Forefoot Disorders
A 55-year-old man presents with progressive stiffness and pain at the base of his right great toe over 2 years. Pain is worse with walking, especially push-off, and with dress shoe wear. Examination reveals a prominent dorsal bump at the first MTP joint, limited dorsiflexion (20 degrees compared to 50 degrees on the contralateral side), and pain at end-range dorsiflexion. Lateral radiograph shows a large dorsal osteophyte and joint space narrowing. Regarding hallux rigidus:
Mark each as TRUE or FALSE
Hallux rigidus is osteoarthritis of the first MTP joint and is the most common arthritic condition o...
Risk factors include previous trauma, long first metatarsal or first ray hypermobility, hallux valgu...
Hallux rigidus is the same as hallux valgus; it affects plantarflexion primarily; the condition impr...
The Coughlin-Shurnas classification grades hallux rigidus from 0-4 based on dorsiflexion loss, pain,...
Surgical options include cheilectomy (dorsal osteophyte removal, good for grades 1-2), interposition...
Answer the questions to see explanations
Click T (True) or F (False) for each option