Ankle and Foot Arthropathies
Original Editors - Ward Willaert
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Search Strategy[edit | edit source]
Key-words: ankle and foot arthropathies, ankle arthritis, tibio-talair arthritis, tibio-talair joint, Ankle diagnosis and management.
Information found at the university’s library ( books and scientific magazines) and websites such as Pubmed, web of knowledge, British medical journal, PEDro (physiotherapy evidence database), Medicine, The IOWA orthopaedic journal, The journal of bone and joint surgery.
Definition/Description[edit | edit source]
An arthropathy is a disease of a joint.
Although the terms "arthropathy" and arthritis have very similar meanings, the former is traditionally used to describe the following conditions:
• Reactive arthropathy is caused by an infection, but not a direct infection of the synovial space.
• Enteropathic arthropathy is caused by colitis and related conditions.
• Crystal arthropathy involves the deposition of crystals in the joint.
o In gout, the crystal is uric acid.
o In pseudogout/chondrocalcinosis/calcium pyrophosphate deposition disease, the crystal is calcium pyrophosphate.
• Diabetic arthropathy is caused by diabetes.
• Neuropathic arthropathy is associated with a loss of sensation
Although an arthropathy is distinctly less common in the ankle than in the hip and knee, it is an equally disabling condition.[1]
Clinically Relevant Anatomy[edit | edit source]
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Epidemiology /Etiology[edit | edit source]
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Characteristics/Clinical Presentation[edit | edit source]
The characteristics and clinical presentation of ankle arthropathies such as different forms of arthritis can be described as followed:
• Ankle pain
• stiffness
• swelling
• limited range of motion (ROM)
• Pain Mostly gets worse by activities such as standing, walking or running.
We can also speak of the so called “Start-up pain” such as when a patient has pain and stiffness in the ankle after sleeping or sitting in one spot for a while is also a common complaint.
When this happens/occurs it often takes the patient a few minutes (or longer) to “warm-up” the ankle. The ankle will tend to swell more as the day progresses particularly if there is increasing activity( patient is still doing sport activities, work activities,…).
Most of the time Pain is experienced throughout the ankle although it may be more noticeable in the front of the ankle if large bones spurs have formed. When there has been damage to the joint ankle, it’s often seen that arthritis will occur. Cartilage that normally covers the bones of the ankle joint can be lost leading to an ankle arthropathy.
Differential Diagnosis[edit | edit source]
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Diagnostic Procedures[edit | edit source]
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Outcome Measures[edit | edit source]
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Examination[edit | edit source]
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Medical Management
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Physical Therapy Management
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Key Research[edit | edit source]
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Resources
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Clinical Bottom Line[edit | edit source]
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Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
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