RESUMO
The authors describe their operative approach to metatarsus primus adductus deformity when present in conjunction with a congenitally short first metatarsal. Hallux abducto valgus correction in this clinical setting has traditionally advocated use of a crescentic or opening wedge osteotomy in order to prevent further shortening of the first metatarsal. Fixation of opening base wedge osteotomies has been fraught with problems in the past, with possibilities for displacement or eventual loss of initial correction. The authors have found the mini-Hoffmann external fixation device useful for this purpose.
Assuntos
Hallux Valgus/cirurgia , Metatarso/cirurgia , Dispositivos de Fixação Ortopédica , Osteotomia/métodos , Adolescente , Pinos Ortopédicos , Deformidades Congênitas do Pé , Hallux Valgus/complicações , Hallux Valgus/diagnóstico por imagem , Humanos , Masculino , Metatarso/diagnóstico por imagem , Cuidados Pós-Operatórios , RadiografiaRESUMO
The authors investigated the statistical relationship and significance between the transverse and sagittal plane proximal articular set angles both radiographically and intraoperatively. The analysis revealed a highly significant difference between the means of the respective measurements. Although the radiographic and intraoperative findings were found to be related for the transverse plane proximal articular set angle, the transverse plane PASA was approximately 7 degrees greater when measured intraoperatively. The concept of a sagittal plane PASA was also introduced. The significance of accurate measurements in the surgical correction of hallux valgus was also examined.
Assuntos
Hallux Valgus/patologia , Articulação Metatarsofalângica/patologia , Articulação do Dedo do Pé/patologia , Hallux Valgus/diagnóstico por imagem , Hallux Valgus/cirurgia , Humanos , Radiografia , Valores de ReferênciaRESUMO
Although most patients who seek relief are adults, the problem of hallux valgus frequently begins at an earlier age. In the juvenile patient, except for congenital anomalies or inflammatory juvenile rheumatic disease, hallux abducto valgus appears to be related to the biochemical malfunction. It requires not only surgical management, but also the use of orthotics or surgical stabilization.
Assuntos
Hallux Valgus/cirurgia , Adolescente , Fatores Etários , Pé/diagnóstico por imagem , Hallux Valgus/diagnóstico por imagem , Hallux Valgus/etiologia , Humanos , Articulação Metatarsofalângica/cirurgia , Metatarso/cirurgia , Osteotomia/métodos , Radiografia , Articulações Tarsianas/cirurgiaRESUMO
Fibrous histiocytomas are benign but aggressive tumors of histiocytic origin. The authors describe and discuss an example of an atypical fibrous histiocytoma that involved the soft tissue of the great toe. These tumors sometimes recur after local excision.
