Metatarso-sesamoid Osteoarthritis as a Cause of Pain after First Metatarsophalangeal Joint Fusion: Case Report

2011 ◽  
Vol 32 (8) ◽  
pp. 822-825 ◽  
Author(s):  
Jeffrey Tan ◽  
Johnny T. C. Lau
Keyword(s):  
Case Report ◽  
Metatarsophalangeal Joint ◽  
First Metatarsophalangeal Joint ◽  
Joint Fusion ◽  
Cause Of Pain

Hallux Varus Interphalangeus Following Osteochondral Fracture of the Proximal Phalanx: A Case Report

2020 ◽  
Vol 110 (5) ◽  
Author(s):  
Calvin J. Rushing ◽  
Tarak Amin ◽  
Alberto Herrada ◽  
Steven M. Spinner
Keyword(s):  
Case Report ◽  
Hallux Valgus ◽  
Proximal Phalanx ◽  
Metatarsophalangeal Joint ◽  
First Metatarsophalangeal Joint ◽  
Osteochondral Fracture ◽  
Medial Head ◽  
Hallux Varus ◽  
Hallux Valgus Interphalangeus ◽  
Joint Fusion

Hallux valgus interphalangeus deformity has been previously reported in the literature following trauma and first metatarsophalangeal joint fusion. However, to the best of our knowledge, hallux varus interphalangeus deformity has not been previously reported. We present the case of a 26-year-old skeletally mature woman who sustained an acute, open hallux varus interphalangeus injury following an osteochondral fracture of the medial head of the proximal phalanx.

scholarly journals Management of a failed metatarso-phalangeal joint fusion utilizing a hemicup prosthesis

2014 ◽  
Vol 4 (2) ◽  
Author(s):  
Nicola Stadler ◽  
Stefan Hofstätter ◽  
Klemens Trieb
Keyword(s):  
Case Report ◽  
Metatarsophalangeal Joint ◽  
Treatment Method ◽  
Hallux Rigidus ◽  
Salvage Procedure ◽  
Operative Techniques ◽  
First Metatarsophalangeal Joint ◽  
First Report ◽  
Joint Fusion

We report a case of a 65-year-old man with a painful nonunion of the first metatarsophalangeal joint (MTPJ). It is one of the main severe complications of this surgery. Its prevalence is described between 5% and 10% across different operative techniques. The implantation of hemicup-prosthesis has been successfully used for the hallux rigidus treatment with very promising results. In our case report, we introduce a treatment method of converting a pseudoarthrosis of the first MTPJ, made of two crossing screws into a hemicup-prosthesis as a salvage procedure. This is to our best knowledge the first report using this device for treatment of pseudoarthrosis of the first MTPJ.

scholarly journals First Metatarsophalangeal Joint Arthrodesis

2018 ◽  
Vol 3 (3) ◽  
pp. 247301141775267 ◽  
Author(s):  
Paola Filomeno ◽  
Julio López
Keyword(s):  
Patient Satisfaction ◽  
Plate Fixation ◽  
Metatarsophalangeal Joint ◽  
Functional Improvement ◽  
Dorsal Plate ◽  
Level Of Evidence ◽  
First Metatarsophalangeal Joint ◽  
Joint Fusion ◽  
Vas Scores ◽  
Satisfaction Rates

Background: First metatarsophalangeal (MTP) joint arthrodesis can be fixed using either a dorsal plate or crossed screws. However, there is considerable difference in the cost of these implants, and it is not known if there is sufficient difference in outcome that might justify this cost difference. Our aim was to compare the functional results and patient satisfaction rates after first MTP joint arthrodesis in a group of patients using the same surgical technique except for the fixation devices. Methods: A prospective cohort of 27 patients who underwent first MTP joint fusion by the same surgeon using 2 crossed screws or a single screw with a dorsal plate was recruited over a 3-year period. Demographic information, patient satisfaction rates, complications, and union rates were evaluated. American Orthopaedic Foot & Ankle Society (AOFAS) and visual analog scale (VAS) scoring systems were used pre- and postoperatively to compare the functional outcomes. Thirty consecutive procedures (screws, n = 15; plate, n = 15) were performed. Age (55.8 ± 11.1 vs 63.3 ± 12.4 years for screws and plate respectively; P = .091) and female gender percentages (80% and 73%, P = .666) were similar between groups. Results: The overall union rate was 93% with no differences between groups. AOFAS and VAS scores improved significantly postoperatively for each technique, and no differences were found between the two in the improvement in AOFAS (42.4 ± 8.0 vs 44.3 ± 8.2, screws and plate respectively; P = .520) and VAS scores (66.0 ± 5.4 vs 69.0 ± 6.9; P = .195). The implant cost for screws was $40 and for dorsal plate, $328. Conclusions: First MTP joint fusion using either screws or plate fixation results in an improvement in AOFAS and VAS scores. Functional improvement and patient satisfaction did not differ between the 2 techniques, despite a considerable difference in cost between the two methods of fixation. Level of Evidence: Level III, prospective comparative study.

scholarly journals A neglected plantar dislocation of first metatarsophalangeal joint: a case report

2004 ◽  
Vol 10 (4) ◽  
pp. 227-230 ◽  
Author(s):  
Sezgin Sarban ◽  
Orhan Erol ◽  
Mithat Yazar ◽  
Ugur E. Isikan
Keyword(s):  
Case Report ◽  
Metatarsophalangeal Joint ◽  
First Metatarsophalangeal Joint ◽  
Plantar Dislocation

Bizarre Parosteal Osteochondromatous Proliferation (Nora's Lesion) of the Sesamoid: a Case Report

2000 ◽  
Vol 21 (5) ◽  
pp. 408-412 ◽  
Author(s):  
J.A. Harty ◽  
P. Kelly ◽  
D. Niall ◽  
J.C. O'Keane ◽  
M.M. Stephens
Keyword(s):  
Case Report ◽  
Magnetic Resonance ◽  
Metatarsophalangeal Joint ◽  
Magnetic Resonance Images ◽  
Parosteal Osteosarcoma ◽  
Bizarre Parosteal Osteochondromatous Proliferation ◽  
First Metatarsophalangeal Joint ◽  
Histological Features ◽  
Nora’S Lesion ◽  
Plantar Aspect

We report the a case of Nora's lesion (Bizarre Parosteal Osteochondromatous Proliferation) of the sesamoid. A 32-year-old woman presented with a painless, enlarging mass of two years duration on the plantar aspect of the first metatarsophalangeal joint of the left foot. Radiographs, Computerized Tomographs and Magnetic Resonance images, initially suggested a parosteal osteosarcoma arising from the tibial sesamoid. The mass was excised, and a histological diagnosis of Bizarre Parosteal Osteochondromatous Proliferation of bone (Nora's lesion) was made. The aggressive growth of this lesion may suggest a neoplasm clinically. Histological features, however, are those of a reactive lesion.

Lateral Dislocation of the First Metatarsophalangeal Joint: A Case Report

2008 ◽  
Vol 21 (4) ◽  
pp. 312 ◽  
Author(s):  
Yeong-Sik Yun ◽  
Young-Mo Kim ◽  
Kyung-Cheon Kim ◽  
Pil-Sung Kim
Keyword(s):  
Case Report ◽  
Metatarsophalangeal Joint ◽  
First Metatarsophalangeal Joint ◽  
Lateral Dislocation

scholarly journals Neglected dorsolateral dislocation of the first metatarsophalangeal joint: A case report

2017 ◽  
Vol 34 ◽  
pp. 43-48 ◽  
Author(s):  
Omar A. Al-Mohrej ◽  
Abdulrahman A. AlOmair ◽  
Yara A. Alfehaid ◽  
Abubaker A. Alsumali ◽  
Nader S. Al-Kenani
Keyword(s):  
Case Report ◽  
Metatarsophalangeal Joint ◽  
First Metatarsophalangeal Joint
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