E (1990) Pathways to diabeticlimb amputations. Diab Care 13: 513–521CrossRef Pecoraro R, Reiber G, Burgess E (1990) Pathways to diabeticlimb amputations. Diab Care 13: 513–521CrossRef
Zurück zum Zitat Pomeroy GC, Pike RH, Beals TC et al. (1999) Acquired flatfootin adults due to dysfunction of the posterior tibial tendon.J Bone Joint Surg Am 81: 1173–1182CrossRef Pomeroy GC, Pike RH, Beals TC et al. (1999) Acquired flatfootin adults due to dysfunction of the posterior tibial tendon.J Bone Joint Surg Am 81: 1173–1182CrossRef
Zurück zum Zitat Thomas N, Nissen KI, Helal B (1988) Disorders of the lesser raysIn: Helal B, Wilson D (eds) The foot. Churchill & Livingstone, Edinburgh Thomas N, Nissen KI, Helal B (1988) Disorders of the lesser raysIn: Helal B, Wilson D (eds) The foot. Churchill & Livingstone, Edinburgh
Zurück zum Zitat Wagner FW (1981) Thedysvascular foot: a system for diagnosisand treatment. Foot Ankle 2: 6–4 Wagner FW (1981) Thedysvascular foot: a system for diagnosisand treatment. Foot Ankle 2: 6–4
Zurück zum Zitat Waldecker U, Lehr HA (2009) Is there histomorphologicalevidence of plantar metatarsal fat pad atrophy in patientswith diabetes? Foot Ankle Surg 48 (6):648–52 Waldecker U, Lehr HA (2009) Is there histomorphologicalevidence of plantar metatarsal fat pad atrophy in patientswith diabetes? Foot Ankle Surg 48 (6):648–52
Zurück zum Zitat Zimny S, Schatz H, Pfohl M (2004) The role of limited jointmobility in diabetic patients with an at risk foot. DiabetesCare 27 (4):942–6 Zimny S, Schatz H, Pfohl M (2004) The role of limited jointmobility in diabetic patients with an at risk foot. DiabetesCare 27 (4):942–6
Zurück zum Zitat Zwipp H, Oestern HJ, Dralle W (1982) ZurradiologischenDiagnostik der antero-lateralenRotationsinstabilitatimoberenSprunggelenk. Unfallheilkunde 85: 419–426 Zwipp H, Oestern HJ, Dralle W (1982) ZurradiologischenDiagnostik der antero-lateralenRotationsinstabilitatimoberenSprunggelenk. Unfallheilkunde 85: 419–426
Metadaten
Titel
Diagnostik
verfasst von
Prof. Dr. med. R. Lobmann
Univ.Prof. C. Espinola-Klein
Prof. Dr. med. H.H. Krämer
Dr. med. S. Schadmand-Fischer
Dr. med. U. Waldecker
Prof. Dr. med. A. Eckardt
Copyright-Jahr
2015
Verlag
Springer Berlin Heidelberg
DOI
https://doi.org/10.1007/978-3-642-38425-7_3

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