They are thus popular for warm-weather wear, because they let the foot be cooler than a closed-toed shoe would. The majority of dress shoes have an upper covering, commonly made of leather, enclosing While an extremely pointed toe is a modern stylization appearing in the 1940s, the toe of the shoe is covered with a perforated panel, the wing-tip, which extends down either side of the shoe. Shoes with uppers made high to cover the ankles are also available; a shoe with the upper rising above the ankle is usually considered a boot but certain styles may be referred to as high-topped shoes or high-tops. Shoes may have high or low heels, although in western cultures, high heels are considered a woman's style. The altered forces at the knee caused by walking in high heels, may predispose to degenerative changes.

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