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. 

                

            

             


Comments

Popular posts from this blog

Outline of Treatment of Spinal Tuberculosis

COXA VARA

Paediatric Supracondylar Humerus Fracture

Hind Foot amputation

Timing and Outcome of Surgery in Hip Fractures