Objective: To determine the prevalence of hallux valgus and its relationship to wearing high-heel shoes in Chinese females. In the January's issue of Orthopedics magazine there is a paper which presents the results of more widely used method of correction of hallux valgus - the so- called Scarf osteotomy. Be alert to hallux valgus deformity symptoms. Hallux valgus is de benaming voor een standsafwijking van de grote teen. A bunion is a very common forefoot problem.
After internal ethical approval and appropriate consent; consecutive patients operated for hallux valgus were included, conducted by the fellowship-training surgeon (RSA). This positional image was taken with the foot placed flat on the image intensifier housing of the C-arm (Figure 1). To produce simulated weight bearing the foot was held in talar-neutral and the image intensifier was raised until maximal ankle dorsiflexion was achieved (Figure 2). In doing this, the simulated pressure was being maximally taken up by the forefoot. A further retrospective analysis was undertaken by C.E. of 6-week weight bearing radiographs from our hallux valgus data base of patients whom had further radiographs taken at 12 - 24 weeks post-surgery. The aim is to correct the tilting of the big toe.
Na een basisosteotomie of arthrodese-operatie is het verstandig om de voet gedurende de gipsperiode regelmatig omhoog te leggen. Als op de röntgenfoto blijkt dat uw teen goed geneest, mag u de belastbaarheid van de voet uitbreiden. De eerste tijd na de operatie voelt uw voet en het gebied rondom de wond dik en warm aan. De hervatting van uw werk wordt begeleid door uw bedrijfsarts.
Associated deformities may include second digit hammertoes and flexible or rigid flat foot. Instability of the second digit may allow a more rapid progression of hallux valgus, as it is unable to act as an adequate lateral buttress. If surgery it to be contemplated it is imperative that peripheral blood flow be adequate for healing. Understand that bunions are progressive and that non-surgical treatments alleviate symptoms but do not limit progression. The most important indication for surgery is pain, not deformity, although there will often be concern about the appearance of the deformed joint. It is usually a combination of bone and soft tissue surgery.
They can also develop as a result of injury, inherited structural defects, stress on your foot or another medical condition. Symptoms may include pain and soreness over the bump, redness from rubbing against the shoe, a burning sensation or possibly numbness. Other conditions which may appear with bunions include calluses on the big toe, sores between the toes, ingrown toenail, and restricted motion of the toe. Symptoms often occur when Diabetic Foot wearing shoes with a tight or narrow toe box (the front of the shoe) or high heels. The first step to relieve pain and lessen the progression of bunions is a change of foot wear. A pad or cushion over the bunion may relieve rubbing if the shoe is wide enough to accommodate the padding. The 3pp Bunion-Aider is recommended for nighttime wear to hold the toe in proper alignment. Surgery is usually recommended as the first measure.