Hallux Rigidus

Rigidity of Ist MTP joint 

Gait - Altered 

Grerat toe straight , callus on medial side of distal phalanx 

MTP - Knobby , tender dorsal bunion 


outer side of sole - worn on footwears 

A HALLUX RIGIDUS ON FOOT


Treatement 

Not interfering activites - leave alone 

Intermittant pain 

       I/A injection , Local anaesthetics + corticosteroids 

       rock soled shoes 

      full length insole 


Surgery 
  
       chilectomy 

        Extension Osteotomy - PP 

        Arthrodesis 

                          10 degrees valgus and DF , 10 mm clearance 


       Arthroplasty 

       Interposition Arthroplasty  

     Capsular Arthroplasty 


         Metal implant better 

         silicone implant 


note - Taylor's Bunion oberlies 5th MT head. 












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