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Titre : | Hypermobility in Hallux Valgus (2020) |
Auteurs : | Nacime Salomão Barbachan Mansur ; Caio Augusto de Souza Nery |
Type de document : | Article |
Dans : | Foot and Ankle Clinics (Vol. 25, n° 1, Mars 2020) |
Article en page(s) : | p. 1-17 |
Note générale : | https://doi.org/10.1016/j.fcl.2019.10.004 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Dose de radiation ; Hallux valgus ; Instabilité articulaire ; Plaque plantaire |
Mots-clés: | Hypermobilité ; Rayonnement instable ; Lapidus fusion |
Résumé : |
- Decision over the best surgical procedure to treat severe and abnormal bunions has always been a matter of huge debate. The presence of a hypermobility as a contributive factor to the equation is still undetermined.
- There is still not enough data to determine first ray instability etiology and incidence. The higher rate of hypermobility in patients with hallux valgus lacks determination if the condition is cause or consequence. - Several clinical and radiographic findings can help surgeons diagnose the instability presence and plan a proper treatment. - Despite good articles supporting both the existence and the inexistence of first ray hypermobility, high evidence is still lacking and only represented by one clinical trial that did not endorsed the instability theory. - The Lapidus fusion, modified or not, remains the surgeons first choice when facing hypermobility. Although not absent of complications, this procedure has been demonstrating good and lasting results. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S1083751519301160 |