HKIN 241 Lecture 9: lecture 9 (one note)

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Often congenital - can be caused by improperly fitted shoes - muscle contractures or malalignment of bony structures. Hammer toes involve extension of mtp joint and neutral position of pip and flexion at the dip joint claw toes: are a flexion deformity of dip and pip joint and hyperextension of the mtp joint. Both can lead to painful callus formation on bottom of toe or under mt head surgery is often only solution to severe cases. Results from forced hyperextension of the first toe. Related to artificial turf - lightweight shoes that are too flexible and positions that require. Sprain of the plantar capsular ligament of the first toe forced toe hyperextension (as football linebackers and offensive lineman) Pain - tenderness - swelling at mtp joint. Push off phase of running particularly painful - as with passive extension of great toe. Rx - ice, protection from excessive motion (taping) - or stiff -soled shoe.

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