Semmes-Weinstein monofilament testing
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Clinical significance
- failure to detect pressure is associated with a high risk of developing foot injury in patients with peripheral neuropathy.
Procedure
- pressure is applied to the plantar surface of the distal hallux & the 1st, 3rd & 5th metatarsals of the foot with a 5.07 monofilament*
A 10 gram monofilament is suggested under diabetic foot.
More general terms
References
- ↑ Saunders Manual of Medical Practice, Rakel (ed), WB Saunders, Philadelphia, 1996, pg 1046
- ↑ NEJM Knowledge+ Endocrinology
- ↑ Feng Y, Schlosser FJ, Sumpio BE. The Semmes Weinstein monofilament examination as a screening tool for diabetic peripheral neuropathy. J Vasc Surg. 2009 Sep;50(3):675-82, 682.e1. PMID: https://www.ncbi.nlm.nih.gov/pubmed/19595541 Free article. Review.