Gout

By |2021-10-28T11:58:25+11:00September 21st, 2021|Uncategorized|

I have carried out surgery on three patients recently who have had moderate bunions on X-ray, however, clinically they appear to be much worse. On X-ray, you can see "shadowing" of the gouty tophaceous deposits on the medial aspect of the joint, which gives the impression clinically that the actual osseous deviation is larger. Luckily minimal [...]

Dislocated 2nd MTPJ

By |2021-10-28T11:55:57+11:00September 13th, 2021|Uncategorized|

This patient presented recently with a long-standing markedly painful left 2nd MTPJ. Conservative care has been unsuccessful and hence she was referred for a surgical consultation. On examination, a firm, "lump" was noted on the dorsal aspect of this joint. This firm "lump" with a step-down prominence was palpated and deemed to be a dislocated joint. [...]

Motion following hallux limitus surgery

By |2021-10-28T11:30:28+11:00September 7th, 2021|Hallux limitus|

Hallux limitus/rigidus or degenerative osteoarthrosis of the 1st MTPJ is a very common condition in our practices. Once the condition deteriorates to the point where conservative care is not producing satisfactory pain relief, surgery can be suggested. Fusion/arthrodesis is still the most common procedure carried out and very occasionally I will fuse the joint in certain [...]

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