BACKGROUND Currently, arthrodesis is the most commonly performed surgical procedure for the treatment of severe arthritis of the first metatarsophalangeal joint. The objective of this study was to compare the long-term clinical and radiographic outcomes of a metallic hemiarthroplasty with those of arthrodesis for the treatment of this condition. METHODS A series of patients with osteoarthriti...

Numerous injuries and pathologic conditions can involve the hallucal sesamoidal complex and plantar capsular structures of the first metatarsophalangeal joint. Although clinical history and presentation are important in developing a reasonable differential diagnosis, there is often considerable overlap in the clinical presentation and physical findings between various pathologic entities. Imagi...

Background and Purpose: Arthrosis of the first MTP joint is a common condition. Among available arthrodesis methods, plate/screw screw methods are current treatment choice. In this study, we investigate whether there difference between these two methods.
 Methods: Thirty-four toes 32 patients with advanced arthrosis were included in study. Eighteen fixed plates/screws 16 cross-screws. radi...

Introduction Enough dorsiflexion angle of the first metatarsophalangeal joint is needed to ensure thrust and stability [1], and if the range of motion of the first metatarsophalangeal joint decreases, normal foot function during gait is under severe restriction [2]. Wearing shoes with high heels during gait makes weight leaning forward and wearing them for long may cause deformation of hallux v...

Hallux rigidus (HR) is the limitation of motion at the first metatarsophalangeal (MTP) joint, most commonly secondary to degenerative arthritis. Surgical options for treating HR include 2 general categories: joint salvage and joint destruction. A hybrid of techniques from the 2 categories has emerged: cartilage resurfacing, interpositional arthroplasty, and arthrodiastasis. These procedures add...

joint, a condition known as podagra. In the order of decreasing frequency, joint involvements of gout include the instep, the ankle, the knee, the wrist and the fingers. Here, we describe a rare case of arthritis in the wrist joint caused by an acute gout attack. A 58-year-old man woke up in the early morning of March 23, 2002, due to a pain in his right wrist joint. He had never undergone a me...