Professional Documents
Culture Documents
John T. Campbell, MD
Baltimore, Maryland
I) Background
A) Pathophysiology
1) Synovitis, pannus
2) Ligament attenuation, failure
3) Joint erosions, cartilage loss, arthritis
B) Pathomechanics
1) Hallux
(a) Progressive valgus
(b) Unloads hallux, transfers stress to lesser MTPs
(c) Loss of windlass mechanism, arch flattening, 1st TMT instability
2) Lesser MTPs
(a) Progressive subluxation → dislocation
(b) Intrinsic minus, claw toe deformity
(c) Fat pad migrates distally – diminished padding
(d) Depresses metatarsal head → metatarsalgia, callus, ulceration
V) Bibliography
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