Foot Problems - Midfoot

Question 1

Contains:

Answer 1

Ganglia
Osteoarthritis
Plantar Fibromatosis

Question 2

What is a dorsal foot ganglia?

Etiology [3]

Answer 2

A cyst arises from a joint or tendon sheath [1]

May be idiopathic [1] or related to arthritis [1] or underlying tendon pathology [1]

Question 3

What are the symptoms of a Ganglion cyst? [3]

Answer 3

Pain from shoe pressure +/- the underlying problem

+ a visible cyst

Question 4

How do we treat a dorsal foot ganglia? [2]

Answer 4

Non-operatively with aspiration or “family Bible” technique

Operatively with surgical excision

Question 5

What are the subtypes of midfoot arthritis? [2]

Answer 5

• Post-traumatic (OA)

- Rheumatoid

Question 6

How do we treat midfoot arthritis?

Operative [2]

Answer 6

X-ray guided injection

Operative fusion of the joint

Question 7

Define Plantar Fibromatosis [2]

When does it become symptomatic [1]

Answer 7

Progressive thickening [1] of the feet’s fascia/connective tissue [1]
Its usually asymptomatic unless very large or on a weight-bearing area [1]

Question 8

How do you treat plantar fibromatosis?
Non operative [2]
Operative [2]

Answer 8

Non-operative use shoe wear modification and orthotics to avoid pressure

RT and/or Surgical excision