Mild hallux valgus deformity great toe
Biodegradable rods and Kirschner-wires in 39 cases.The treatment of hallux valgus with overriding second toe. Extensor hallucis longus transfer for hallux valgus deformity. A review of 228 implants using the double-stemmed implant.- arthrodesis - ref: Arthrodesis of the first metatarsophalangeal joint in rheumatoid arthritis.- See: - adolescent bunion - bunionette - Discussion: - pathophysiology - blood supply of MCP joint - windlass mechanism - diff dx: - gout - hallux rigidus (cheilectomy); - references: - Anatomic variations in the first ray: Part I. - Hallux valgus--etiology, anatomy, treatment and surgical considerations.- Physical Exam: - vascular status: dorsalis pedis and posterior tibial artery; - ankle equinus deformity (loss of ankle dorsiflexion may accentuate forefoot pain); - determine the correctability of the deformity: - degree to which standing accentuates the deformity; - passive correctability of the hallux valgus and determine the ROM of the MTP joint in both the corrected and uncorrected positions; - toe stiffness: note whether the toe is stiff once placed in the corrected position?- Pharmacokinetic profile of liposome bupivacaine injection following a single administration at the surgical site.Most people with bunions find pain relief with simple treatments to reduce pressure on the big toe, such as wearing wider shoes or using pads in their shoes.In general, if your bunion is not painful, you do not need surgery.- Other Surgical Considerations: - hammer toe correction - ankle equinus contracture - Complications: - hallux varus: - excessive resection of medial metatarsal head; - excision of medial sesamoid; - excessive capsular plication; - immobilization of the toe in excessive varus during the post op period; - ref: The operative treatment of acquired hallux varus.The risks and benefits of distal first metatarsal osteotomies. Monarticular nontraumatic synovitis of the metatarsophalangeal joint: a new diagnosis?There are different types of surgeries to correct a bunion.