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    Hallux Rigidus

    πŸ—£οΈ
    You will be asked to examine the foot
    image
    • Look - swelling over dorsum of 1st MTPJ
      • Risk factors - pes planus, hallux valgus
    • Gait - walking on outer border (supinate foot on ambulation due to unable to push off properly)
      • Loss of third rocker in push off w great toe. No dorsiflexion of great toe
    • Sit and Look -
      • Shoes - lateral shoe wear due to reasons above (walking on outer border)
      • Foot - callus, transfer metatarsalgia calluses
    • Assess ROM of MTPJ; range of tenderness - terminal vs mid ROM?
      • Affects your classification
    • Assess ROM of IPJ - may affect decision for fusion (cannot fuse if IPJ is already stuff)
    • Special test - grind test
    • Neurovascular status!
      • May have numbness due to osteophyte impingement of dorsomedial cutaneous nerve
    • Complete my exam by asking history TRO Gout in the 1st MTPJ
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