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1
Cuarana MF, Bradbury AW, Adam DJ: The validity, reliability, reproducibility, and extended utility of ankle to brachial pressure index in current vascular surgical practice. .Eur J Endovasc Surg 29::443. ,2005. .
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2
Diacogiorgis D: Clinical indicators for intervention in the rehabilitation of inpatients. .Australas J Podiatr Med 37::95. ,2003. .
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3
Baker N, Rayman G: Clinical evaluation of Doppler signals. .Diabetic Foot 2::22. ,1999. .
-
4
Aboyans V, Lacroix P, Lebourdon A, et al: The intra- and interobserver variability of ankle-arm blood pressure index according to its mode of calculation. .J Clin Epidemiol 56::215. ,2002. .
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5
Grasty S: Use of the handheld Doppler to detect peripheral vascular disease. .Diabetic Foot Suppl 2::18. ,1999. .
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6
Campbell WB, Fletcher EL, Hands LJ: Assessment of the distal lower limb arteries: a comparison of arteriography and Doppler ultrasound. .Ann R Coll Surg Engl 68::37. ,1986. .
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7
Raspovic A: Ankle brachial indices: do they have a role in the assessment of blood flow to the feet in people with diabetes?. Australas J Podiatr Med 38::75. ,1999. .
Chronic Ischemia Presenting as Muscular Groin Pain
A 66-year-old man was admitted to a hospital rehabilitation unit for the management of chronic groin pain. Since the groin pain began, he had been unable to bear weight on his right foot. During a podiatric examination, the patient reported sharp pain at the apex of his right hallux. A full podiatric assessment was undertaken to evaluate his vascular, neurologic, and biomechanical status. The patient’s ankle-brachial index was found to be 0.34 in the right lower limb and 0.68 in the left lower limb. After vascular assessment, the patient was diagnosed as having chronic ischemia of the right leg. He underwent left-to-right femoral-to-femoral bypass graft surgery to salvage the right lower leg and foot. (J Am Podiatr Med Assoc 97(5): 402–404, 2007)
