Trophic ulcers are one of the most debilitating complication of Hansen's disease, all the following are common site for trophic ulcers except
|A||Heads of the first and fifth metatarsals|
|C||Terminal phalanges of the fingers|
|D||Over the acromion|
Over the acromion
a. Tropohic ulcers are usually found at anesthetic sites and are precipitated and perpetuated by recurrent injury or abnormal areas of pressure developing on paralysed hands and feet.
b. The cause of injury could be mechanical, thermal etc. The area over the acromion though a site for a bedsore is not one of the sites for a trophic ulcer in hansen's