Doctor insights on:
Bilateral Hallux Valgus Deformity
Bunion: Hallux valgus is the medical term for a bunion. Hallux means big toe or great toe. Valgus means bent out and is used to describe a deformity in which the angulation is away from the midline of the body. Hallux valgus is when the great toe is bent out away from the midline of the body. This is a common deformity seen in 9 out of 10 women. ...Read moreSee 2 more doctor answers
Big toe angulation: Hallux valgus is a progressive disorder that is often described as a deviation of the big toe creating a “bump” on the side of the big toe joint which may become painful. The visible bump actually reflects changes in the framework of that joint and possibly adjacent joints. In later stages, the big toe may lean towards the second toe which throws the bones out of alignment – producing the bunion’. ...Read moreSee 2 more doctor answers
Surgery type: If you have a knee angular deformity, it can be corrected by cutting a bone (an osteotomy) near the knee joint to change the alignment of the knee. A knock-knee deformity is also called genu valgum, from the latin roots. The correction of a knock knee is usually done by cutting the end of the femur to make the correction. The term "distal" refers to end of the femur at the level of the knee. ...Read more
Baby had joint deformity in wrists & ankles.Fracture proximal tibia, milt bowing right femur & pelvic tilt.No spinal deformity.What causes this?
Dorsiflexion osteotomy caused hallux limitus. Inversion compensation causing ankle sprains and knee pain. Surgeon only give shot. Can this be fixed?
IT CAN BE FIXED: To be clear, you had a dorsiflexory osteotomy of the 1st metatarsal, and it was raised too much? If so, the surgery is essentially reversed to drop the metatarsal down. That should be done, to avoid arthritis at the bunion joint. You're young, so this should be done. Why was it done initially? Good luck. Dr. Latva ...Read more
Can assist: Certain fracture patterns of the femoral condyle can be assisted by using arthroscopy. It can judge whether out not the fracture is significantly displaced or if there is an associate cartilage damage. Some fractures can be percutaneusly resuced and screws place tohold the fragments in place and not require an open procedure. ...Read more
Yes: Usually an osteotomy at your age is geared toward straightening out a deformity that is contributing to progressive arthritis on one side of the knee. The most common deformity is a bowed leg, also called genu varum. In 60% of patients at 10 years after the procedure, the knee is still feeling good enough to avoid knee replacement. ...Read more
Knee pain when stand/walk. Osteophytes at bilateral tibial spines. Patellofemoral joint spaces reduced. Early osteoarthritis. Need surgery to treat?
Good question: Osteotimy is a cut in the bone. In a derotational osteotimy, the bone is cut and then rotated to a better position and this corrected position is usually then held in place by a plate and screws. In this case, the surgery is done on the tibia and femur. The most common indication would be severe malalignment of the leg such as a severe case of "in- toeing." ...Read more
First: Everyone perceives pain differently. Second, there are many different procedures to cure this issue. Rest assured if you have pain and this is why you are doing the surgery, you will be given pain killers for post op and ultimately your problem will be fixed. ...Read moreSee 1 more doctor answer
Structural deformity: Some differences, but basically used interchangeably. Bunions are a bony prominence with joint misalignment. They are progressive, structural deformities. You can improve the symptoms with better shoes, but you can't improve the deformity. My rule of thumb: if the deformity bothers you on a regular basis or is limiting your activity, then surgery is an option to consider. Dr l. ...Read moreSee 2 more doctor answers
Not always.: Hallux rigidus is a disorder of the joint located at the base of the big toe which can lead to pain and stiffness in the joint. Hallux rigidus is actually a form of degenerative arthritis. Have it evaluated by a professional and get the appropriate treatment. ...Read moreSee 2 more doctor answers
Potentially : A spondylolisthesis refers to a condition in which one vertebrae shifts forward on another. There are multiple potential causes. One cause can be degenerative, as noted in the degenerative changes in your facet joint. Another type is called "isthmic" which requires a bilateral pars defect to occur. ...Read more
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