Symptomatic Medial Bone Excrescence in the Distal Phalanx of the Hallux after the First Metatarsophalangeal Joint Arthrodesis: A Case Report and Radiographic Reviews

Medial bone excrescence at the base of the distal phalanx of the hallux is a common manifestation which is rarely painful. In this case report, we described the first case of the excrescence becoming symptomatic one year after a metatarsophalangeal (MTP) joint arthrodesis of the great toe in a 74-ye...

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Autores principales:	Yuji Maenohara, Ryutaro Takeda, Song Ho Chang, Yasunori Omata, Sakae Tanaka, Takumi Matsumoto
Formato:	article
Lenguaje:	EN
Publicado:	Hindawi Limited 2021
Materias:	Orthopedic surgery RD701-811
Acceso en línea:	https://doaj.org/article/9ed7d4ea831745059d5e11842cc6030b
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spelling	oai:doaj.org-article:9ed7d4ea831745059d5e11842cc6030b2021-11-29T00:55:56ZSymptomatic Medial Bone Excrescence in the Distal Phalanx of the Hallux after the First Metatarsophalangeal Joint Arthrodesis: A Case Report and Radiographic Reviews2090-675710.1155/2021/6035784https://doaj.org/article/9ed7d4ea831745059d5e11842cc6030b2021-01-01T00:00:00Zhttp://dx.doi.org/10.1155/2021/6035784https://doaj.org/toc/2090-6757Medial bone excrescence at the base of the distal phalanx of the hallux is a common manifestation which is rarely painful. In this case report, we described the first case of the excrescence becoming symptomatic one year after a metatarsophalangeal (MTP) joint arthrodesis of the great toe in a 74-year-old female. The medial bony excrescence which was obscure preoperatively became obvious postoperatively in the anteroposterior foot radiographs. The patient was successfully treated by an excision of the excrescence. In order to clarify the pathology of the excrescence, we reviewed the radiographs with respect to the excrescence before and after hallux surgeries including 97 metatarsal osteotomies and 33 MTP joint arthrodesis. The width of the excrescence measured in the anteroposterior foot radiographs displayed substantial increment one month after the hallux surgeries (osteotomy group: 0.9±0.7 vs. 1.5±0.7 mm, p<0.01; arthrodesis group: 1.3±0.8 vs. 1.8±1.0 mm, p<0.01). However, there was no significant difference in the width of the excrescence between one month after surgery and at the most recent follow-up of around 20 months in average after the surgery (osteotomy group: 1.5±0.7 vs. 1.4±0.7 mm, p=0.62; arthrodesis group: 1.8±1.0 vs. 1.8±0.7 mm, p=0.37). The present case and our radiographic review suggested that the postoperative medial bony excrescence was not the result of change of position of the preexisting excrescence. The correction of pronation deformity through hallux surgeries could emphasize the medial bony excrescence and cause symptomatic irritation upon shoe contact.Yuji MaenoharaRyutaro TakedaSong Ho ChangYasunori OmataSakae TanakaTakumi MatsumotoHindawi LimitedarticleOrthopedic surgeryRD701-811ENCase Reports in Orthopedics, Vol 2021 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Orthopedic surgery RD701-811
spellingShingle	Orthopedic surgery RD701-811 Yuji Maenohara Ryutaro Takeda Song Ho Chang Yasunori Omata Sakae Tanaka Takumi Matsumoto Symptomatic Medial Bone Excrescence in the Distal Phalanx of the Hallux after the First Metatarsophalangeal Joint Arthrodesis: A Case Report and Radiographic Reviews
description	Medial bone excrescence at the base of the distal phalanx of the hallux is a common manifestation which is rarely painful. In this case report, we described the first case of the excrescence becoming symptomatic one year after a metatarsophalangeal (MTP) joint arthrodesis of the great toe in a 74-year-old female. The medial bony excrescence which was obscure preoperatively became obvious postoperatively in the anteroposterior foot radiographs. The patient was successfully treated by an excision of the excrescence. In order to clarify the pathology of the excrescence, we reviewed the radiographs with respect to the excrescence before and after hallux surgeries including 97 metatarsal osteotomies and 33 MTP joint arthrodesis. The width of the excrescence measured in the anteroposterior foot radiographs displayed substantial increment one month after the hallux surgeries (osteotomy group: 0.9±0.7 vs. 1.5±0.7 mm, p<0.01; arthrodesis group: 1.3±0.8 vs. 1.8±1.0 mm, p<0.01). However, there was no significant difference in the width of the excrescence between one month after surgery and at the most recent follow-up of around 20 months in average after the surgery (osteotomy group: 1.5±0.7 vs. 1.4±0.7 mm, p=0.62; arthrodesis group: 1.8±1.0 vs. 1.8±0.7 mm, p=0.37). The present case and our radiographic review suggested that the postoperative medial bony excrescence was not the result of change of position of the preexisting excrescence. The correction of pronation deformity through hallux surgeries could emphasize the medial bony excrescence and cause symptomatic irritation upon shoe contact.
format	article
author	Yuji Maenohara Ryutaro Takeda Song Ho Chang Yasunori Omata Sakae Tanaka Takumi Matsumoto
author_facet	Yuji Maenohara Ryutaro Takeda Song Ho Chang Yasunori Omata Sakae Tanaka Takumi Matsumoto
author_sort	Yuji Maenohara
title	Symptomatic Medial Bone Excrescence in the Distal Phalanx of the Hallux after the First Metatarsophalangeal Joint Arthrodesis: A Case Report and Radiographic Reviews
title_short	Symptomatic Medial Bone Excrescence in the Distal Phalanx of the Hallux after the First Metatarsophalangeal Joint Arthrodesis: A Case Report and Radiographic Reviews
title_full	Symptomatic Medial Bone Excrescence in the Distal Phalanx of the Hallux after the First Metatarsophalangeal Joint Arthrodesis: A Case Report and Radiographic Reviews
title_fullStr	Symptomatic Medial Bone Excrescence in the Distal Phalanx of the Hallux after the First Metatarsophalangeal Joint Arthrodesis: A Case Report and Radiographic Reviews
title_full_unstemmed	Symptomatic Medial Bone Excrescence in the Distal Phalanx of the Hallux after the First Metatarsophalangeal Joint Arthrodesis: A Case Report and Radiographic Reviews
title_sort	symptomatic medial bone excrescence in the distal phalanx of the hallux after the first metatarsophalangeal joint arthrodesis: a case report and radiographic reviews
publisher	Hindawi Limited
publishDate	2021
url	https://doaj.org/article/9ed7d4ea831745059d5e11842cc6030b
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Symptomatic Medial Bone Excrescence in the Distal Phalanx of the Hallux after the First Metatarsophalangeal Joint Arthrodesis: A Case Report and Radiographic Reviews

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