Foot And Ankle In Rheumatoid Arthritis

Comprehensive and accessible, this unique book emphasizes a practical and evidence-based approach to the foot and ankle in rheumatoid arthritis. Information is concise, up to date, and well illustrated. The team of authors consists of rheumatologists and podiatrists based at the highly respected Foot and Ankle Studies in Rheumatology (FASTER) programme, with contributors including both surgeons and orthotists. A companion DVD contains many video clips of examination and injection techniques and gait analyses, additional downloadable images, assessment tools and an interactive injection resource. Unique - no other text of this nature has been written for podiatrists and rheumatologists. Comprehensive - all major aspects of the disease in relation to the foot and ankle are covered. Companion DVD contains many video clips of examination and injection techniques and gait analyses, additional downloadable images, assessment tools and an interactive injection resource. Practical and evidence-based approach. Up-to-date text incorporates the latest findings from experts in the field.

One of the earliest signs of rheumatoid arthritis may be pain in the foot. However, this part of the body is very often neglected during clinical assessment of the illness in favour of the articulations of the upper limbs, knees and hips. Nevertheless, it appears evident that a detailed clinical examination of the forefoot, ankle and heel could be useful in order to get closer to a rheumatological diagnosis. Thanks to blood tests and conventional imaging, completed with a scanner or MRI if needed, every doctor should be in a position to detect the beginning of rheumatoid arthritis in the foot or ankle. As well as its diagnostic contribution, this book broaches the theme of the most recent medicinal treatments, that of orthoses, made-to-measure shoes (the prescription of which practitioners and the rheumatologists often hand over to the orthopaedic surgeons), and finally that of local injections. These elements constitute the main treatment of the rheumatoid foot. Taking care of the ill subject does not necessarily stop there and a surgeon may need to operate on the forefoot, which is more common, or on the mid-foot or the ankle.

Musculoskeletal foot pathology is endemic in patients with rheumatological conditions, with up to 90% of patients reporting current foot pain. However, foot pathology is often trivialised, despite the strong body of evidence showing foot problems are associated with reduced quality of life. The Foot and Ankle in Rheumatology is a unique, comprehensive, and detailed guide to all aspects of the management of foot and ankle pathologies in rheumatic conditions. Written by a team of leading experts, this title provides international perspectives and current state of the art information on foot and ankle pathology across a range of conditions. With over 170 colour images and photographs, practical diagnostic and management techniques are clearly explained with references to the latest guidelines. Rheumatology is a fast-evolving field, with major advances in treatment and management strategies. As the effective management of rheumatological foot and ankle disorders requires and integrated, disease-stage approach across a multidisciplinary team, the Foot and Ankle in Rheumatology has been designed to provide clear, practical, and evidence-based advice for a wide range of health professions, from podiatrists, rheumatologists, and orthopaedic surgeons to occupational therapists and physiotherapists.

Topics include: An update on rheumatoid arthritis and pharmacological management; The perioperative management of the rheumatoid patient; Clinical manifestations and treatment of the pediatric rheumatoid patient; Medical imaging and radiographic analysis of the rheumatoid patient; The conservative treatment options for the rheumatoid foot and ankle; The surgical options for the rheumatoid ankle; and The complications encountered with the rheumatoid surgical foot and ankle.

The rheumatoid arthritis issue of Foot and Ankle Clinics will highlight the current "gold standard" surgical procedures used in rheumatoid patients. It will also feature the newer joint-sparing and joint replacement techniques that are being performed by several of the most prominent surgeons in the world today. Two additional articles will focus on recommended strategies for managing disease-modifying anti-rheumatic drugs in the peri-operative period as well as a current concepts review on the medical management of rheumatoid arthritis.

This book presents the essential anatomic and radiological data, discussing new and refined techniques of imaging such that readers may rely on their interpretation. The chapters on pathology are approached in a clinical context, accompanied by numerous diagrams and photographs, while the references, both classical and recent, are profuse. The result is a complete review of the subject, of interest to both the specialist and the non-specialist.

Topics include: An update on rheumatoid arthritis and pharmacological management; The perioperative management of the rheumatoid patient; Clinical manifestations and treatment of the pediatric rheumatoid patient; Medical imaging and radiographic analysis of the rheumatoid patient; The conservative treatment options for the rheumatoid foot and ankle; The surgical options for the rheumatoid ankle; and The complications encountered with the rheumatoid surgical foot and ankle.

Increasing success of arthroplasty of joints like the hip and knee along with concerns about the long-term outcomes of ankle arthrodesis has renewed interest in ankle arthroplasty. The new implants have been designed with attention to reproducing normal ankle anatomy, joint kinematics, ligament stability, and mechanical alignment. This publication will be the first comprehensive atlas on this topic and offers a unique physiological and mechanical characteristics of the ankle joint and of the selected total ankle system. Furthermore it will greatly enhance one’s knowledge of this dynamic field and stimulate the scientific approach to management of end-stage arthritis of the ankle. It reflects the author’s accumulated experience of the last decade with extended laboratory work on biomechanics of the ankle joint complex and more than 350 total ankle procedures. The atlas is well illustrated with many impressive figures, drawings and coloured pictures.