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Ankle Arthritis


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]
Difficulty Running
  • Pain with ambulation and difficulty running. Diffuse swelling to the ankle joint. In women, may have difficulty wearing any flat shoes. X-rays: In mild cases bone spurring may develop around the ankle joint.[southfloridasportsmedicine.com]
Mediastinal Lymphadenopathy
  • The other 8 patients could be classified as Poncet's disease as all of them had positive Mantoux test and showed mediastinal lymphadenopathy with or without unilateral hilar lymph nodes, with central necrosis.[ncbi.nlm.nih.gov]
Skin Discoloration
  • Several clinicians have experienced the unpleasant effect of permanent skin discoloration and patient dissatisfaction that can accompany this.[oapublishinglondon.com]
Severe Osteoporosis
  • osteoporosis, talus osteonecrosis, charcot joint, ankle instability, obesity, and young laborers increase the risk of failure and revision techniques new generation arthroplasty minimizes bony resection, retains soft tissue stabilizers, and relies on[orthobullets.com]
  • Charcot arthropathy) Patient likely to be non-compliant regarding the post-operative rehabilitation (avoiding weight bearing) Smoker Poor bone quality (severe osteoporosis, rheumatoid arthritis) Ankle fusion This operation has excellent outcomes in terms[lfaclinic.co.uk]
  • Contraindications to performing this procedure include medical co-morbidities that preclude the patient from undergoing an elective operative procedure, severe osteoporosis, infection, non- reconstructable malalignment of the lower extremity, severe peripheral[faoj.org]
Leg Length Inequality
  • The following factors may increase the likelihood of Sever’s Disease: Wearing conventionally constructed footwear with a narrow toe-box or elevated heel Leg length inequality Obesity or carrying excess bodyweight Rapid growth spurts Some of the most common[nwfootankle.com]
Asymmetrical Arthritis
  • Clinical studies of supramalleolar osteotomy demonstrate that correction of the altered biomechanics associated with asymmetric arthritis improves functional outcomes.[ncbi.nlm.nih.gov]
Suggestibility
  • Abstract Much of the current literature suggests that total ankle replacement (TAR) is no longer an inferior or fringe treatment for advanced ankle arthritis compared with ankle fusion, but rather a viable option for recalcitrant arthritic ankle pathology[ncbi.nlm.nih.gov]
Distractibility
  • The AOFAS scores improved significantly in the combined group than in the distraction group (59.0   4.7 and 58.0   4.9 preoperatively versus 85.0   4.9 and 88.9   5.4 at final visit, P CONCLUSIONS: Compared to distraction arthroplasty alone, distraction[ncbi.nlm.nih.gov]
  • Distraction Technique Distraction was accomplished by tightening nuts along threaded rods or with telescoping rods connecting the foot plate to the distal tibial ring for six millimeters of acute distraction.[faoj.org]
Hunger
  • […] may increase your likelihood of developing diabetes, including: Excessive body weight Sedentary lifestyle Family history of diabetes Ethnicity Age Elevated blood pressure Common signs and symptoms associated with diabetes include: Increased thirst, hunger[nwfootankle.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]

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]
  • Prognosis Outcomes and prognosis for individuals with osteoarthritis will depend on the severity of the joint degeneration, motion loss, weakness and age of the individual.[twinboro.com]
  • Early diagnosis and treatment of the inflammation and autoimmune response is crucial to long term management of this condition, and timely referral to a Rheumatologist will optimize the prognosis.[sj-r.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]
Sex distribution
Age distribution

Pathophysiology

  • 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]
  • Aetiology/Pathophysiology Previous trauma to the ankle joint is the most significant predisposing factor contributing to the development of ankle osteoarthritis [ 2 ] .[oapublishinglondon.com]

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]
  • Unique strategies to prevent or treat post-traumatic ankle arthritis are needed.[ncbi.nlm.nih.gov]
  • 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]

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