Presentation
As this is a synovial joint, a membrane is present as well as a fibrous membrane providing the same functions as any other synovial joint synovial membrane [4] [4] [4] [4] [4] [4] [4] [4] [4] [4]. [physio-pedia.com]
We see people in everyday practice who present with a new hip joint (replaced because of osteoarthritis) and now have a fracture in another bone and osteoporosis, just like your mother. [versusarthritis.org]
Other systemic diseases such as hemochromatosis or hemophilia might be present in patients with secondary ankle OA, however, in a lower percentage than in patients with rheumatoid arthritis (Table 1 ). [ncbi.nlm.nih.gov]
Hematological
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Hemophilia A
Other systemic diseases such as hemochromatosis or hemophilia might be present in patients with secondary ankle OA, however, in a lower percentage than in patients with rheumatoid arthritis (Table 1 ). [ncbi.nlm.nih.gov]
Additional causative factors include arthropathies, chronic ankle instability, malalignment, and certain medical conditions, such as hemophilia. [physio-pedia.com]
Entire Body System
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Localized Pain
However careful and progressive massage of a pain point can lead to temporary waiver of localized pain [30] (Level of evidence 5) [23] (Level of evidence 1A). [physio-pedia.com]
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Severe Pain
It may be considered if there is severe pain and it serves then to support exercise [30] (Level of evidence 5) [23] (Level of evidence 1A). [physio-pedia.com]
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Weight Loss
Evidence shows that weight loss can result in significantly better mobility; there is also some evidence to suggest that weight loss alone may actually help to reduce pain. However, in combination with exercise, the results can be significant. [circlehealth.co.uk]
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Weakness
These biomechanical insults could be due to excess joint laxity, obesity, muscle weakness and muscle length all of which physiotherapy can influence and alter making physiotherapy an effective treatment option for consideration [13] [14]. [physio-pedia.com]
Musculoskeletal
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Ankle Arthritis
METHODS Of a cohort of 247 patients with ankle arthritis, we reviewed data from 30 patients (33… CONTINUE READING [semanticscholar.org]
Ankle Arthritis Anatomy The ankle joint connects the leg and the foot. It is formed by three separate bones, the tibia, fibula and talus. The shinbone (tibia) supports most of a person's weight when standing. [shorelineortho.com]
Epidemiology of Ankle Arthritis. [physio-pedia.com]
Current concepts review: ankle arthritis. J Bone Joint Surg Am. 2003;85:923–936. [ PubMed ] 41. Treppo S, Koepp H, Quan EC, Cole AA, Kuettner KE, Grodzinsky AJ. [ncbi.nlm.nih.gov]
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Osteophyte
As protective space between the bones decreases, it can result in bone rubbing on bone, causing painful osteophytes (bone spurs). [shorelineortho.com]
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Morning Stiffness
Global muscle atrophy Feel Absence of warmth Swelling - bony or effusion Effusion - cold and small Joint-line tenderness Peri-articular tenderness Movement Coarse crepitus Decrease ROM Weak local muscles Subjective Markers Morning stiffness Manual labour [physio-pedia.com]
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Muscle Weakness
These biomechanical insults could be due to excess joint laxity, obesity, muscle weakness and muscle length all of which physiotherapy can influence and alter making physiotherapy an effective treatment option for consideration [13] [14]. [physio-pedia.com]
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Muscular Atrophy
atrophy Expression of pain Joint deformity 2. [physio-pedia.com]
Treatment
Our study is the largest in the world on the safety of stem cell treatments. [regenexx.com]
Sometimes more than one type of surgical treatment is needed [25]. [physio-pedia.com]
Surgery If your pain causes disability and is not relieved by nonsurgical treatment, surgery may be recommended. The appropriate surgery will depend on the type and location of the arthritis and the impact of the disease on your joints. [shorelineortho.com]
The knowledge of the underlying etiology is important for selecting the appropriate treatment for end-stage ankle OA (arthrodesis, total ankle arthroplasty). [ncbi.nlm.nih.gov]
[…] continue to suffer disabling symptoms in spite a course of non-surgical management (outlined above) or for patients who are unable to commence a supervised exercise program due to pain levels, a corticosteroid injection can be offered as the next line of treatment [circlehealth.co.uk]
Etiology
[…] among the three main etiology subgroups. [ncbi.nlm.nih.gov]
Etiology of ankle osteoarthritis. Journal Clin Orthop Relat Res 467: 1800-1806. Zhang Y., Jordan J. (2010). Epidemiology of Osteoarthritis. [physio-pedia.com]
Epidemiology
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]
This result is in the same order of magnitude as the results of the epidemiology study by Saltzman et al., who reported a posttraumatic ankle OA rate of 70% [ 33 ]. [ncbi.nlm.nih.gov]
Prevention
Because trauma is the dominant etiology of ankle OA, more research is needed to determine contributing factors of OA and prevent development of posttraumatic ankle OA. Acknowledgments We thank Dr Tak S. [ncbi.nlm.nih.gov]
The focus of performing arts medicine/is performance enhancement through injury prevention. [londonorthopaedic.com]
Many people are willing to accept the balance of taking potentially ‘toxic’ medication against the benefit of reducing inflammation, reducing symptoms and preventing joint damage. [versusarthritis.org]