Nailed It Ortho
OITE/ Boards Review: F&A 04- Lesser Toe Deformities
Aug 26, 2022
Join Dr. Cole, a seasoned orthopedic expert, and Dr. Woolwine, a specialist in foot and ankle conditions, as they tackle lesser toe deformities. They discuss the intriguing implications of Freiburg infraction, including osteonecrosis. The experts also dive into the nuances of hammer toes and bunionettes, emphasizing the significance of muscle balance and proper footwear. With insights on sesamoid bone pathologies and effective treatment strategies, including both non-operative and surgical options, this conversation is a must-listen for aspiring orthopedists!
28:52
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Quick takeaways
- Freiburg infraction leads to significant pain and potential arthritis, necessitating advanced imaging for accurate diagnosis and tailored treatment options.
- Lesser toe deformities, resulting from muscle imbalances, require a combination of non-operative and surgical interventions to restore proper function and alleviate discomfort.
Deep dives
Understanding Freiburg Infraction
Freiburg infraction commonly affects the second metatarsal head and is characterized by a subchondral fracture due to conditions like osteonecrosis. Patients typically experience weight-bearing pain and joint motion discomfort due to the eventual collapse of the metatarsal head, leading to arthritis. Diagnosis can often be confirmed through advanced imaging techniques, such as MRI, which can reveal osteonecrosis and bone resorption. Non-operative treatments in early stages include casting or offloading while surgical options for severe cases might involve dorsal closing wedge osteotomy to elevate the plantar cartilage and restore joint congruence.
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