What is the gaiter area?
Skin just proximal to the medial malleolus (‘gaiter’ zone) is the usual site for venous ulceration in later life, whereas shin and dorsum of the foot are generally unaffected.
Where is the gaiter region?
Venous ulceration (see image below) is commonly noted in the “gaiter” region of the legs. This region is located circumferentially around the lower leg from approximately mid calf to just below the medial and lateral malleoli.
What is a gaiter wound?
In venous disease, ulcers are usually located in the gaiter area between the ankle and the calf, often on the medial aspect of the leg. Venous ulcers arise from venous valve incompetence. Valvular incompetence in the deep veins causes the vessels to become distended and stretch to accommodate the additional blood flow.
Why do gaiter ulcers occur in venous areas?
Patients with reduced mobility or obesity may develop ulceration in the gaiter area because of venous hypertension resulting from inadequate functioning of the calf muscle pump. The commonest causes of vasculitic ulcers are rheumatoid arthritis, systemic lupus, and polyarteritis nodosa.
Where are venous ulcers usually located?
Venous ulcers most often form around the ankles. Venous ulcers typically occur because of damage to the valves inside the leg veins. These valves control the blood pressure inside the veins. They allow it to drop when you walk.
What is an ulcer on the ankle?
What are ankle ulcers? An ulcer is an open sore or lesion on the body that is slow to heal or keeps returning. Ulcers result from skin tissue breakdown and may be painful.
Where do arterial ulcers appear most often?
Arterial ulcers are often found between or on the tips of the toes, on the heels, on the outer ankle, or where there is pressure from walking or footwear. The wounds themselves are characteristically deep, often extending down to the underlying tendons, and will frequently display no signs of new tissue growth.
How can you tell the difference between a venous and arterial ulcer?
Arterial ulcers develop as the result of damage to the arteries due to lack of blood flow to tissue. Venous ulcers develop from damage to the veins caused by an insufficient return of blood back to the heart. Unlike other ulcers, these leg wounds can take months to heal, if they heal at all.
Why is it called gaiters area?
Military origins and terminology In RAF parlance, gaiter includes legging. The American Army during World War I and World War II had leggings, which were gaiters. Above the knee spatterdashes were cotton or canvas, as were many gaiters of varying lengths thereafter.
Where are arterial ulcers located?
Arterial ulcers often form on the outer side of the ankle, feet, heels, or toes. They can form in other areas, too. These ulcers are painful and have a “punched out” appearance.
Why is it called the gaiter region?
In RAF parlance, gaiter includes legging. The American Army during World War I and World War II had leggings, which were gaiters. Above the knee spatterdashes were cotton or canvas, as were many gaiters of varying lengths thereafter.
Where do arterial ulcers occur?