Symptomatic Medial Bone Excrescence in the Distal Phalanx of the Hallux after the First Metatarsophalangeal Joint Arthrodesis: A Case Report and Radiographic Reviews

Medial bone excrescence at the base of the distal phalanx of the hallux is a common manifestation which is rarely painful. In this case report, we described the first case of the excrescence becoming symptomatic one year after a metatarsophalangeal (MTP) joint arthrodesis of the great toe in a 74-ye...

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Bibliographic Details
Published in:Case reports in orthopedics 2021-11, Vol.2021, p.1-6
Main Authors: Maenohara, Yuji, Takeda, Ryutaro, Chang, Song Ho, Omata, Yasunori, Tanaka, Sakae, Matsumoto, Takumi
Format: Article
Language:English
Subjects:
Arthrodesis
Asymptomatic
Case Report
Case reports
Patients
Rheumatoid arthritis
Surgery
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Summary:Medial bone excrescence at the base of the distal phalanx of the hallux is a common manifestation which is rarely painful. In this case report, we described the first case of the excrescence becoming symptomatic one year after a metatarsophalangeal (MTP) joint arthrodesis of the great toe in a 74-year-old female. The medial bony excrescence which was obscure preoperatively became obvious postoperatively in the anteroposterior foot radiographs. The patient was successfully treated by an excision of the excrescence. In order to clarify the pathology of the excrescence, we reviewed the radiographs with respect to the excrescence before and after hallux surgeries including 97 metatarsal osteotomies and 33 MTP joint arthrodesis. The width of the excrescence measured in the anteroposterior foot radiographs displayed substantial increment one month after the hallux surgeries (osteotomy group: 0.9±0.7 vs. 1.5±0.7 mm, p
ISSN:2090-6749
2090-6757
DOI:10.1155/2021/6035784