16.2. Foot Problems - Midfoot Problems

Question 1

What are the 3 main Midfoot Problems?

Answer 1

1. Dorsal Foot Ganglia
2. Midfoot Arthritis
3. Plantar Fibromatosis

Question 2

Where do Dorsal Foot Ganglia arise from?

Answer 2

Joint or Tendon Sheath

Question 3

What is the Aetiology of Dorsal Foot Ganglia?

Answer 3

1. Idiopathoc
2. Underlying Arthritis
3. Underlying Tendon Pathology

Question 4

What are the Symptoms of Dorsal Foot Ganglia?

Answer 4

1. Pain from Pressure from Shoe-Wear

2. Pain from Underlying problem (Arthritis / Tendon Pathology)

Question 5

What is the Non-Operative Treatment of Dorsal Foot Ganglia?

Answer 5

1. Aspiration

2. “Family Bible”

Question 6

What is the Operative Treatment of Dorsal Foot Ganglia?

Answer 6

Excision

Question 7

What is the prognosis of Dorsal Foot Ganglia?

Answer 7

High rate of Return - 50%

Question 8

What forms of Midfoot Arthritis are there?

Answer 8

1. Post-Traumatic Arthritis
2. Osteoarthritis
3. Rheumatoid Arthritis

Question 9

What is the Non-Operative Treatment of Midfoot Arthritis?

Answer 9

1. Activity
2. Shoe-Wear
3. Orthotics

Question 10

What is the Operative Treatment of Midfoot Arthritis?

Answer 10

1. Fusion

2. Injection - X-Ray Guided

Question 11

What is Plantar Fibromatosis also known as?

Answer 11

1. Ledderhose Disease

2. Dupuytren’s of the Foot

Question 12

How is Plantar Fibromatosis described?

Answer 12

1. Usually Asymptomatic unless very large or on weightbearing area
2. Progresive

Question 13

What is the Non-Operative treatment for Plantar Fibromatosis?

Answer 13

Avoid Pressure - Shoe-Wear / Orthotics

Question 14

What is the Operative treatment for Plantar Fibromatosis?

Answer 14

Excision (up to 80% risk of recurrence)

Question 15

What other treatments are available for Plantar Fibromatosis?

Answer 15

1. Radiotherapy

2. Combination of Radiotherapy and Surgery