Diabetic foot clinical presentation

Clinical signs of infection in the diabetic foot may not be present secondary to the angiopathy and neuropathy. 

Detailed study for patients visiting various rehabilitation clinics at UMMC has been carried out for the year 2010. The rehabilitation clinics considered for the present study are Neuro surgical rehabilitation, Neuro Medical rehabilitation. Amputee rehabilitation. Spinal rehabilitation, Paeds rehabilitation. Scoliosis rehabilitation and Spasticity rehabilitation respectively. Fig. 1 shows the number of patients visited throughout the year at rehabilitation clinics. The scoliosis rehabilitation clinic shows the maximum number of patients visited. Spasticity rehabilitation clinic was least visited by patients compared to all the clinics. The numbers of transfemoral and transtibial amputation shows increase in numbers from the 2009, the occurrence of partial foot amputation was more than the other amputation levels both in 2009 and 2010 (see fig. 2).Main three causes noticed for amputations included 1. Diabetics 2. Trauma S.Cancer. 

Peroneal tendon tears can be observed in patients following ankle sprains or with a history of chronic instability, especially if they are affected by systemic disorders such as rheumatoid arthritis and diabetes mellitus or are receiving corticosteroids (Kraus and Brodsky 1998 Wang et al. 2005). Clinically, the rupture of peroneal tendons leads to inability to evert and cavovar us foot Tears of the peroneus brevis tendon are most common and present with a typical longitudinal configuration, commonly referred to as split or fis-... 

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