Midfoot Problems Flashcards
1
Q
3 midfoot problems
A
- Ganglia
- Osteoarthritis
- Plantar fibromatosis
2
Q
What does a dorsal foot ganglia arise from
A
Joint or tendon sheath
3
Q
Aetiology of dorsal foot ganglia
A
- Underlying arthritis
- Underlying tendon pathology
- Idiopathic
4
Q
Symptoms of dorsal foot ganglia
A
- Pain from pressure from Shoewear
- Pain from underlying problem
- Lump (?+/-?)
5
Q
Rx of dorsal foot ganglion
A
Non-surgical
- Aspiration
- “Bible”
Surgical
-Excision
6
Q
Prognosis of dorsal foot ganglion
A
High recurrence (50%)
7
Q
3 types of midfoot arthritis
A
- Post-traumatic arthritis
- Osteoarthritis
- Rheumatoid arthritis
8
Q
Rx of midfoot arthritis
A
Non-surgical
- Activity modification/Shoewear/orthotics
- ?Steroid? injection (X-ray guided)
Surgical
-Fusion
9
Q
Plantar fibromatosis AKA
A
Dupuytren’s of the foot
10
Q
Symptoms of plantar fibromatosis
A
Usually asymptomatic unless v large or on weight-bearing are
11
Q
Rx of plantar fibromatosis
A
Non-surgical
- Avoid pressure/Shoewear/orthotics
- Radiotherapy (high risk of recurrence)
Surgical
- Excision (high chance of recurrence)
- Excision + radiotherapy (low recurrence but high risk complications)
