hindfoot
General Concepts
Definition
Disorder of immune system
- antigen-antibody complexes
- stimulate release of proteolytic enzymes
- leading to vasculitis, synovitis and cartilage destruction
Characterised
Articular Effects
- synovitis
- ligamentous and capsular laxity
- cartilage destruction
- osseous erosion
Vasculitis
- rheumatoid nodules
Charcot Joint
Definition
Neuropathic Arthropathy
Progressive destructive arthropathy 2° to neurological condition
- usually minimal to no trauma
Aetiology
Arthroscopy
Indication
Diagnostic
Pain / Stiffness / Locking
Instability
- exclude OCD
Assess syndesmosis
Therapeutic
Synovitis
Osseous lesions / Tibiotalar impingement spurs
Osteochondral defects