Foot and Ankle Clinics

Resurfacing of the Metatarsal Head to Treat Advanced Hallux Rigidus

July 8, 2015

Advanced stages of hallux rigidus are usually treated with various arthroplasties or arthrodesis. Recent results with resurfacing of the metatarsal head have shown promising results and outcomes similar or superior to those of arthrodesis. In this article, the authors show their preoperative decision making, surgical techniques, postoperative management, results, and a comparative literature review to identify metatarsal head resurfacing as an acceptable technique for the treatment of advanced hallux rigidus in active patients

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Moberg Osteotomy for Hallux Rigidus

July 8, 2015

Hallux rigidus is a common cause of pain and decreased range of motion of the first metatarsophalangeal joint, notably with loss of dorsiflexion. Hallux rigidus is the second most common disorder affecting the great toe. The primary cause of hallux rigidus is thought to be a traumatic event, a culmination of microtrauma, or an alteration in kinematics leading to a loss of articular cartilage and dorsal osteophyte formation

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Clinical Presentation and Management of Hallux Rigidus

July 2, 2015

Hallux rigidus is the most commonly occurring arthritic condition of the foot and is marked by pain, limited motion in the sagittal plane of the first metatarsophalangeal joint and varying degrees of functional impairment. In conjunction with clinical findings, radiographic grading helps guide therapeutic choices. Nonsurgical management with anti-inflammatory medications, corticosteroid injections, or shoewear and activity modifications can be successful in appropriately selected patients.

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Metatarsophalangeal Fusion Techniques with First Metatarsal Bone Loss/Defects

June 13, 2015

First metatarsophalangeal joint disorder is a common cause of chronic forefoot pain that is frequently encountered in the orthopedic clinic. Numerous surgical techniques have been described to improve patient pain and function in this regard, including prosthetic joint replacement, resection arthroplasty, and arthrodesis

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Metatarsophalangeal Joint Fusion

June 9, 2015

First metatarsophalangeal (MTP) joint fusion aims at elimination of pain resulting from end-stage arthritis and obtaining a stable, plantigrade first toe. Associated deformities are corrected and greater defects are filled with interposition autograft or allograft

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First Metatarsophalangeal Joint Degeneration

June 5, 2015

Arthroscopic treatment of hallux rigidus is appropriate after failed nonoperative treatment. Debridement with cheilectomy, and fusion are the main indications for arthroscopic treatment of hallux rigidus

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Subtalar Anatomy and Mechanics

June 1, 2015

Understanding subtalar joint biomechanics and pathomechanics provides a framework for understanding both common pathologic hindfoot and forefoot conditions and surgical planning.

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Why It Is Important To Evaluate Shoe Heel To Toe Drop In Patients With Equinus

May 19, 2015

The role of equinus in lower extremity pathologies is well documented in the literature. In fact, Foot and Ankle Clinics of North America dedicated its entire December 2014 edition to “The Gastrocnemius.” 1 Much of the literature has been directed to the surgical and non-surgical management of equinus, conditions associated with equinus, and the evaluation of equinus.

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The Subtalar Joint: It Is More Complicated Than You Think

April 22, 2015

Understanding the subtalar joint is extremely important in order to grasp the complexity of the foot. The anatomy and biomechanics are crucial to the function of the hindfoot, ankle, midfoot, and even forefoot. This issue provides expertise in areas ranging from anatomy, radiology, biomechanics, congenital and acquired conditions, and treatment options of the subtalar joint.

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