What is the majority region of the foot for ulcerations to occur?

The majority region of the foot for ulcerations to occur is the forefoot. Ulcerations in the forefoot are typically associated with high pressure and shear forces that arise from activities like walking and standing, especially in individuals with conditions such as diabetes mellitus. The forefoot includes areas like the metatarsal heads and toes, which are more prone to injuries and pressure-related ulcers due to their anatomical loading and the way patients distribute weight during gait.

In patients with neuropathy, common in diabetic populations, sensory loss can lead to a lack of awareness of injuries or pressure points, making the forefoot particularly vulnerable. Additionally, foot deformities such as bunions or hammertoes can exacerbate the risk for ulcerations in this area, as they can cause localized pressure and friction.

While ulcerations can certainly occur in other parts of the foot, the forefoot is where the incidence is most prevalent, making it critically important for practitioners to assess and manage this region effectively to prevent complications.