• Postgraduate medicine · May 2021

    Review

    Diagnosis and conservative management of great toe pathologies: a review.

    • Nicholas A Andrews, Jessyca Ray, Aseel Dib, Whitt M Harrelson, Ankit Khurana, Maninder Shah Singh, and Ashish Shah.
    • Department of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
    • Postgrad Med. 2021 May 1; 133 (4): 409-420.

    AbstractAcute great toe (Hallux) pain is a common complaint encountered by the primary care physician. Pathological conditions can vary from acute trauma to acute exacerbation of underlying chronic conditions. Delay in treatment or misdiagnosis can lead to debilitating loss of function and long-lasting pain. This review endeavors to discuss the pertinent history, physical exam findings, radiographic evidence, conservative treatment options, and surgical management for the musculoskeletal causes of acute and acute on chronic great toe pain in the adult population. The acute pathologies discussed in this review are hallux fractures and dislocations, turf toe, sand toe, and sesamoid disorders. The chronic pathologies discussed include hallux rigidus, hallux valgus, and chronic sesamoiditis.

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