Blog's main page This was a very symptomatic 2nd MTPJ that had progressed for many years. Conservative care has been exhausted, and the patient was referred for a surgical consultation. Please see the left image for decreased joint space, subchondral sclerosis and bony spurring. Range of motion was limited with dorsal jamming and marked crepitus. My [...]
Blog's main page This patient presented with a painful enlarged 2nd MTPJ, but her main concern was the fact that the associated 2nd toe is "floppy" and catches on the ground. She has had previous surgery on this 2nd MTPJ when in her 20s. She can no longer walk barefoot, and it is now leading to [...]
Blog's main page This patient presented in early March with a history of a sudden severely inflamed and painful right 1st MTPJ after a run completed the previous month. The joint became swollen and stiff after the run, and symptoms have slightly settled. The patient has had a generalised ache in the joint for a few [...]
Blog's main page This patient presented approximately two weeks ago with a history of long-term gout. He is only in his thirties, and his history of supposed gout flare-ups does not seem like your typical gout presentation. He has marked symptoms; however, the 1st MTPJ is never red, hot and swollen. He had blood tests many [...]
Blog's main page I operated on this patient last week. She had suffered from marked left 1st MTPJ pain. She had been treated for her bunion via rest, orthotics, mobilisation, medication and various splints. No pain relief was achieved, and she noted that the joint was becoming slightly stiff and more symptomatic. X-ray assessment showed a [...]
Blog's main page This patient had marked 1st MTPJ pain that had been recalcitrant to conservative care, including various orthotics. Her range of motion was mildly reduced; however, she had crepitus present. The radiograph was reported to have only mild degenerative disease in the joint; however, there are some subtle changes in the position of the [...]
Blog's main page This patient has presented with concerns about painful bunions. He also suffers from gout. On questioning, he has been less than conscientious with his taking of gout prophylactic medications. On the clinical images on the left, he does look as though he has bunions, plus he has painful 1st MTPJs that could be [...]
Blog's main page The images show how a foot can look at six weeks post-op. This patient had chronic painful 1st and 2nd MTPJs. On clinical and radiographic imaging, it was shown she had hallux limitus with an abducted hallux and chronic overload to the 2nd MTPJ. The image on the left is intra-operative and shows [...]
Blog's main page This patient presented recently with a long-standing markedly painful left 2nd metatarsophalangeal joint (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 [...]
Blog's main page Hallux limitus / rigidus or degenerative osteoarthrosis of the 1st metatarsophalangeal joint (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 [...]
