Abstract

The evaluation of the forefoot consists of a brief history, a detailed examination, and supplementary tests. Foremost in the history is the chief complaint. The examination includes attention to gait, wear pattern of the shoes, location of tenderness, distribution of calluses, presence of swelling and masses, joint range of motion, changes in the circulatory and neurological systems, and status of the skin and nails. Supplementary studies include standing roentgenograms, blood tests, ankle blood pressure measurement using a Doppler instrument, photographs and footprint impression.

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