RESUMO
The condition of hallux limitus is well understood and agreed on as visualized histologically and radiographically. But the historically described pathophysiology and anatomy that predisposes to hallux limitus has been challenged. Numerous investigators have proposed anatomic abnormalities of the foot as a primary cause of this condition, but perhaps trauma is the only unanimously agreed on cause. However, this accounts for only a small percentage of cases. To strive for better treatment outcomes, understanding the pathophysiology, assessing patient risk factors, and recognizing causative agents can better equip the foot and ankle surgeon in managing this condition.
Assuntos
Hallux Limitus/fisiopatologia , Hallux Rigidus/fisiopatologia , Fenômenos Biomecânicos , Progressão da Doença , Hallux Limitus/classificação , Hallux Limitus/diagnóstico por imagem , Hallux Limitus/etiologia , Hallux Rigidus/classificação , Hallux Rigidus/diagnóstico por imagem , Hallux Rigidus/etiologia , Humanos , Osteoartrite , RadiografiaRESUMO
In patients with long-standing, poorly controlled diabetes and peripheral neuropathy, a red, hot, swollen foot without open ulceration should raise the suspicion of Charcot neuroarthropathy, an often-overlooked diabetic foot complication. The authors discuss key diagnostic features and how to differentiate this condition from cellulitis, osteomyelitis, and other conditions. They review key elements of the workup and emphasize the importance of early diagnosis and prompt treatment to preserve a functioning foot.
