Predislocation syndrome: a review and retrospective analysis of eight patients
| Autor: | Trenton K. Statler, Karl Saltrick, Alan R. Catanzariti, Robert W. Mendicino |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
musculoskeletal diseases
Adult Joint Instability Metatarsophalangeal Joint medicine.medical_specialty Radiography Joint Dislocations Metatarsophalangeal joints medicine Humans Orthopedics and Sports Medicine Plantar plate Valgus deformity Aged Retrospective Studies Subluxation business.industry Syndrome Middle Aged musculoskeletal system medicine.disease Bandages Surgery Tendon body regions medicine.anatomical_structure Treatment Outcome Etiology Flexor hallucis longus muscle Female business |
| Zdroj: | The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons. 40(4) |
| ISSN: | 1067-2516 |
| Popis: | Predislocation syndrome is defined as an either an acute, subacute, or chronic inflammatory process involving the lesser metatarsophalangeal joints. If left untreated, this process can lead to plantar plate and capsular attenuation and metatarsophalangeal joint instability. A retrospective analysis were performed on eight patients who were treated with a flexor tendon transfer for this condition. A subjective analysis and chart review were performed to determine the final outcome of these patients. All patients had a chief complaint of a painful second metatarsophalangeal joint with seven of eight patients having an associated hallux valgus deformity. Excellent results were achieved in six patients. Residual stiffness was the primary complaint of two patients following surgery, suggesting that metatarsophalangeal joint stiffness may be a potential problem after flexor digitorum longus tendon transfers. However, we concluded that the flexor digitorum longus tendon transfer remains an excellent procedure for second toe instability and late-stage predislocation syndrome. A literature review describing the epidemiology, symptom complex, physical findings, radiographic signs and therapies used to manage predislocation syndrome were also discussed. |
| Databáze: | OpenAIRE |
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