Rearfoot Realignment as a Prophylactic Strategy for Recurrent Lateral Column Ulcers in Diabetic Foot: A Case-Based Hypothesis

Authors

Christopher I. Anjorin MS DPMc, The University of Texas Rio Grande ValleyFollow
Ali-Abdul Kareem DPM, The University of Texas Rio Grande ValleyFollow

Document Type

Article

Publication Date

Spring 2026

Abstract

Lateral column ulcerations remain a persistent and complex challenge in diabetic foot management. Although procedures such as tailor’s bunionectomy may provide localized pressure relief, they often fail to address the underlying biomechanical contributors, most notably rearfoot deformities such as calcaneal varus or pes cavovarus frequently observed in diabetic patients. These structural abnormalities shift the weight‑bearing axis laterally, increasing ground reaction forces along the fifth metatarsal and predisposing individuals with diabetic peripheral neuropathy and impaired proprioception to recurrent ulceration. This case explores the hypothesis that prophylactic rearfoot realignment may offer superior long‑term outcomes by correcting the mechanical etiology of lateral column overload.

Recommended Citation

Anjorin, Christopher I. MS DPMc and Kareem, Ali-Abdul DPM, "Rearfoot Realignment as a Prophylactic Strategy for Recurrent Lateral Column Ulcers in Diabetic Foot: A Case-Based Hypothesis" (2026). School of Podiatric Medicine - Student Research. 33.
https://scholarworks.utrgv.edu/sopm_mspub/33