Ankle and Foot Conditions #2

Degenerative joint disease (DJD) can arise from: - Trauma - Infection - Wear and tear - Deformity (congenital) - Deformity (acquired) DJD involves the degradation of the cartilage and eventual erosion and/or deformation of the joint surfaces. Clinical findings can range from crepitus, pain to chronic swelling and joint effusion. In some cases, pain is not an issue. Radiographic changes may be minimal to grotesque. Development of osteophytic changes (spurs) with subchondral sclerosis, pitting, cysts and/or joint narrowing.
Ankle	Typical wear and tear arthritis with anterior and posterior tibial spurs	Mild joint narrowing, but look at the sclerosis around the tibial plafond
Intra-operative view of grade IV chondromalacia (no cartilage) of the ankle	Bald talus
Post-traumatic ankle	Residual clubfoot
Calcaneocuboid	Post-traumatic	Post-traumatic