Plantar keratosis

slide for plantar keratosis

1. PLANTAR KERATOSIS Boby Harul Priono, dr Foot And Ankle Referat I PLANTAR KERATOSIS Pembimbing : dr. Andri primadhi Sp.OT

2. Introduction Plantar = the sole of the foot. Keratosis = A localized horny layer (sratum corneum) overgrowth of the skin, such as a wart or callus. 1 Epidemiology > 65 years old (33-78%) 2 1. Miller-Keane Encyclopedia and Medical dictionary 7 th edition. Saunders. 2003 2. Landarf, Karl B,  Adam Morrow, Anna Novak, Julia Potter. Effectiveness of scalpel debridement for painful plantar calluses in older people: a randomized trial . Journal of Foot and Ankle Research  2009,  2 :8  doi:10.1186/1757-1146-2-8

3. Why Important??? Pain Reduced walking speed Impaired balance Reduced independence when walking Functional limitation Landarf, Karl B,  Adam Morrow, Anna Novak, Julia Potter. Effectiveness of scalpel debridement for painful plantar calluses in older people: a randomized trial . Journal of Foot and Ankle Research  2009,  2 :8  doi:10.1186/1757-1146-2-8

4. The stratum corneum is composed Ceramides Cholesterol Fatty Acids Function, Barrier of : Infection Dehidration Chemicals M echanical stress

5. CLINICAL FEATURES HISTOLOGY

6. Plantar keratosis???? Non-Weight Bearing Vessel Coughlin, Michael, Charles Satlzman, Robert anderson. Mann’s surgery of foot and ankle. Elseveier. 2014

7. How to make early diagnosis

8. Harris mat imprint of Plantar keratosis

9. Causes Coughlin, Michael, Charles Satlzman, Robert anderson. Mann’s surgery of foot and ankle. Elseveier. 2014

10. Plantar Keratosis Classification Discrete Intractable Plantar Keratosis

11. Diffuse Intractable Plantar Keratosis

12. Therapy Conservative treatment SHAVING

13. Padding

14. Operative treatment A. Discrete IPK Calus under fibular condyle of metatarsal head

15. DuVries condylectomy

16. Discrete Callus beneath Tibial Sesamoid

17. Operative Treatment (cont’d) B. Diffuse IPK Usually because of anatomic pattern of the foot.

18. Scar Excision

19. Rehabilitation