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Introduction Relevant Anatomy And Contraindications Workup Treatment Outcome And Prognosis Pictures Bibliography Introduction Giant cell tumors of the tendon sheath are the second most common tumors of the hand, with simple ganglion cysts being the most common. Chassaignac first described these benign soft-tissue masses in 1852, and he overstated their biologic potential...

Wheeless' Textbook of Orthopaedics
this procedure allows long toe flexors to behave like intrinsic muscles producing active plantar flexion at MP joints & extension at IP joint; - indicated for flexible hammer toes and claw toes;

Wheeless' Textbook of Orthopaedics
hallux rigidus results from degenerative changes at the first MTP joint; - this may be more disabling than hallux valgus, because pt is unable to achieve relief even when not wearing shoes; - it is a frequent complaint of runners; ...

Wheeless' Textbook of Orthopaedics
Overview of options for the investigation and management of hallus valgus

The term hallux varus refers to medial deviation of the great toe. Hallux varus has variable degrees of severity, symptomatology, and etiology. Causes range from the most common iatrogenic postoperative variety to idiopathic, rheumatic, and posttraumatic (tear of the hallux lateral collateral ligament) forms. Flexible hallux varus is a common...

Wheeless' Textbook of Orthopaedics
term describes abnormal flexion posture of PIP joint of one of lesser 4 toes;
- the hammer toe deformity is similar to the curly toe deformity but is not malrotated;
- flexion deformity of PIP may be fixed or supple;
...

Wheeless' Textbook of Orthopaedics
procedure combines soft tissue release and removal of the medial eminence with resection of the proximal end of the proximal phalanx;
- complications include transfer metatarsalgia (helped with MP bar), recurrence (reduced w/ medullary pin and splinting), ...

Wheeless' Textbook of Orthopaedics
Discussion: - self limiting avasulcar necrosis of the navicular; - usually unilateral and affects children, most often boys; - onset is at age 4 in boys and age 5 in girls; - navicular is...

Wheeless' Textbook of Orthopaedics
Lapidus procedure is indicated for w/ severe hallux valgus deformity + a hypermobile 1st ray;
- procedure involves: arthrodesis of metatarsalcuneiform joint
- note that shortening of metatarsal will occur if large...

Wheeless' Textbook of Orthopaedics
disorder of unknown etiology characterised by local proliferation of abnormal fibrous tissue in the plantar fascia
- this tissue is locally aggressive and progressively replaces the normal plantar aponeurosis
- this leads to often painful thickened fascia with nodules from...

Wheeless' Textbook of Orthopaedics
refers to flexion posture of DIP;
- may occur as isolated disorder or along w/ hammer toe deformity;
- this deformity occurs most often in 2nd toe, which is frequently the longest & which is impinged in a tight fitting shoe, causing DIP flexion;
- mallet...

Wheeless' Textbook of Orthopaedics
Modified McBride Procedure for Hallux Valgus
modified procedure includes release of adductor hallucis, transverse metatarsal ligament, and lateral capsule combined w/ excision of medial eminence and plication of the capsule medially;
...

Wheeless' Textbook of Orthopaedics
in the normal foot, metatarsal heads bear one half of a person's body wt, when the foot is plantigrade;
- the first metatarsal normally bears half the wt of the forefoot;
-...

Wheeless' Textbook of Orthopaedics
a condition in which the there is medial displacement of the metatarsals on the cuneiform;
- forefoot is adducted at the tarsal metarsal joint;
- usually seen in the first year;
- is bilateral in 50% of...

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