Stručni rad

SURGICAL TREATMENT OF HALLUX LIMITUS/RIGIDUS IN YOUNG FEMALE ATHLETE

Ivica Lucijanić ; Služba za ortopediju Opća bolnica Karlovac
Maja Mirković Mirković ; Poliklinika „Kinematika“ Zagreb
Tatjana Cicvara-Pećina ; Zavod za radiologiju KB Dubrava,Zagreb
Marko Pećina ; Medicinski fakultet Sveučilišta u Zagrebu

Sažetak

Hallux limitus/rigidus is defined as the limitation of
dorsiflection in the first metatarsophalangeal joint of the
big toe due to the formation of osteophytes around the
dorsal aspect of the articular margin of the head of the first
metatarsal. Many ethiologies have been proposed
including trauma. More types of the conservative and
surgical treatment are practised. The autors report a case
of the 19 years female sportist with hallux limitus
(grade -2 disease) proceeded to open surgery with
postoperative follow-up of ten years. The surgical
procedure had been described before by Lucijanić
originaly for treatment of hallux valgus. In the base of
applied procedure is 3D distal osteotomy of the first
metatarsal, shortening and plantar displacement of the
metatarsal head and osteosynthesis using a compression
screw. The clinical, radiological and pedobarography
feature before and after surgery is described.The
preoperative first metatarsophalangeal joint dorsiflexion
was 20°. Ten years after surgery the patient is mainly
pain-free and with good range of motion of the first
metatarsophalangeal joint and dorsiflexion is 55 degrees.
She is capable for recreational long running.

Ključne riječi

Hallux limitus; hallux rigidus; surgical treatment; 3D-osteotomy

Hrčak ID:

57804

URI

https://hrcak.srce.hr/57804

Datum izdavanja:

1.7.2010.

Podaci na drugim jezicima: hrvatski

Posjeta: 4.438 *