{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:34:10Z","timestamp":1740126850655,"version":"3.37.3"},"reference-count":40,"publisher":"Georg Thieme Verlag KG","issue":"08","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Exp Clin Endocrinol Diabetes"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Aim To investigate the alterations in the plantar fascia (PF), intrinsic\n                    muscles, and tendons in the feet of patients at high risk for developing\n                    diabetic foot.<\/jats:p><jats:p>\n          Methods The healthy feet of 22 patients with type 2 diabetes, who had\n                    developed diabetic foot ulcers on a single foot without any pathology on the\n                    contralateral extremity, and those of 22 healthy volunteers were evaluated by\n                    magnetic resonance imaging. The volume of the Achilles tendon (AT), the surface\n                    area of the PF, the thickness of AT, flexor hallucis longus, flexor digitorum\n                    longus, tibialis posterior, and peroneus longus tendons, irregularity in the PF,\n                    and edema of intrinsic foot muscles were examined.<\/jats:p><jats:p>\n          Results Nineteen patients (86%) had irregularity in the PF,\n                    whereas none of the healthy controls had any (p&lt;0.001). Intrinsic muscle\n                    edema was more common in the group with diabetes (p=0.006). The volume\n                    of AT and the surface area of PF were decreased in patients with peripheral\n                    arterial disease (PAD) (p&lt;0.05). Patients with diabetes mellitus but\n                    without PAD had a larger surface area of PF than that of controls\n                    (p&lt;0.05). There were no differences in the volume of AT, the surface\n                    area of the PF, and other tendon thickness between the groups.<\/jats:p><jats:p>\n          Conclusion Irregularity in the PF and muscle edema may indicate a high\n                    risk for the diabetic foot. The presence of PAD may lead to regression in the\n                    structure of AT and PF.<\/jats:p>","DOI":"10.1055\/a-1642-2056","type":"journal-article","created":{"date-parts":[[2021,11,16]],"date-time":"2021-11-16T00:00:55Z","timestamp":1637020855000},"page":"525-531","source":"Crossref","is-referenced-by-count":0,"title":["Irregularity in Plantar Fascia, Muscle Edema and Tendon Thickness in\n                    Patients with High-Risk for Diabetic Foot"],"prefix":"10.1055","volume":"130","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6426-6583","authenticated-orcid":false,"given":"Busra Yurumez","family":"Korkmaz","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Gazi University Faculty of Medicine,\n                    Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mujde","family":"Akturk","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Metabolism, Gazi University Faculty of\n                    Medicine, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Murat","family":"Ucar","sequence":"additional","affiliation":[{"name":"Department of Radiology, Gazi University Faculty of Medicine, Ankara,\n                    Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alev Eroglu","family":"Alt\u0131nova","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Metabolism, Gazi University Faculty of\n                    Medicine, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehmet Ali","family":"Can","sequence":"additional","affiliation":[{"name":"Department of Radiology, Gazi University Faculty of Medicine, Ankara,\n                    Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emre","family":"Arslan","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Metabolism, Gazi University Faculty of\n                    Medicine, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nil","family":"Tokgoz","sequence":"additional","affiliation":[{"name":"Department of Radiology, Gazi University Faculty of Medicine, Ankara,\n                    Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fusun","family":"Toruner","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Metabolism, Gazi University Faculty of\n                    Medicine, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,11,15]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"e3160","DOI":"10.1002\/dmrr.3160","article-title":"Global recurrence rates in diabetic foot ulcers: a systematic review and\n                    meta-analysis","volume":"35","author":"X L Fu","year":"2019","journal-title":"Diabetes Metab Res Rev"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"480","DOI":"10.1111\/j.1464-5491.1994.tb00310.x","article-title":"The prevalence of foot ulceration and its correlates in type 2 diabetic\n                    patients: A population-based study","volume":"11","author":"S Kumar","year":"1994","journal-title":"Diabet Med"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"333","DOI":"10.12968\/jowc.2010.19.8.77711","article-title":"Prevalence of diabetic foot syndrome and its risk factors in the UK","volume":"19","author":"S Lauterbach","year":"2010","journal-title":"J Wound Care"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1002\/dmrr.2696","article-title":"IWGDF guidance on the prevention of foot ulcers in at-risk patients with\n                    diabetes","volume":"32","author":"S Bus","year":"2016","journal-title":"Diabetes Metab Res Rev"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1148\/radiographics.20.suppl_1.g00oc18s295","article-title":"Abnormal signal intensity in skeletal muscle at MR imaging: patterns, pearls and\n                    pitfalls","volume":"20","author":"D May","year":"2000","journal-title":"Radiographics"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1055\/a-0840-3292","article-title":"Acoustic radiation force impulse elastography and ultrasonographic findings of\n                    Achilles tendon in patients with and without diabetic peripheral neuropathy: A\n                    cross-sectional study","volume":"129","author":"\u00d6T \u0130yidir","year":"2021","journal-title":"Exp Clin Endocrinol Diabetes"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"1525","DOI":"10.2337\/diacare.26.5.1525","article-title":"Contribution of plantar fascia to the increased forefoot pressures in diabetic\n                    ptients","volume":"26","author":"E D\u2019Ambrogi","year":"2003","journal-title":"Diabetes Care"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"532","DOI":"10.1016\/j.clinbiomech.2005.01.011","article-title":"Does the thickening of Achilles tendon and plantar fascia contribute to the\n                    alteration of diabetic foot loading?","volume":"20","author":"C Giacomozzi","year":"2005","journal-title":"Clin Biomech"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"1109","DOI":"10.1007\/s10067-012-1955-y","article-title":"Achilles tendon and plantar fascia in recently diagnosed type II diabetes: role\n                    of body mass index","volume":"31","author":"M Abate","year":"2012","journal-title":"Clin Rheumatol"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"850","DOI":"10.1111\/1753-0407.12254","article-title":"Intrinsic foot muscle and plantar tissue changes in type 2 diabetes\n                    mellitus","volume":"7","author":"C Kumar","year":"2015","journal-title":"J Diabetes"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"e0174529","DOI":"10.1371\/journal.pone.0174529","article-title":"Plantar fascia enthesopathy is highly prevalent in diabetic patients without\n                    peripheral neuropathy and correlates with retinopathy and impaired kidney\n                    function","volume":"12","author":"F Ursini","year":"2017","journal-title":"PLoS One"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"408","DOI":"10.2337\/diacare.25.2.408","article-title":"Thickness of the supraspinatus and biceps tendons in diabetic patients","volume":"25","author":"M Akturk","year":"2002","journal-title":"Diabetes Care"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"886","DOI":"10.1111\/j.1464-5491.2010.03197.x","article-title":"Alterations of tendons in patients with diabetes mellitus: a systematic\n                    review","volume":"28","author":"R de Oliveira","year":"2011","journal-title":"Diabet Med"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1055\/s-2007-955097","article-title":"Evaluation of achilles tendon thickening in type 2 diabetes mellitus","volume":"115","author":"M Akturk","year":"2007","journal-title":"Exp Clin Endocrinol Diabetes"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1016\/j.jdiacomp.2012.03.017","article-title":"Aerobic physical training restores biomechanical properties of Achilles tendon\n                    in rats chemically induced to diabetes mellitus","volume":"26","author":"R R de Oliveira","year":"2012","journal-title":"J Diabetes Complications"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1055\/s-0029-1224121","article-title":"Achilles tendon volume in type 2 diabetic patients with or without peripheral\n                    neuropathy: MRI study","volume":"117","author":"N Papanas","year":"2009","journal-title":"Exp Clin Endocrinol Diabetes"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"540","DOI":"10.1016\/j.clinbiomech.2004.12.007","article-title":"Computed tomography to visualize and quantify the plantar aponeurosis and flexor\n                    hallucis longus tendon in the diabetic foot","volume":"20","author":"N Bolton","year":"2005","journal-title":"Clin Biomech"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"e74942","DOI":"10.1371\/journal.pone.0074942","article-title":"Experimental diabetes induces structural, inflammatory and vascular changes of\n                    achilles tendons","volume":"8","author":"R R de Oliveira","year":"2013","journal-title":"PLoS One"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"1171","DOI":"10.1016\/S0033-8389(02)00036-2","article-title":"Work-up of the diabetic foot","volume":"40","author":"W Morrison","year":"2002","journal-title":"Radiol Clin North Am"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"1201","DOI":"10.2337\/dc07-2168","article-title":"Plantar fascia thickness, a measure of tissue glycation, predicts the\n                    development of complications in adolescents with type 1 diabetes","volume":"31","author":"M Craig","year":"2008","journal-title":"Diabetes Care"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1111\/wrr.12522","article-title":"Recurrent and other new foot ulcers after healed plantar forefoot diabetic\n                    ulcer","volume":"25","author":"H \u00d6rneholm","year":"2017","journal-title":"Wound Repair Regen"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1093\/ptj\/76.1.68","article-title":"Identifying patients with diabetes mellitus who are at risk for lower-extremity\n                    complications: use of Semmes-Weinstein Monofilaments","volume":"76","author":"M Mueller","year":"1996","journal-title":"Phys Ther"},{"key":"ref23","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1161\/CIRCULATIONAHA.106.174526","article-title":"ACC\/AHA 2005 practice guidelines for the management of patients with\n                    peripheral arterial disease (lower extremity, renal, mesenteric, and abdominal\n                    aortic)","volume":"113","author":"A T Hirsch","year":"2006","journal-title":"Circulation"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"1157","DOI":"10.1259\/bjr\/34786470","article-title":"Tendon and ligament imaging","volume":"85","author":"R J Hodgson","year":"2012","journal-title":"Br J Radiol"},{"key":"ref25","doi-asserted-by":"crossref","first-page":"929","DOI":"10.1007\/s00256-008-0497-5","article-title":"Anatomical features of plantar aponeurosis: cadaveric study using\n                    ultrasonography and magnetic resonance imaging","volume":"37","author":"C Moraes do Carmo","year":"2008","journal-title":"Skeletal Radiol"},{"key":"ref26","doi-asserted-by":"crossref","first-page":"1291","DOI":"10.7863\/jum.2006.25.10.1291","article-title":"Sonographic measurement of achilles tendons in asymptomatic subjects: variation\n                    with age, body height and dominance of ankle","volume":"25","author":"B Pang","year":"2006","journal-title":"J Ultrasound Med"},{"key":"ref27","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1016\/S1067-2516(97)80072-5","article-title":"Electron microscopic investigation of the effects of diabetes mellitus on the\n                    achilles tendon","volume":"36","author":"W Grant","year":"1997","journal-title":"J Foot Ankle Surg"},{"key":"ref28","first-page":"25","article-title":"The mechanics of the foot II. The plantar aponeurosis and the arch","volume":"88","author":"J Hicks","year":"1954","journal-title":"J Anat"},{"key":"ref29","doi-asserted-by":"crossref","first-page":"1002","DOI":"10.1093\/rheumatology\/40.9.1002","article-title":"The role of ultrasonography in the diagnosis and management of idiopathic\n                    plantar fasciitis","volume":"40","author":"D Kane","year":"2001","journal-title":"Rheumatology"},{"key":"ref30","doi-asserted-by":"crossref","first-page":"8","DOI":"10.7547\/8750-7315-105.1.8","article-title":"Detection of normal plantar fascia thickness in adults via the ultrasonographic\n                    method","volume":"105","author":"K Abul","year":"2015","journal-title":"J Am Podiatr Med Assoc"},{"key":"ref31","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1007\/s13244-016-0533-2","article-title":"Imaging of plantar fascia disorders: findings on plain radiography, ultrasound\n                    and magnetic resonance imaging","volume":"8","author":"F Draghi","year":"2017","journal-title":"Insights Imaging"},{"key":"ref32","doi-asserted-by":"crossref","first-page":"99","DOI":"10.7547\/16-059","article-title":"High prevalence of achilles tendon enthesopathic changes in patients with type 2\n                    diabetes without peripheral neuropathy","volume":"107","author":"F Ursini","year":"2017","journal-title":"J Am Podiatr Med Assoc"},{"key":"ref33","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1016\/j.clinbiomech.2012.09.001","article-title":"Do the biomechanical properties of the ankle-foot complex influence postural\n                    control for people with type 2 diabetes\u202f?","volume":"28","author":"GL Y Cheing","year":"2013","journal-title":"Clin Biomech"},{"key":"ref34","doi-asserted-by":"crossref","first-page":"1124","DOI":"10.1016\/j.jdiacomp.2015.08.012","article-title":"Real-time sonoelastography and ultrasound evaluation of the achilles tendon in\n                    patients with diabetes with or without foot ulcers: a cross sectional study","volume":"29","author":"B Evranos","year":"2015","journal-title":"J Diabetes Complications"},{"key":"ref35","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s11926-019-0807-z","article-title":"Diagnostic imaging of inflammatory myopathies: new concepts and a radiological\n                    approach","volume":"21","author":"J B Guimar\u00e3es","year":"2019","journal-title":"Curr Rheumatol Rep"},{"key":"ref36","doi-asserted-by":"crossref","first-page":"813","DOI":"10.2214\/ajr.157.4.1892042","article-title":"Abnormalities of the foot in patients with diabetes mellitus: findings on MR\n                    imaging","volume":"157","author":"T Moore","year":"1991","journal-title":"Am J Roentgenol"},{"key":"ref37","doi-asserted-by":"crossref","first-page":"1959","DOI":"10.1148\/rg.327125054","article-title":"Diabetic musculoskeletal complications and their imaging mimics","volume":"32","author":"J Baker","year":"2012","journal-title":"Radiographics"},{"key":"ref38","doi-asserted-by":"crossref","first-page":"747","DOI":"10.1016\/j.rcl.2005.02.008","article-title":"MR Imaging of the diabetic foot: Diagnostic challenges","volume":"43","author":"D S Chatha","year":"2005","journal-title":"Radiol Clin North Am"},{"key":"ref39","first-page":"65","article-title":"MRI of tendon injuries","volume":"14","author":"G El-Khoury","year":"1994","journal-title":"Iowa Orthop J"},{"key":"ref40","doi-asserted-by":"crossref","first-page":"842","DOI":"10.2519\/jospt.2015.5880","article-title":"Tendinopathy: is imaging telling us the entire story?","volume":"45","author":"S Docking","year":"2015","journal-title":"J Orthop Sports Phys Ther"}],"container-title":["Experimental and Clinical Endocrinology &amp; Diabetes"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1642-2056.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,27]],"date-time":"2024-06-27T14:16:39Z","timestamp":1719497799000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1642-2056"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,11,15]]},"references-count":40,"journal-issue":{"issue":"08","published-online":{"date-parts":[[2022,8,11]]},"published-print":{"date-parts":[[2022,8]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1642-2056","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0947-7349","1439-3646"],"issn-type":[{"type":"print","value":"0947-7349"},{"type":"electronic","value":"1439-3646"}],"subject":[],"published":{"date-parts":[[2021,11,15]]}}}