Hallux Rigidus

 It's a rigidity of of Ist metatarsal joint (MTP).

Gait  alters.

Great toe straightens , Callus develops on medial side of distal Phalanx. 

MTP - knobby, tender dorsal bunion.

Dorsiflexion of MTP - restricted.

outer side of soles on footwears wear out.

https://my.clevelandclinic.org/health/diseases/14665-hallux-rigidus


Treatment 

   Not interfering activities 

            they can be left alone.

   Intermittant Pain

            I/A injection, local anaesthesiae along with corticosteroids.

            Rock soled shoes

            full length insole

    Surgical Options 

            Chilectomy - removal of osteophytes

             Extension osteotomy- Proximal Phalanx 

             Arthrodesis 

              10 degrees valgus and DF, 10 mm                            clearance 

            Arthroplasty 

                          Interposition arthroplasty 

                          Capsular Arthroplasty 

                                   metal implant - better 

                                    silicone implant 



Tailor's Bunion overlies 5th MT head. 

                

            

             


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