HALLUX VALGUS PART I Flashcards
hallux abductus and hallux adductus can be seen in what plane?
transverse plane
hallux valgus and hallux varus can be seen in what plane?
frontal plane
what clinical characteristics are typically not seen in the child, as compared to the adult, with HAV?
associated digital deformities
severe DJD
bursal thickening
planar dominance of deformity for juvenile HAV?
primarily transverse
planar dominance of deformity for adult HAV?
transverse and frontal
normal MTPJ ROM?
types of deviations?
1st MTPJ excursion is called?
60-65 degrees dorsiflexion
unrestricted
tracking
trackbound
hypermobility
first metatarsal head deviation is tested with what?
root test
dynamic hicks test
what views should we order?
AP
LAT
MO
plantar/sesamoid axial
for physis, what should we evaluate for?
closure of epiphyseal growth plate at the base of 1st met
evaluation of HAV angles?
what are they?
- IMA
- MAA
- HAA
- HIPA
- PASA
- DASA
- MPD
- Sesamoid Position
operative tx goals?
questions to answer for patient regarding surgical management?
restore functional anatomy
improve pain
prevent progression
what position will my great toe be in after surgery?
when can I return to work?
RTA?
return to wearing my shoes again?
will this eliminate all s/s?
recurrence?
surgical procedures for HAV?
soft tissue
phalangeal osteotomies
distal metatarsal osteotomies
name this term?
cut into the capsule
capsulotomy
name this term?
cut into the capsule, removing a wedge of capsule, with goal to tighten the soft tissue envelope
capsulorrhaphy
what most patients think a bunionectomy entails?
shave off the bump
