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Erstellt von Morgan Morgan
vor mehr als 9 Jahre
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Clinical Assessment
Radiological Assessment
Radiological views - 4
NORMAL grade HV angle?
INTER-METATARSAL ANGLE?
MILD
HALLUX VALGUS ANGLE
INTER-METATARSAL ANGLE
MODERATE
HALLUX VALGUS ANGLE
INTER-METATARSAL ANGLE
SEVERE
HALLUX VALGUS ANGLE
INTER-METATARSAL ANGLE
Normal Distal Articular Set Angle and Proximal Articular Set Angle?
Congruent Hallux Valgus - 4 factors
Interphalangeal Hallux Valgus
• Often associated with ?
• May be the main deformity in ?
• Treated by?
Tarso-Metatarsal Joint Instability
Usually associated with?
• Noted on clinical exam but what can confirm this?
Treatment Options - NON-OPERATIVE (4)
HV Surgery Considerations (4)
Soft Tissue Release (McBride’s) description
Exostectomy (Silver’s procedure)
Excision Arthroplasty (Keller’s)
Complications - 5
Excision Arthroplasty (Mayo’s)
Complications (3)
Osteotomy
Ideal Osteotomy
The Modified Mau-Reverdin Double Osteotomy
Mitchell Osteotomy
Mitchell Osteotomy - 2 disadvantages
Chevron osteotomy
Complications with Chevron and other distal osteotomies
Scarf Osteotomy
Troughing
Feathering
BASAL OSTEOTOMY
LAPIDUS PROCEDURE/First tarsometatarsal joint arthrodesis
ARTHRODESIS indications? 3
Akin osteotomy
Common Practice in Glasgow
• Mild deformities?
Moderate deformity
• Severe deformity - 2
• First MTPJ arthritis:
First ray hypermobility / First TMTJ arthritis: