Indian Journal of Orthopaedics Surgery


Chronic midfoot pain and swelling- a diagnostic dilemma?


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Author Details: Shuaib Ahmed, Prashant Acharya, Arjun Naik, Terence D’souza

Volume : 3

Issue : 1

Online ISSN : 2395-1362

Print ISSN : 2395-1354

Article First Page : 108

Article End Page : 110


Abstract

Introduction: Chronic foot pain and swelling can pose difficulty in arriving at a diagnosis and appropriate treatment often resulting in inferior outcome.
Materials and methods: A 45 year patient with chronic foot pain was evaluated clinically and underwent blood investigations which showed elevated serum uric acid levels (9.1mg/dl). Ankle plain radiograph showed arthritic changes. All of these were pointing towards a differential diagnosis. Synovial biopsy report showed chronic gouty arthritis of foot.
Discussion: Chronic midfoot pain and swelling being a diagnostic dilemma must have a panel of differential diagnoses before arriving at a provisional diagnosis.
Conclusion: Having known the unusual presentations of gout a thorough evaluation of patient presenting with chronic midfoot pain and swelling should be done.

Keywords: 
Chronic, Foot, Pain, Swelling, Gout