Welcome to the Podiatry Arena forums

You are currently viewing our podiatry forum as a guest which gives you limited access to view all podiatry discussions and access our other features. By joining our free global community of Podiatrists and other interested foot health care professionals you will have access to post podiatry topics (answer and ask questions), communicate privately with other members, upload content, view attachments, receive a weekly email update of new discussions, access other special features. Registered users do not get displayed the advertisements in posted messages. Registration is fast, simple and absolutely free so please, join our global Podiatry community today!

  1. Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
    Dismiss Notice
Dismiss Notice
Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
Dismiss Notice
Have you liked us on Facebook to get our updates? Please do. Click here for our Facebook page.
Dismiss Notice
Do you get the weekly newsletter that Podiatry Arena sends out to update everybody? If not, click here to organise this.

mobile forefoot varus

Discussion in 'Biomechanics, Sports and Foot orthoses' started by ajsgsy, Nov 25, 2014.

  1. ajsgsy

    ajsgsy Welcome New Poster


    Members do not see these Ads. Sign Up.
    My (20 years old) patient is overloading on both 5th MTPJs, with slight callous. Her feet are mobile (almost hypermobile) and I cannot see any obvious structural or functional abnormality. There is no sign of rear foot inversion or eversion, but I am inexperienced when it comes to assessing fore foot to rear foot relationship. I wondered whether to try a pre-made 3/4 length orthotic like the Vasyli blue custom (4 degrees medial rear foot post) and adding a 4 degrees valgus fore foot post to try to lift the 5th MTPJ and get the 1st MTPJ to take more loading? I am just returning to practice and biomechanics is new to me in terms of hands on clinical practice. Any advice welcomed!
     
  2. efuller

    efuller MVP

    There are two types of feet that can have high pressures on the fifth metatarsal head. One is the oversupinator type foot (laterally positioned STJ axis). This foot supinates very easily and needs high pressure on the fifth met head to prevent rolling into inversion.

    The other foot type that tends to have high pressures beneath the 5th met head is the foot that runs out of eversion range of motion before the medial forefoot bears significant amounts of weight. In classic Root et al terminology this is a partially compensated varus.

    These two feet need to be treated differently. One way to tell the difference between these two feet is the maximum eversion height test. In google type <podiatry arena: maximum eversion height> There is a thread that describes the test.

    Let me know if you have any questions about this.
    Eric
     
  3. ajsgsy

    ajsgsy Welcome New Poster

    Hi Eric

    Thanks so much for this. I will check out the maximum eversion height test as you suggest. I will also need to learn how, in practice, to test for the location of the STJ axis. I've had a go with one or two patients, but without really identifying where the axis lies!

    Best regards

    Andrew
     
Loading...

Share This Page