Second MTPJ arthrosis and capsular interpositional arthroplasty

By |2023-07-10T08:45:59+10:00July 10th, 2023|Foot pain, MTPJ|

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 [...]

Severed tendon

By |2023-06-25T14:53:13+10:00June 26th, 2023|Diagnosis, Foot pain, MTPJ|

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 [...]

Fractured bone spur

By |2023-03-30T21:31:45+11:00March 29th, 2023|Foot pain, Hallux limitus, MTPJ|

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 [...]

Gout or degenerative osteoarthrosis/hallux limitus?

By |2023-02-17T10:10:02+11:00February 15th, 2023|Diagnosis, Foot pain, Gout, Hallux limitus, MTPJ|

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 [...]

1st MTPJ cartilage damage

By |2023-02-11T19:03:45+11:00February 1st, 2023|Bunions, Diagnosis, Foot pain, MTPJ|

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 [...]

Hallux Limitus / Rigidus

By |2023-03-22T10:39:44+11:00November 30th, 2022|Foot pain, Hallux limitus, MTPJ|

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 [...]

Gout deposits (not bunions)

By |2023-02-28T21:10:11+11:00September 1st, 2022|Bunions, Foot pain, Gout, MTPJ|

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 [...]

Post-operative wounds

By |2023-02-11T19:10:03+11:00April 29th, 2022|Foot pain, Hallux limitus, MTPJ, Post operative|

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 [...]

Dislocated 2nd MTPJ

By |2023-02-11T19:10:34+11:00September 13th, 2021|MTPJ|

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 [...]

Motion following hallux limitus surgery

By |2023-03-22T10:38:59+11:00September 7th, 2021|Hallux limitus, MTPJ|

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 [...]

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