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Stage 4 hallux rigidus, also known as end stage hallux rigidus, involves severe loss of range of motion of the big toe joint and cartilage loss. Stage 4 hallux rigidus may be treated via fusion of the joint (arthrodesis) or implant arthroplasty in which both sides of the joint are resurfaced or a hinged implant is used. Fusion of the joint is ...
Illustration showing Akin osteotomy correction of the big toe. Akin osteotomy is a surgical procedure often used in the treatment of hallux valgus deformity, more commonly known as a bunion. [1] A bunion is a bony bump that forms on the joint at the base of the big toe, often resulting in the toe pointing abnormally toward the second toe.
The flexor hallucis longus is situated on the fibular side of the leg. It arises from the inferior two-thirds of the posterior surface of the body of the fibula, with the exception of 2.5 cm at its lowest part; from the lower part of the interosseous membrane; from an intermuscular septum between it and the peroneus muscles, laterally, and from the fascia covering the tibialis posterior, medially.
Fractures of the big toe are treated with a short-leg orthopedic walking boot, or a short-leg walking cast with a sole that protrudes beyond the big toe. These are worn for 2–3 weeks. Buddy taping and a rigid sole are then used for 3–4 weeks, if symptoms allow. At four weeks, range-of-motion exercises can start.
A bunion, also known as hallux valgus, is a deformity of the MTP joint connecting the big toe to the foot. [2] The big toe often bends towards the other toes and the joint becomes red and painful. [2] The onset of bunions is typically gradual. [2] Complications may include bursitis or arthritis. [2] The exact cause is unclear. [1]
Occasionally united at its origin with the extensor digitorum longus.. The extensor ossis metatarsi hallucis, a small muscle, sometimes found as a slip from the extensor hallucis longus, or from the tibialis anterior, or from the extensor digitorum longus, or as a distinct muscle; it traverses the same compartment of the transverse ligament with the extensor hallucis longus.
A hammer toe, hammertoe or contracted toe is a deformity of the muscles and ligaments of the proximal interphalangeal joint of the second, third, fourth, or fifth toe, bending it into a shape resembling a hammer. In the early stage, a flexible hammertoe is movable at the joints; a rigid hammertoe joint cannot be moved and usually requires surgery.
They are analogous to the knuckles of the hand, and are consequently known as toe knuckles in common speech. They are condyloid joints , meaning that an elliptical or rounded surface (of the metatarsal bones) comes close to a shallow cavity (of the proximal phalanges).