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Rheumatoid Foot

INTRODUCTION

70-90% of rheumatoids have foot involvement

15% present initially with foot complaints.

Stage 1 - synovitis

Stage 2 - Joint erosion & tendon dysfunction

Stage 3 - Progressive deformities

Present with Pain or Deformity.

Look for:

  • Vascular status - PVD or rheumatoid vasculitis
  • Neurology - neuropathic process more common in rheumatoids.
  • Tendonitis or ruptures (tibialis posterior, proneal)
  • Primary deformity - Forefoot or Hindfoot
  • Which joint is the cause of pain and/or deformity (not easy - may need diagnostic injections)

Conservative

1. Medications

2. Footwear - shoes should not be made to correct the deformity, but rather be adjusted to it.

Surgery

Pre-op precautions:

  • Check the positions of the knees & hips (should correct these first for ankle & hindfoot problems)
  • Skin condition
  • Medications - methotrexate & corticosteroids may need to be stopped


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Accessory Bones
Adult Hallux Valgus
Amputations of the Foot & Ankle
Anatomy of the Foot & Ankle
Ankle Arthritis
Ankle Fractures
Ankle Instability
Ankle Sprains
Arthritis in Children
Arthrodeses of the Foot & Ankle
Arthroscopy of the Foot & Ankle
Bibliography
Biomechanics of the Foot & Ankle
BOFSS Syllabus for FRCS (Tr & Orth)
Bunionettes
Calcaneal Fractures
Compartment Syndrome
Diabetic Foot
Foot & Ankle Hyperbook
Foot & Heel Pain
Freiberg's disease
Hallux Rigidus
Hyperkeratotic Pathology of the Pla...
Lesser Toe Deformities
Lisfranc Fractures
Morton's Neuroma
OCD & Osteochondoses of the Foot & ...
Other Foot Fractures
Peroneal Tendon Injuries
Rheumatoid Foot
Rheumatoid Forefoot
Sesamoids
Sinus Tarsi Syndrome
Soft Tissue Impingement
Tarsal Tunnel Syndrome & Nerve Entr...
Tendo Achilles Disorders
tendo achilles references
Tendon Disorders
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