Hallux Rigidus: Update on Conservative Management.

Humans Hallux Rigidus / therapy Conservative Treatment / methods Hyaluronic Acid / administration & dosage Foot Orthoses
Conservative Hallux rigidus Injection Nonoperative Orthotics Therapy

Journal

Foot and ankle clinics
ISSN: 1558-1934
Titre abrégé: Foot Ankle Clin
Pays: United States
ID NLM: 9615073

Informations de publication

Date de publication:
Sep 2024
Historique:
medline: 28 7 2024
pubmed: 28 7 2024
entrez: 27 7 2024
Statut: ppublish

Résumé

Hallux rigidus is a degenerative arthritic condition affecting the first metatarsophalangeal joint. Prevalence in patients aged 50 years and above is estimated at 20% to 30%, with a portion being symptomatic. Conservative treatment's efficacy is linked to initial pain levels; though shoe modifications and insoles are commonly recommended, their true effectiveness lacks strong evidence. Injection therapy, including corticosteroids and hyaluronic acid, demonstrates varied outcomes, with about 50% of patients undergoing surgery within 1 to 2 years. The condition's etiology remains elusive, but recent biomechanical hypotheses hold promise.

Identifiants

DOI: 10.1016/j.fcl.2023.09.010 PMID: 39068017
pubmed: 39068017
pii: S1083-7515(23)00169-9
doi: 10.1016/j.fcl.2023.09.010
pii:
doi:

Substances chimiques

Hyaluronic Acid 9004-61-9

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

405-415

Informations de copyright

Copyright © 2023 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Disclosure The authors have no commercial or financial conflicts of interest related to this work. All pictures and x-rays are from Dr Hanselman’s records.

Auteurs

Antoine S Acker (AS)

Department of Orthopaedic Surgery, Research Scholar, Duke University, Durham, NC, USA; Centre of Foot and Ankle Surgery, Clinique La Colline, Geneva, Switzerland. Electronic address: antoine.acker@duke.edu.

Kepler Alencar Mendes de Carvalho (KA)

Department of Orthopaedic Surgery, Research Scholar, Duke University, Durham, NC, USA.

Andrew E Hanselman (AE)

Department of Orthopaedic Surgery, Research Scholar, Duke University, Durham, NC, USA.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Hallux Rigidus: Update on Conservative Management.
questionsmedicales.fr › Maladies ostéomusculaires › Maladies articulaires › Hallux rigidus › Hallux Rigidus: Update on Conservative Management.
questionsmedicales.fr › Thérapeutique › Traitement conservateur › Hallux Rigidus: Update on Conservative Management.
questionsmedicales.fr › Glucides › Polyosides › Glycosaminoglycanes › Acide hyaluronique › Hallux Rigidus: Update on Conservative Management.
questionsmedicales.fr › Équipement et fournitures › Équipement chirurgical › Équipement orthopédique › Orthèses › Orthèses de pied › Hallux Rigidus: Update on Conservative Management.