It is widely assumed that there is some atrophy of the plantar forefoot fad pad in those with diabetes. This atrophy of the fat pad is thought to be a potential risk factor for plantar ulceration under the forefoot in those with diabetes. A recent study in the Journal of Foot and Ankle Surgery found that this was not the case, concluding that : “ systemic atrophy of the metatarsal fat pad is not present in the diabetic foot and may not explain the structural changes previously proposed by noninvasive imaging “
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Plantar forefoot fat pad atrophy does not occur in diabetes
