Managing Hallux Rigidus in the Elite Athlete.

Autor: Murawski CD; Foot & Ankle Institute, OrthoCarolina, 2001 Vail Avenue, Suite 200B, Charlotte, NC 28207, USA., Anderson RB; Foot & Ankle Institute, OrthoCarolina, 2001 Vail Avenue, Suite 200B, Charlotte, NC 28207, USA. Electronic address: drrba1@gmail.com.
Jazyk: angličtina
Zdroj: Foot and ankle clinics [Foot Ankle Clin] 2024 Sep; Vol. 29 (3), pp. 455-469. Date of Electronic Publication: 2024 Jan 09.
DOI: 10.1016/j.fcl.2023.12.004
Abstrakt: Hallux rigidus can present a difficult problem to both competitive and elite athletic populations. Once an appropriate diagnostic workup has been performed, nonoperative management strategies, including anti-inflammatory medications, injection therapies, shoewear modifications, and orthotic devices, represent the mainstay conservative management options. Surgical management can be considered where an athlete's athletic performance is limited. A joint-sparing cheilectomy can provide a predictable return to sport at the most elite levels. The addition of a proximal phalangeal osteotomy can be considered when necessary. Arthroplasty or arthrodesis techniques can be used for persistent symptoms or progressive disease, but with less predictable outcomes.
Competing Interests: Disclosure C.D. Murawski has none relevant to this article; American Orthopedic Foot and Ankle Society–Research Committee. R.B. Anderson has none relevant to this article; Consultant/Royalties from Stryker; Consultant for Arthrex, Enovis, BioTissue, Artelon, NuVasive, Osteoremedies.
(Copyright © 2023 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE