Rheumatiod Arhtritis -foot and ankle Clinical case


Attitude

Gait

Calf wasting

Clawing of  toes , swollen MTPs

Corns on dosum , plantar callosities

Skin - warm and tenderness

Non-fluctuant puffy swelling around ankle

movement restricted

Comment on adjacent joints


Lymph nodes - Popliteal and groin

Also comment on other joints on hands

DNVS

X-RAY  - Regional Osteoporosis

Blood Inv. - CBC ,ESR , RA - Factor , Anti- CCP antibodies

Biopsy

Treatement -

Special Shoes to accomodate toes

DMARDs

Synovitis - Corticosteroids , Operative Synovevtomy


Similar case may be present for Toe deformities

Note

Surgery for claw toes

Excision Arthroplasty for Hallux Valgus

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