Sesamoid Disorders of the First Metatarsophalangeal Joint

被引:23
作者
Boike, Allan [5 ]
Schnirring-Judge, Molly [1 ,2 ,3 ,4 ]
McMillin, Sean [6 ]
机构
[1] Cleveland Clin Fdn, Kaiser Permanente Podiatr Surg Residency Program, Cleveland Hts, OH 44070 USA
[2] Ohio Univ, Firelands Reg Med Ctr, Residency Training Program, Sandusky, OH 44870 USA
[3] Mercy Hlth Partners, Toledo, OH USA
[4] N W Ohio Foot & Ankle Inst LLC, Port Clinton, OH 43452 USA
[5] Cleveland Clin, Orthopaed & Rheumatol Inst, Foot & Ankle Ctr, Cleveland, OH 44106 USA
[6] Cleveland Clin Kaiser Permanente, Dept Orthopaed, Podiatr Residency Training Program, Cleveland, OH USA
关键词
Sesamoids; Feet; First metatarsophalangeal joint; Disorders; GREAT TOE SESAMOIDS; HALLUX-LIMITUS; COMPLEX; MOMENT;
D O I
10.1016/j.cpm.2011.03.006
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The sesamoid complex is located centrally and plantar to the first metatarsal head, where they are imbedded within the plantar plate, which transmits 50% of body weight and more than 300% during push-off, is susceptible to numerous pathologies. These pathologies include sesamoiditis, stress fracture, avascular necrosis, osteochondral fractures, and chondromalacia, and are secondary to these large weight-bearing loads. This article discusses sesamoid conditions and their relationship with hallux limitus, and reviews the conditions that predispose the first metatarsophalangeal joint to osteoarthritic changes.
引用
收藏
页码:269 / +
页数:18
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