Hallux rigidus

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Last update: Thursday, 30 Mar 2023 at 6.19 pm.


Arthritic hallux rigidus

Hallux rigidus means stiff thumb.


Etiology

  • Arthrosis of the MTF joint of the thumb;
  • in some professions – tiler;
  • in some sports – football, mountain climbers;
  • after inflammation;
  • after operations on the lateral thumb - with incorrect follow-up treatment.

Clinic

The MTF joint gradually hardens. osteofyty form on the dorsum of the head of the first metatarsus and the base of the basic joint . Thumb extension limited, pain present when walking.

X-ray image

Signs of arthrosis of the MTF joint of the thumb, osteophytes around the joint .

Therapy

Mostly operative.

Resection of 1/3 of the base of the base of the big toe (like the Keller-Brandesova operace) and ablation of the marginal osteophytes on the first metatarsal head.

References

  • SOSNA, A – VAVŘÍK, P – KRBEC, M, et al. Základy ortopedie. 1. edition. Triton, 2001. pp. 175. ISBN 80-7254-202-8.