Midfoot Problems

Question 1

3 midfoot problems

Answer 1

• Ganglia
• Osteoarthritis
• Plantar fibromatosis

Question 2

What does a dorsal foot ganglia arise from

Answer 2

Joint or tendon sheath

Question 3

Aetiology of dorsal foot ganglia

Answer 3

• Underlying arthritis
• Underlying tendon pathology
• Idiopathic

Question 4

Symptoms of dorsal foot ganglia

Answer 4

• Pain from pressure from Shoewear
• Pain from underlying problem
• Lump (?+/-?)

Question 5

Rx of dorsal foot ganglion

Answer 5

Non-surgical

• Aspiration
• “Bible”

Surgical
-Excision

Question 6

Prognosis of dorsal foot ganglion

Answer 6

High recurrence (50%)

Question 7

3 types of midfoot arthritis

Answer 7

• Post-traumatic arthritis
• Osteoarthritis
• Rheumatoid arthritis

Question 8

Rx of midfoot arthritis

Answer 8

Non-surgical

• Activity modification/Shoewear/orthotics
• ?Steroid? injection (X-ray guided)

Surgical
-Fusion

Question 9

Plantar fibromatosis AKA

Answer 9

Dupuytren’s of the foot

Question 10

Symptoms of plantar fibromatosis

Answer 10

Usually asymptomatic unless v large or on weight-bearing are

Question 11

Rx of plantar fibromatosis

Answer 11

Non-surgical

• Avoid pressure/Shoewear/orthotics
• Radiotherapy (high risk of recurrence)

Surgical

• Excision (high chance of recurrence)
• Excision + radiotherapy (low recurrence but high risk complications)