Relationship between Stress Fractures of the Proximal Phalanx of the Great Toe and Hallux Valgus

2004 ◽  
Vol 32 (4) ◽  
pp. 1032-1034 ◽  
Author(s):  
Kiyoshi Yokoe ◽  
Yasushi Kameyama
Keyword(s):  
Hallux Valgus ◽  
Proximal Phalanx ◽  
Stress Fractures ◽  
Great Toe

scholarly journals Intra-articular fracture of proximal phalanx of great toe accompanied by valgus deformity associated with sports activities

2017 ◽  
Vol 25 (1) ◽  
pp. 230949901769032
Author(s):  
Sungsoo Kim ◽  
Myoungjin Lee ◽  
Sangyun Seok
Keyword(s):  
Hallux Valgus ◽  
Proximal Phalanx ◽  
Valgus Deformity ◽  
Lateral Side ◽  
Great Toe ◽  
Fracture Group ◽  
Articular Fracture ◽  
Medial Side ◽  
Hallux Valgus Interphalangeus ◽  
Sports Activities

Background: We analyzed clinical and radiologic examination of intra-articular fracture of the proximal phalanx of great toe accompanied by valgus deformity associated with sports activities. Therefore, we assessed valgus deformity of great toe at fracture side and contralateral side by simple radiograph in order to confirm the causal relation of fracture and deformity. Methods: A retrospective study was conducted on 23 cases, between January 2000 and August 2014, which showed an intra-articular fracture of proximal phalanx which was diagnosed after visiting our hospital for valgus deformity of great toe as a chief complaint. All patients were involved in sports activities for over 2 years. The site of fracture was the lateral side of the proximal phalanx head in 16 cases and the medial side of the proximal phalanx base in 7 cases. In order to assess the valgus deformity of great toe, hallux valgus angle (HVA) and hallux valgus interphalangeal angle (HVIPA) were measured on the weight-bearing foot radiograph. Results: The average HVA of the fracture group on the lateral side of the proximal phalanx head was 10.5° and HVIPA was 17.8°, while the average HVA of the fracture group on the medial side of the proximal phalanx base was 18.1° and HVIPA was 10.7°. Among the 16 cases with a fracture on the lateral side of the head, 13 cases showed hallux valgus interphalangeus (81.3%), while all 7 cases of fracture on the medial side of the base showed hallux valgus (100%). Conclusion: Hallux valgus was mostly found on the fracture of the medial side of the proximal phalanx base, while hallux valgus interphalangeus was mostly found on the fracture of the lateral side of the proximal phalanx head.

Pilot Study of a 3-Dimensional Method for Analysis of Pronation of the First Metatarsal of Hallux Valgus Patients

2018 ◽  
Vol 39 (12) ◽  
pp. 1449-1456 ◽  
Author(s):  
Bradley Campbell ◽  
Mark Carl Miller ◽  
Lance Williams ◽  
Stephen F. Conti
Keyword(s):  
Hallux Valgus ◽  
Computer Aided Design ◽  
Proximal Phalanx ◽  
Three Dimensional ◽  
Great Toe ◽  
3 Dimensional ◽  
First Metatarsal ◽  
Second Metatarsal ◽  
Three Dimensional Models ◽  
Aided Design

Background: The current work sought to quantify pronation of the first metatarsal relative to the second metatarsal and of the proximal phalanx of the great toe relative to the first metatarsal. Methods: Three-dimensional models were reconstructed from weightbearing computed tomography (CT) images (10 hallux valgus, 10 normal). The orientations of bones related to hallux valgus (HV) (ie, the phalanx, first and second metatarsals) were determined from coordinate systems established by selecting landmarks. After determining the hallux valgus and intermetatarsal angles, additional calculations geometrically determined the 3-dimensional (3D) angles using the aeronautical system of yaw-pitch-roll. The 3D geometrically determined angles were compared to the conventional plain radiographic angles. Results: HV measurements taken with CT and 3D computer-aided design (3DCAD) geometric methods were the same as measurements taken from plain radiographs (P > .05). The average pronation of the first metatarsal relative to the second metatarsal was 8.2 degrees greater in the hallux valgus group (27.3 degrees) than in the normal group (19.1 degrees) (P = .044). A regression analysis of pronation vs intermetatarsal angle (IMA) was not found to be significant. There was also no correlation between pronation of the great toe and first metatarsal in the HV group. Conclusions: The pronation angle of the first metatarsal relative to the second metatarsal between normal and hallux valgus patients was larger in HV patients but was not well correlated with the IMA. Clinical Relevance: The findings of this study indicate that pronation may need to be considered in the operative correction of hallux valgus for restoration of normal anatomy.

Stress Fractures of the Proximal Phalanx of the Great Toe: A Report of Four Cases

2009 ◽  
Vol 30 (05) ◽  
pp. 461-464 ◽  
Author(s):  
Mitsuru Munemoto ◽  
Kazuya Sugimoto ◽  
Yoshinori Takakura
Keyword(s):  
Proximal Phalanx ◽  
Stress Fractures ◽  
Great Toe

Stress fractures of the proximal phalanx of the great toe

The Foot ◽  
1997 ◽  
Vol 7 (2) ◽  
pp. 101-104 ◽  
Author(s):  
S. Inokuchi ◽  
N. Usami
Keyword(s):  
Proximal Phalanx ◽  
Stress Fractures ◽  
Great Toe

A Clinical Observation for the Fracture of Proximal Phalanx of the Great Toe(So Called Safety shoes-Fracture)

1990 ◽  
Vol 3 (1) ◽  
pp. 16
Author(s):  
Bong Yeol Lim ◽  
Hee Young Cheong ◽  
Dong Bai Shin ◽  
Young Hwa Ahn
Keyword(s):  
Clinical Observation ◽  
Proximal Phalanx ◽  
Great Toe

Osteochondral Lesions of the Proximal Phalanx of the Great Toe: A Report of Two Cases

1998 ◽  
Vol 19 (4) ◽  
pp. 252-254 ◽  
Author(s):  
Mitsuo Kinoshita ◽  
Ryuzo Okuda ◽  
Junichi Morikawa ◽  
Toshito Yasuda ◽  
Tsuyoshi Jotoku ◽  
...  
Keyword(s):  
Osteochondritis Dissecans ◽  
Bone Grafting ◽  
Proximal Phalanx ◽  
Interphalangeal Joint ◽  
Soccer Players ◽  
Osteochondral Lesions ◽  
Great Toe

Two cases of osteochondral lesions of the proximal phalanx of the great toe at the interphalangeal joint are presented. This condition is characterized by pain, swelling, and tenderness at the interphalangeal joint. The roentgenographic characteristics resemble osteochondritis dissecans. Curettage and bone grafting to the lesion is effective. These conditions in adolescent soccer players may be caused by chronic repetitive overloading of the interphalangeal joint using soccer shoes with soft, supple, and narrow toe boxes.

Salter-Harris Type IV Epiphyseal Fracture of the Proximal Phalanx of the Great Toe: A Case Report

1995 ◽  
Vol 16 (4) ◽  
pp. 216-219 ◽  
Author(s):  
Barbara D. Buch ◽  
Mark S. Myerson
Keyword(s):  
Case Report ◽  
Poor Prognosis ◽  
Skeletal Maturity ◽  
Proximal Phalanx ◽  
Normal Function ◽  
Great Toe ◽  
Surgical Reduction ◽  
Type Iv ◽  
Epiphyseal Fractures ◽  
Salter Harris

Epiphyseal fractures account for about one fifth of pediatric fractures. Approximately 10% cause major growth disturbances, depending on the location and type of the fracture and the skeletal maturity of the child. Intra-articular Salter-Harris type IV fractures are rare, carry a poor prognosis, and almost always need surgical reduction to prevent deformity. We present a case report of a pediatric patient who returned to normal function after the successful surgical reduction of a Salter-Harris type IV fracture in the proximal phalanx of the great toe.

scholarly journals Treatment of Moderate Hallux Valgus by Percutaneous, Extra-articular Reverse-l Chevron (PERC) Osteotomy

2017 ◽  
Vol 2 (3) ◽  
pp. 2473011417S0002
Author(s):  
Julien Lucas ◽  
Olivier Laffenetre
Keyword(s):  
Hallux Valgus ◽  
Proximal Phalanx ◽  
Subjective Rating ◽  
Outpatient Basis ◽  
Range Of Movement ◽  
Aofas Score ◽  
First Metatarsophalangeal Joint ◽  
Chevron Osteotomy ◽  
The Mean

Category: Midfoot/Forefoot Introduction/Purpose: The purpose of this study was to report a single surgeon series of consecutive patients with moderate hallux valgus managed with a Percutaneous Extra-articular Reverse-L Chevron (PERC) osteotomy. Methods: A total of 38 patients underwent 45 PERC procedures. A medial approach is used just proximal to the flare of the metatarsal head. The osteotomy is performed using a burr, the thickness of which is selected according to the planned correction and shortening. A second dorsolateral approach is then performed and the osteotomy is fixed using a self-drilling, self-tapping 3 mm diameter cannulated and headless compression screw. There were 35 women and three men. The mean age of the patients was 48 years (17 to 69). An additional percutaneous Akin osteotomy was performed in 37 feet and percutaneous lateral capsular release was performed in 22 feet. Clinical and radiological assessments included the type of forefoot, range of movement, the American Orthopedic Foot and Ankle (AOFAS) score, a subjective rating and radiological parameters. The mean follow-up was 59.1 months (45.9 to 75.2). No patients were lost to follow-up. Results: The mean AOFAS score increased from 62.5 (30 to 80) pre-operatively to 97.1 (75 to 100) post-operatively. A total of 37 patients (97%) were satisfied. At the last follow up there was a statistically significant decrease in the hallux valgus angle, the intermetatarsal angle and the proximal articular set angle. The range of movement of the first metatarsophalangeal joint improved significantly. There was more improvement in the range of movement in patients who had fixation of the osteotomy of the proximal phalanx. Conclusion: Preliminary results of this percutaneous approach are promising. This technique is reliable and reproducible. The PERC osteotomy procedure is an effective approach for surgical management of moderate hallux valgus which combines the benefits of percutaneous surgery with the versatility of the chevron osteotomy. Its main asset is that it maintains an excellent range of movement; other advantages relate to the procedure being performed on an outpatient basis and the absence of tourniquet use.

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