Presentation
OBJECTIVES: To analyse patients presenting with acute inflammatory ankle arthritis from an aetiological standpoint; whether they had Löfgren's syndrome (acute presentation of sarcoidosis), or Poncet's disease (reactive arthritis due to tuberculosis infection [ncbi.nlm.nih.gov]
Entire Body System
- Wound Infection
Superficial wound infection occurred in 3 cases, and was cured after debridement; the other incisions healed by first intention without complications. All ankles were fused at 1 year follow-up after operation. [ncbi.nlm.nih.gov]
superficial wound breakdown, no infection – dressings, Abx as above plus wound infection – joint aspirate +/- proceed Wound breakdown to joint – exchange poly +/- EDB flap Late, deep infection – implant removal and delayed fusion 45. [slideshare.net]
Complications The following complications may occur: [ 11 ] Deep infection of the joint. Wound infection. Delayed wound healing or breakdown. DVT or pulmonary embolism. Pain and stiffness despite replacement. Malleolar fracture. Impingement. [patient.info]
infection, deep infection, and osteolysis Please rate topic. [orthobullets.com]
Gastrointestinal
- Nausea
Ascites causes abdominal pain, swelling, nausea, vomiting, and other difficulties. [hopkinsmedicine.org]
Ascites is very uncomfortable and causes nausea, tiredness, breathlessness, and a feeling of being full. Liver disease is the most common cause of ascites. Other causes typically include cancer and heart failure. [medicalnewstoday.com]
The first is its overall impact on general wellbeing which may include discomfort in and around the abdomen, issues with mobility and posture, nausea or vomiting and shortness of breath. [gutscharity.org.uk]
This technique minimizes the other medications needed for surgery, resulting in less pain, less need for narcotic pain medication, less nausea and quicker recovery than general anesthesia. [umm.edu]
Other symptoms often include: Shortness of breath Nausea Swelling in legs and ankles Indigestion Vomiting Heartburn Loss of appetite Fever Hernia If you have a combination of these symptoms, see your doctor. [webmd.com]
- Abdominal Pain
Infection: This is called spontaneous bacterial peritonitis (SBP) and it usually causes abdominal pain, tenderness, fever or nausea. [gi.org]
Moderate amounts cause increased abdominal girth and weight gain. Massive amounts may cause nonspecific diffuse abdominal pressure, but actual pain is uncommon and suggests another cause of acute abdominal pain. [merckmanuals.com]
People with cancer may complain of signs and symptoms like: pain, weight loss, and fatigue in association with the abdominal distention. [emedicinehealth.com]
As more fluid accumulates, increased abdominal girth and size are commonly seen. Abdominal pain, discomfort, and bloating are also frequently seen as ascites becomes larger. [medicinenet.com]
Symptoms don’t always signal an emergency, but you should talk to your doctor if you experience the following: a distended, or swollen, abdomen sudden weight gain difficulty breathing when lying down diminished appetite abdominal pain bloating nausea [healthline.com]
- Constipation
Later symptoms and signs of ovarian cancer include: Ascites Pain with intercourse Pelvic pain or pressure Abdominal bloating and distension Gas and/or diarrhea Urinating frequently Constipation Constipation Changes in menstruation (period) Abnormal hair [emedicinehealth.com]
[…] may develop if cancer affects the: peritoneum liver lymphatic system ovaries breast bowel stomach pancreas lung womb Ascites is often painful and typically causes a person to feel: nauseated less hungry than usual tired breathless urinary urgency and constipation [medicalnewstoday.com]
The build-up of fluid may put pressure on the bowel making the person want to eat less, become constipated or experience a burning pain in the centre of the chest (indigestion). Nausea (feeling sick) and vomiting (being sick) can also occur. [gutscharity.org.uk]
Musculoskeletal
- Morning Stiffness
Symptoms of arthritis in the foot and ankle include: Early morning stiffness. Limitation in motion of joint. Recurring pain or tenderness in any joint. Redness or heat in a joint. Skin changes, including rashes and growths. [coastalfaa.com]
Short lived early morning stiffness ( Short-lived inactivity-relatedstiffness Swelling Some sufferers report swelling, mild effusion and defmority Age Usually 40yr+ Systemic Symptoms Absent Appearance Swelling over bony and soft tissue surfaces Protective [physio-pedia.com]
Treatment
For patients who fail to respond to nonsurgical modalities, the two primary treatment options are arthroplasty and arthrodesis. Each treatment option has strong proponents who argue the superiority of their treatment algorithm. [ncbi.nlm.nih.gov]
Ankle arthrodesis (“fusion”), which is still the most common and reliable treatment for ankle arthritis. Ankle replacement, which is a new and exciting treatment for ankle arthritis. [sosfai.com.au]
Prognosis
Although IF have a good prognosis with conservative treatment, increased awareness is of importance for prompt diagnosis and proper management. [ncbi.nlm.nih.gov]
Surgery AS is usually asymptomatic, but a prominent AS is often associated with decreased clarity on surgical view, as are other stromal opacitie Prognosis Prognosis is generally good in terms of vision and ocular health. ↑ 1.0 1.1 1.2 1.3 1.4 1.5 Kanski [eyewiki.aao.org]
Prognosis and outlook of ascites depend on the underlying condition. Symptoms can be managed and reduced, but it is the treatment of the cause of ascites that determines the outcome. [medicalnewstoday.com]
Etiology
/ Epidemiology / Natural History Etiology: posttraumatic, gouty arthrosis, hemochrmatosis, inflammatory arthritis (RA, psoriatic) Ankle Arthritis Anatomy. [eorif.com]
To get a sense of the relative prevalence of the etiologies of lower extremity arthritis in our setting, we evaluated the cause of arthritis of all new patients presenting to the University of Iowa Orthopaedic Department from 1999-2004 with arthritis [ncbi.nlm.nih.gov]
Introduction Defined as osteoarthritis of the tibiotalar joint Epidemiology less common than OA of knee and hip Pathophysiology causes include post-traumatic arthritis most common etiology, accounting for greater than 2/3 of all ankle arthritis primary [orthobullets.com]
Epidemiology
Post-traumatic osteoarthritis, right ankle and foot M19.172 - Post-traumatic osteoarthritis, left ankle and foot M19.179 - Post-traumatic osteoarthritis, unspecified ankle and foot Ankle Arthritis ICD-9 715.17 Ankle Arthritis Ankle Arthritis Etiology / Epidemiology [eorif.com]
Epidemiology of Osteoarthritis. Clinical Geriatric Medicine 26(3): 355-369.fckLRLevel of Evidence: C ↑ Saltzman CL, Salamon ML, Blanchard GM,Huff T, Hayes A, Buckwalter JA, Amendola A. Epidemiology of Ankle Arthritis. [physio-pedia.com]
Introduction Defined as osteoarthritis of the tibiotalar joint Epidemiology less common than OA of knee and hip Pathophysiology causes include post-traumatic arthritis most common etiology, accounting for greater than 2/3 of all ankle arthritis primary [orthobullets.com]
Pathophysiology
Abstract The pathophysiology of ascites in patients with cirrhosis is complex and includes increases in hepatic sinusoidal pressure, the formation of hepatic and splanchnic lymph, renal sodium retention, and hypoalbuminemia. [ncbi.nlm.nih.gov]
Pathophysiology The mechanism by which ascites fluid is formed is the excess water and sodium retention in the body. [intechopen.com]
Introduction Defined as osteoarthritis of the tibiotalar joint Epidemiology less common than OA of knee and hip Pathophysiology causes include post-traumatic arthritis most common etiology, accounting for greater than 2/3 of all ankle arthritis primary [orthobullets.com]
Pathophysiology of ankle arthritis – why and how? •Primary OA is a rare entity in the ankle •Increasing incidence of secondary OA in the ankle •Normal anatomy of the ankle determines its low primary wear characteristics 4. [slideshare.net]
Prevention
However, glucocorticoids will not prevent progression of the disease and structural damage to joints. 2 Non-drug management approaches. [rheumatoidarthritis.net]
Our skilled team of specialty-trained foot and ankle doctors offers you the following tips for preventing and treating osteoarthritis: Maintain a healthy weight to help reduce stress on the ankle. [scoi.com]
In milder cases, sometimes an arthroscopic “clean-up” can be performed – this would help reduce the joint pain, but would not prevent further progression of the degenerative joint disease over time. [thrive.kaiserpermanente.org]
Read More >> Ankle Care If you have a hurt ankle or other problem like arthritis, find out how to best care for your hurt ankles, prevent pain and get around more easily. Read More >> [arthritis.org]