Bursa and Callus: Friend or Foe

Bursa and Callus: Frirend or Foe
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Bursa and Callus: Friend or Foe. With special attention to malperforans ulcer, Charcot neuroarthropathy wounds, bunion ulcerations and erosions over medial aspects of hallux. By Michael B. Strauss, MD; Karim A. Manji, DPM; Stuart S. Miller, MD; and Ali A. Manji

This article was first published as the FEATURED ARTICLE in Wound Care & Hyperbaric Medicine, Volume 4 Issue 2. The article is now available to you Wound Care HBOMedicinein downloadable PDF format.

Topics discused in this article include:

  • Anatomy and Physiology of Callus and Bursa

  • Pathophysiology of Bursa and Callus

  • Figure on the Vicious Circle of Callus Formation and Repetitive Contact

  • Figure on Permutations of Callus Responses to Underlying Deformities

  • Vulnerable Structures Leading to Wounds and Infections

  • Malperforans Ulcers Under Metatarsal Heads

  • Figure on Hypertrophic Bursa Under Malperforans Ulcer

  • Figure on Stages & Management of the Malperforans Ulcer (from Callus to Amputation)

  • Figure on Stage 3 Malperforans Ulcer

  • Figure on Drilling & Osteoclasis for Stage 3 Malperforans Ulcer

  • Pathophysiology of Necrosis of the Metatarsal Head

  • Charcot Neuroarthropathy Ulcers

  • Eroded Skin over Bunion Deformities

  • Ulcerations of Skin over the Medial Aspect of the Hallux

  • Hallux Ulcer Overlying a Bone Spur

Also in this article - Dr. Jayesh B. Shah's Question and Answer Corner. (answers are provided)

About the Author

Michael B. Strauss, MD, FACS, AAOS is well known to the readers of Wound Care & Hyperbaric Medicine, having contributed six Featured Articles in recent aditions. Among his interests in hyperbaric medicine is understanding the mechanisms of hyperbaric oxygen. At the 1988 UHMS ASM, Dr. Strauss first presented on hyperoxygenation, vasoconstriction, and host factor mechanisms. Since then he has continually refined and updated his hyperbaric oxygen (HBO) mechanisms presentations. In his text MasterMinding Wounds, he discusses the mechanisms that especially pertain to wound healing while differentiating HBO mechanisms as primary and secondary. The previous and future WCHM articles represent further refinement and incorporation of new information for understanding the mechanisms of HBO. 

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