Post-operative wounds

By |2022-05-29T14:19:33+10:00April 29th, 2022|Foot pain, Hallux limitus, MTPJ, Post operative|

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 severe cartilage loss [...]

Dislocated 2nd MTPJ

By |2022-05-29T14:22:18+10:00September 13th, 2021|MTPJ|

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 to be a [...]

Motion following hallux limitus surgery

By |2022-05-29T14:22:48+10:00September 7th, 2021|Hallux limitus|

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 I will fuse the joint [...]

Remember functional anatomy and to x-ray

By |2022-02-20T14:10:41+11:00May 25th, 2021|Uncategorized|

This is an interesting case I have dealt with recently. The patient was sent to me with long-standing, markedly painful and stiff 1st metatarsophalangeal joints (MTPJ). Clinical examination showed no dorsiflexion with the patient guarding the joint due when any motion was attempted. All conservative care had been exhausted with no success. Weight-bearing radiographs exposed a [...]

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