RESUMEN
Relieving pain and preventing deformity in the rheumatoid foot are best accomplished early in the disease course. Although the treatment of digital deformities may not differ significantly in the rheumatoid versus the nonrheumatoid patient, early and more aggressive management is most important in the rheumatoid patient. The digital deformities associated with inflammatory arthritis are progressive as long as the disease is active. Therefore, it becomes necessary to treat these patients both medically and mechanically to slow the progression of the digital deformities. In determining whether medical, surgical, or biomechanical treatment options are appropriate, the physician must examine multiple considerations. These include disease activity, presence or absence of symptoms, degree of deformity and resultant potential for complications, shoe intolerance, and level of activity. Changing attitudes have dictated that little benefit is gained from withholding treatment until the disease is so-called burnt out. It is in the patient's best interest to maintain function whenever possible to allow for increased productivity. The psychosocial ramifications of this approach are obvious.
Asunto(s)
Artritis , Deformidades Adquiridas del Pie , Articulación del Dedo del Pie , Artritis/clasificación , Artritis/patología , Artritis/terapia , Deformidades Adquiridas del Pie/clasificación , Deformidades Adquiridas del Pie/patología , Deformidades Adquiridas del Pie/terapia , Humanos , Articulación del Dedo del Pie/patologíaRESUMEN
Nonmetallic foreign bodies were embedded in cadaver feet. Standard x-rays and xerograms were taken and compared. The results appear to indicate that standard x-rays remain the more clinically practical means of screening for foreign bodies. The literature regarding xeroradiography suggests that this is superior to radiography in detection of nonmetallic foreign bodies. By embedding nonmetallic foreign bodies in cadaver feet and comparing standard x-rays to xerograms, the examiner should be able to confirm or disprove this premise.
Asunto(s)
Pie , Cuerpos Extraños/diagnóstico por imagen , Xerorradiografía , Estudios de Evaluación como Asunto , HumanosRESUMEN
The authors describe a technique to inject radiopaque dye for labeling the distribution of local anesthetic and illustrate the method with a case report. They have found the technique useful in establishing the diagnosis and planning treatment for rearfoot pain.