Arteriopathy by doppler ultrasound study and neuropathy by electromyography and nerve conduction study in diabetic foot

Abstract

Background: Diabetic foot ulcer is a common surgical problem in the surgical population. Objectives: This study evaluates some of the risk factors which are thought to play a role in the development of diabetic foot ulcer by using (color Doppler sonography, electromyography, and nerve conduction study). Materials and Methods: This was a prospective study on patients admitted to the surgical, medical, and orthopedic wards in the Almahweel General hospital in Babylon for a period from December 15, 2016, to December 15, 2018. Data were collected by history, clinical examination, investigation, and Doppler ultrasound for all patients. Results: Sixty-one patients (47 males and 14 females) were included in our study admitted to the Almahweel General Hospital in Babylon, Iraq. All patients showed different degree of peripheral arteriopathy, retinopathy, osteomyelitis, and different degree of neuropathy. Smoking increases the risk of diabetic foot. Conclusions: Smoking increases the severity of peripheral arteriopathy and neuropathy so increases the severity of diabetic foot ulcer. The severity of peripheral arteriopathy and neuropathy increased with increase the duration of diabetes mellitus. Diabetic foot ulcer is due to the coexistence of peripheral arteriopathy and neuropathy.

Keywords

• arteriopathy
• color doppler ultrasound/s
• diabetes mellitus
• electromyography
• nerve conduction study
• neuropathy