Chronic midfoot pain and swelling- a diagnostic dilemma?
Journal Title: Indian Journal of Orthopaedics Surgery - Year 2017, Vol 3, Issue 1
Abstract
Introduction: Chronic foot pain and swelling can pose difficulty in arriving at a diagnosis and appropriate treatment often resulting in inferior outcome. Materials and methods: A 45 year patient with chronic foot pain was evaluated clinically and underwent blood investigations which showed elevated serum uric acid levels (9.1mg/dl). Ankle plain radiograph showed arthritic changes. All of these were pointing towards a differential diagnosis. Synovial biopsy report showed chronic gouty arthritis of foot. Discussion: Chronic midfoot pain and swelling being a diagnostic dilemma must have a panel of differential diagnoses before arriving at a provisional diagnosis. Conclusion: Having known the unusual presentations of gout a thorough evaluation of patient presenting with chronic midfoot pain and swelling should be done.
Authors and Affiliations
Shuaib Ahmed, Prashant Acharya, Arjun Naik, Terence D’souza
Evaluation of results of fracture Proximal Humerus treated with Kirschner Wire and mini external fixation
Fracture of Proximal humerus are most common humerus fracture (45%). These are more common than hip fracture. As the patient has a direct fall on the limb these fractures are mostly undisplaced (85%). These are more comm...
Evaluation of functional outcome of cemented bipolar hemiarthroplasty for treatment of osteoporotic proximal femoral fractures in elderly people
Background: In India the estimated geriatric population is going to rise from 8% of total population in 2010 to 19% by 2050. Incidence of osteoporosis and associated fractures will rise in coming years with increasing el...
Functional outcome of titanium elastic nailing in midclavicular fractures
Introduction With changing trends in the treatment of displaced midthird clavicle fractures more and more fractures are treated surgically Even though plating remains the gold standard minimally invasive technique with T...
All zones arthroscopic meniscal repair - medium term follow-up
Introduction The menisci are crucial structures of the knee in maintaining function Meniscal repair has gained importance as meniscectomy causes early arthritis Arthroscopic repair of meniscus has become the mainstay of...
Management of fracture neck of femur in elderly by hemiarthroplasty: A study
Background and Objectives: This is a prospective study of fifty cases of intracapsular fracture neck of femur in elderly patients above the age of 60 years irrespective of sex which were treated by hemiarthroplasty using...