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hallux limitus/rigidus
Etiology:
- osteoarthritis of the 1st metatarsophalangeal (MTP) joint with dorsal osteophyte
Clinical manifestations:
1) pain in great toe
2) pain exacerbated with dorsiflexion of great toe
3) enlargement of 1st MTP joint
4) limited dorsiflexion of great toe
5) pain with walking
Radiology:
- X-ray of foot
Management:
1) analgesics
2) physical therapy: ultrasound
3) glucocorticoid injection
4) foot surgery under local anesthesia (safe, effective [1])
- implant arthroplasty vs arthrodesis of the 1st MTP joint
- mechanical bridging of MTP joint to reduce dorsiflexion
- orthosis, steel plate, special shoes etc
- arthroplasty or joint replacement
- remove spurs
- restore motion
Related
hallux valgus
hallux varus
General
joint disease; articular disease; arthropathy
foot deformity
References
- Geriatrics Review Syllabus, American Geriatrics Society,
5th edition, 2002-2004
- Geriatric Review Syllabus, 10th edition (GRS10)
Harper GM, Lyons WL, Potter JF (eds)
American Geriatrics Society, 2019
- Park YH, Jung JH, Kang SH, Choi GW, Kim HJ.
Implant Arthroplasty versus Arthrodesis for the Treatment of
Advanced Hallux Rigidus: A Meta-analysis of Comparative Studies.
J Foot Ankle Surg. 2019 Jan;58(1):137-143. Review.
PMID: 30583775
- Hamid KS, Parekh SG.
Clinical Presentation and Management of Hallux Rigidus.
Foot Ankle Clin. 2015 Sep;20(3):391-9. Review.
PMID: 26320554
- Kunnasegaran R, Thevendran G.
Hallux Rigidus: Nonoperative Treatment and Orthotics.
Foot Ankle Clin. 2015 Sep;20(3):401-12. Review.
PMID: 26320555