The Weil Osteotomy is a commonly used a surgical procedure for “metatarsalgia” which shortens the metatarsal, theoretically relieving pressure to the metatarsal head. As such it can be used in a wide range of problems. However, there does seem to be a large complication rate for the Weil Osteotomy and there is quite a bit of controversy surrounding its use. Podiatry Arena has a poll on the Weil Osteotomy, which was started after a point/counterpoint debate in Podiatry Today. Opinions are clearly divided on the Weil Osteotomy.
June 12, 2010
June 8, 2010
Cuboid Syndrome
Cuboid Syndrome is a problem that develops in the joints around the cuboid bone if they are not stable when the peroneus muscle contracts. As the cuboid acts as a pulley for the change of direction of the tendon of peroneus longus, the tendon will always try and sublux the cuboid. Normally the bone is anatomically and functionally very stable in its joints and can take the load from the tendon. But if it cannot, then cuboid syndrome is one consequence. The subluxation is often easily fixed with a cuboid mobilization to ‘put it back in place’. Often low dye strapping and foot orthotics can also help cuboid syndrome.
June 4, 2010
Hallux Rigidus
What’s new in hallux rigidus? I had a look around and there is nothing. The only thing that seem to be new is some discussions around the terminology (Functional hallux rigidus), some research on how it affects gait (Gait changes following cheilectomy for hallux rigidus), and some outcome studies on surgical procedures (Surgery for hallux rigidus). This is somewhat disappointing that it is a common problem and is frequently seen in podiatric practice. The treatment options still remain pain relief, some sort of rocker in or outside the shoe to restore the pivot and surgery. As the biomechanics of hallux rigidus are far reaching up the kinetic chain would you not expect more to have been done on it.