This pressure ulcer formed from the inside out on the right 5th MT head. The lesion evolved over 11 weeks. What do you think this means?
If you saw the wound as it is on the photo to the right below, is there any intervention that would have prevented the development of the lesion below? On the photo below, note the wound is trying to heal from the margins, but bone is actually visible (although not obvious in this photo).
Check out the chapter by Clemens and Attinger (Angiosomes in the Diabetic Foot), and tell me what you think it means in the formation of pressure ulcers.