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The Heel: Anatomy, Blood Supply, and the Pathophysiology of Pressure Ulcers
Annals of Plastic Surgery, 03/27/09
Cichowitz A et al. - It is likely that the metabolically active panniculus carnosus muscle is involved early in the course of pressure ulcers. Extensive pressure damage can be concealed by intact skin. Friction and shear are additional factors important in skin breakdown.
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