16th May - hallux 2 - other hallux problems
Venue - Salford, beginning 2pm
Leader - Mr R Suneja
Topic - hallux problems other than hallux valgus.
Mainly hallux rigidus, including a workshop on surgical management. Hopefully also cover sesamoid problems, hallux varus and ingrowing toenail, with patients as available.
Hallux rigidus
Further reading
Gibson JNA, Thomson CE. Arthrodesis or total replacement arthroplasty for hallux rigidus:a randomised controlled trial. FAI 2005; 26:680-90
Coughlin MJ et al. Hallux rigidus. JBJS 2003; 85A:2072-88 - core article
Hallux varus
Fairly rare as a symptomatic deformity but quite difficult to treat. Hyperbook
Further reading
Trnka HJ, et al. Acquired hallux varus and clinical tolerability. Foot Ankle Int (1997); 18(9): 593-7.
Skalley TC, et al. The operative treatment of acquired hallux varus. Clin Orthop (1994); (306): 183-91.
Sesamoid problems
Further reading
Saxena, A. and T. Krisdakumtorn (2003). “Return to activity after sesamoidectomy in athletically active individuals.” Foot Ankle Int 24(5): 415-9.
Blundell, C. M., P. Nicholson, et al. (2002). “Percutaneous screw fixation for fractures of the sesamoid bones of the hallux.” J Bone Joint Surg Br84(8): 1138-41.
Ingrowing toenail
Further reading
Shaath, N, Shea, J, et al. (2005). A prospective randomized comparison of the Zadik procedure and chemical ablation in the treatment of ingrown toenails. Foot Ankle Int 26(5): 401-5.
Bostanci, S, Kocyigit, P, et al. (2007). Comparison of phenol and sodium hydroxide chemical matricectomies for the treatment of ingrowing toenails. Dermatol Surg 33(6): 680-5. Although not in an easy journal, might be a useful reference, as surgical phenol seems to be in danger of being withdrawn
Subungual exostosis
Further reading
De Berker DA, Langtry J. (1999). Treatment of subungual exostoses by elective day case surgery. Br J Dermatol 140(5): 915-8 (another non-orthopaedic journal but that’s where they are and it’s about the best of a weak bunch)
Lee SK et al. Two distinctive subungual pathologies. Subungual exostosis and subungual osteochondroma. Foot Ankle Int 2007; 28:595-601 (sorts out the pathological confusion)