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  • upper limb function x
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Andreas F. Mavrogenis First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, ATTIKON University Hospital, Athens, Greece

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Panayiotis D. Megaloikonomos First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, ATTIKON University Hospital, Athens, Greece

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Thekla Antoniadou First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, ATTIKON University Hospital, Athens, Greece

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Vasilios G. Igoumenou First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, ATTIKON University Hospital, Athens, Greece

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Georgios N. Panagopoulos First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, ATTIKON University Hospital, Athens, Greece

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Leonidas Dimopoulos First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, ATTIKON University Hospital, Athens, Greece

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Konstantinos G. Moulakakis Department of Vascular Surgery, National and Kapodistrian University of Athens, School of Medicine, ATTIKON University Hospital, Athens, Greece

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George S. Sfyroeras Department of Vascular Surgery, National and Kapodistrian University of Athens, School of Medicine, ATTIKON University Hospital, Athens, Greece

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Andreas Lazaris Department of Vascular Surgery, National and Kapodistrian University of Athens, School of Medicine, ATTIKON University Hospital, Athens, Greece

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symptoms, renal and retinal function, and co-morbitities. 18 - 25 Physical examination should determine the size, depth, colour and position of the DFU, neuropathy, ischaemia or neuro-ischaemia of the foot, bone exposed, necrosis, infection, and the

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E. Mascard Necker University Hospital, 75015 Paris, France.

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N. Gaspar Department of Pediatrics, Institute Gustave Roussy, 94805 Villejuif, France

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L. Brugières Department of Pediatrics, Institute Gustave Roussy, 94805 Villejuif, France

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C. Glorion Orthopedic Surgery Department, Necker University Hospital, 149 rue de Sèvres, 75015 Paris, France

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S. Pannier Orthopedic Surgery Department, Necker University Hospital, 149 rue de Sèvres, 75015 Paris, France

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A. Gomez-Brouchet Laboratoire d'anatomie et cytologie pathologiques, Institut Universitaire du Cancer de Toulouse- Oncopole, 1 avenue Irène Joliot-Curie. 31059 Toulouse Cedex 9, France

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adolescents and young adults (aged 10 to 40 years), with a male gender predominance. It is less infrequent in the distal extremities of upper and lower limbs. When superficially located, ES usually presents as firm, slowly growing painless nodules or plaque

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Carlos Maynou CHU Lille, Orthopaedic Department, F-59000 Lille, France

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Christophe Szymanski CHU Lille, Orthopaedic Department, F-59000 Lille, France

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Alexis Thiounn CHU Lille, Orthopaedic Department, F-59000 Lille, France

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-wasting or hypertrophy should be noted. A complete neurological examination of both the upper and the lower limbs is needed. To detect any muscular imbalance, a full examination of all muscle groups should be performed for power and graded between 1 and 5 on

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Lukas Fraissler University of Würzburg, Germany

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Christian Konrads University of Würzburg, Germany

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Maik Hoberg University of Würzburg, Germany

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Maximilian Rudert University of Würzburg, Germany

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Matthias Walcher University of Würzburg, Germany

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° upper limit. 7 , 8 , 11 The distal metatarsal articular angle (DMAA) is measured between the distal articular surface and the perpendicular line to the longitudinal axis of the first metatarsal. It is considered non-pathological at up to 10° in

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Patrick Ziegler BG Klinik Tübingen, Department of Traumatology and Reconstructive Surgery, Eberhard Karls University of Tübingen, Tübingen, Germany
Department of Orthopaedics and Trauma Surgery, Klinik Gut, St. Moritz, Switzerland

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Christian Bahrs Schön Klinik Neustadt, Neustadt in Holstein, Germany

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Christian Konrads Department of Orthopaedic Surgery, University of Tübingen, Tübingen, Germany

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Philipp Hemmann BG Klinik Tübingen, Department of Traumatology and Reconstructive Surgery, Eberhard Karls University of Tübingen, Tübingen, Germany

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Marc-Daniel Ahrend BG Klinik Tübingen, Department of Traumatology and Reconstructive Surgery, Eberhard Karls University of Tübingen, Tübingen, Germany
AO Research Institute Davos, Davos Switzerland

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pathologic, and a CT angiography is recommended ( 9 ). If the CT angiography reveals relevant vascular stenosis which negatively affects limb perfusion, a percutaneous transluminal angioplasty either stand-alone or combined with stent implantation should be

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