Posttraumatic Pathologies of the First Metatarsophalangeal Joint

IF 1.5 3区医学 Q3 ORTHOPEDICS

Foot and Ankle Clinics Pub Date : 2023-10-01 DOI:10.1016/j.fcl.2023.09.005

Kathrin Pfahl, Carla Weber, Markus Walther

引用次数: 0

Abstract

Injuries to the first metatarsophalangeal joint are often missed and not adequately treated, resulting in secondary deformities and degenerative arthritis . The particular anatomy of the joint puts mainly soft tissue structures at risk, which is why conditions such as turf toe injury and valgus or varus deformities can occur. Because the sesamoid bones are receiving high pressures , fractures should be considered. Many conditions can be treated conservatively by offloading, immobilization, or taping. Surgical options for high instability, dislocated fractures , or advanced cartilage damage should be recommended.

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第一跖趾关节创伤后病理

第一跖趾关节的损伤经常被忽略，没有得到充分的治疗，导致继发性畸形和退行性关节炎。关节的特殊解剖结构主要使软组织结构处于危险之中，这就是为什么会发生草皮趾损伤和外翻或内翻畸形等情况。由于籽骨承受高压，应考虑骨折。许多情况可以通过卸载、固定或胶布保守治疗。对于高度不稳定、骨折脱位或软骨损伤，应推荐手术治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Foot and Ankle Clinics ORTHOPEDICS-

CiteScore

2.90

自引率

6.70%

发文量

审稿时长

>12 weeks

期刊介绍： Foot and Ankle Clinics updates you on the latest trends in orthopedic patient management, keeps you up to date on the newest surgical advances, and provides a sound basis for choosing treatment options. Published four times a year—in March, June, September, and December—each issue focuses on a single topic in foot and ankle surgery, from fractures, dislocations, sprains, and amputations, through arthritis, nerve disorders, and congenital deformities. Foot and Ankle Clinics has been edited by Mark S. Myerson, one of the world''s foremost experts on foot and ankle reconstruction and injury, since 1995.