Ankle

Normal Ankle radiology  

Listen to this patient speaking about their ankle swelling problems. On examination, concentrate on the differential diagnosis and what investigations you would plan based on what the patient has told you In the login area we have over 20 audio guides, 40 video guides, tests, quizzes and mock exams. It’s a goldmine of resources to suit [...]  

A condition that effects Dorsiflexion of the ankle for which they may see an orthopaedic ankle and foot specialist.  

Monoarthritis This is a neuropathic arthropathy it is a progressive degeneration of a weight bearing joint – usually in the ankle. There is usually bone destruction, remodelling and resorption, with ultimately results in deformity. Usually gradual slow onset Can also result in ulceration  

Talipes equinovarus is a deformity of the foot and ankle commonly found at birth (the foot is fully plantar-flexed and there is midtarsal adduction causing a varus deformity). It is estimated to affect 1 in 1000 births in the UK. Boys are twice as likely to be affected as girls. The cause of the deformity is not completely clear however it is speculated that it is due to mechanical pressure in utero. There also appears to be a genetic link.    

With the patient on a couch and their feet overhanging the end of it, look at the feet, comparing for symmetry. In the forefoot look for nail changes and skin rashes. Look for the alignment of the toes and any evidence of hallux valgus of the big toe. Look for clawing of the toes, joint swelling and callus formation. Look at the underside or plantar surface for callus formation. Look at the patient’s shoes for asymmetrical wearing of the sole, the presence of insoles or other signs of poor fit.  

Stream Managing the difficult ankle and foot with Prof Gino Kerkhoffs - Part 1 of 2 by BMJ talk medicine from desktop or your mobile device  

At the Annual Meeting of the American Academy of Orthopedic Surgeons, researchers revealed how total ankle arthroplasty improved gait parameters for patients with ankle arthritis.  

Inventors have been trying - and failing - to boost walking efficiency using wearable contraptions for over 100 years. Now, a team believes they have finally cracked it.  

Author: Tim Bongartz, MD. Scenario: A 54 year old male is presenting to the ED with severe right foot and ankle pain and swelling. The …  

 

A 77 year old man presented after a collapse at home with a three week history of dyspnoea, malaise, and myalgia. He reported a 10 year history of hypertension, and that he had undergone a nasal polypectomy seven years earlier and had recently been diagnosed as having asthma. Prescribed drugs included candesartan 4 mg daily, enalapril 20 mg daily, beclometasone dipropionate 200 µg twice daily, and salbutamol as needed. He had not recently changed his drugs or used non-steroidal anti-inflammatory agents or herbal remedies. On examination his blood pressure was 156/88 mm Hg; temperature was 36.8°C; and he had generalised polyphonic wheeze, raised jugular venous pressure (5 cm above the sternal angle), and mild bilateral ankle oedema.  

A 77 year old man presented after a collapse at home with a three week history of dyspnoea, malaise, and myalgia. He reported a 10 year history of hypertension, and that he had undergone a nasal polypectomy seven years earlier and had recently been diagnosed as having asthma. Prescribed drugs included candesartan 4 mg daily, enalapril 20 mg daily, beclometasone dipropionate 200 µg twice daily, and salbutamol as needed. He had not recently changed his drugs or used non-steroidal anti-inflammatory agents or herbal remedies. On examination his blood pressure was 156/88 mm Hg; temperature was 36.8°C; and he had generalised polyphonic wheeze, raised jugular venous pressure (5 cm above the sternal angle), and mild bilateral ankle oedema.  

A 77 year old man presented after a collapse at home with a three week history of dyspnoea, malaise, and myalgia. He reported a 10 year history of hypertension, and that he had undergone a nasal polypectomy seven years earlier and had recently been diagnosed as having asthma. Prescribed drugs included candesartan 4 mg daily, enalapril 20 mg daily, beclometasone dipropionate 200 µg twice daily, and salbutamol as needed. He had not recently changed his drugs or used non-steroidal anti-inflammatory agents or herbal remedies. On examination his blood pressure was 156/88 mm Hg; temperature was 36.8°C; and he had generalised polyphonic wheeze, raised jugular venous pressure (5 cm above the sternal angle), and mild bilateral ankle oedema.