In this episode of The PODdoctors podcast, Dr. Damien Dauphinee, a board-certified foot and ankle surgeon, and Dr. Raafae Hussain, a fellowship-trained foot and ankle surgeon, analyze the x-ray of a patient experiencing a bunion and hallux valgus deformity, a lateral deviation of the big toe on the first metatarsal, and discuss treatment options. Dr.
“Depending on who you read they estimate the first MPJ should take about forty to sixty percent of the forefoot pressure and the lesser metatarsal should take about ten percent across the board. When you have a bunion you have a toe that has deviated out and it is hyper-mobile which is why we correct it sometimes.” -Dr. Raafae Hussain
“Equinus is the root of all evil. It destroys the biomechanics of the foot like nothing else and if you have neuropathy that is gonna drive Charcot. But in patients that have normal sensation they get the forefoot capsulitis if it is one particular joint capsule, so lengthening that joint tissue can be a tremendous benefit to those patients.” -Dr. Damien Dauphinee
Top Takeaways:
Hallux valgus deformity and the effects of stretching
Recommended procedures for the deformity and presence of a bunion
Equinus and the Achilles lengthening
What You Will Learn:
[00:39] Intro
[02:14] X-ray analysis: bunion and hallux valgus deformity
[07:29] Treatment suggestions and surgery
[19:01] Screw placement
[26:50] Lazy S incision
[30:13] Lengthening the Achilles
[34:04] Protecting the tendon from becoming adhered
Resources:
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Book Mentioned: Saving Limbs, Saving Lives: Advanced Treatments for Preventing Amputations in Diabetic Populations by Dr. Damien Dauphinee
