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Advice for anterior disaplacement of fibro-fatty pad

Discussion in 'Biomechanics, Sports and Foot orthoses' started by JaY, Oct 20, 2012.

  1. JaY

    JaY Active Member


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    CASE STUDY:
    Female patient, 50 years old, healthy weight, teacher.

    For about 9 months she has notices a "ball under her foot" with a "lump on her 2nd toe" of the right foot. No history of injury. No change in activities. She is on Hormone Replacement Therapy; but is otherwise healthy.

    Examination revealed the "ball" to be the anterior displacement and mild inflammation of the metatarsal fibrofatty pad. The "lump" was the PIPJ of the 2nd digit which is a flexible hammer toe. The 3rd digit is also flexible hammer.

    Mild HAV on both feet and flexible pes cavus.

    The left foot shoes no significant anterior displacement of the fibrofatty pad.

    I know that the hammer toes are caused by the fibrofatty pad drift, but WHY DID THIS FAT PAD DRIFT IN THE FIRST PLACE?? Is it simply because of the pes cavus (although mild), or is there something more sinister? :eek:
     
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