Hallux valgus student assignment

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Hi

I have an assignment on

Basing your account on the different aetiologies of hallux valgus, discuss the main lines of management of this deformity.

I have been searching journals for non surgical management and it is pretty hard finding the surgical was the easy bit. If any one can recommend any articles for conservative management it would be appreciated

Also if you don’t mind what are your ideas on the conservative managements

Thank you


Nick

 

Re: hallux valgus assignment

Nick

Run a search through this forum on hallux valgus and bunions and there should be enough reading, opinions and references to keep you going for days.

LL

 

thank you,

i understand everyine has different views and tx plans for anything really,learnmt this from my lectures, so god knows what it is like in the field

 

dirtdemon

In the unlikely event you can locate scientific papers on the related subject you may have to do a manual search through the podiatry journals that are not on Index Medicus.

Much depends on your agreed definition of surgery (I would check with your tutor) , ie is it open, closed or both.? Closed surgical technique would include foot orthoses with Kilmartin's work the most obvious refereed source. If closed surgical techniques are out of bounds for your assignment then you may need to think laterally to generate key terms such as 'traction' and the workings of the the 'pull and set brigade' and night 'serial" splinting e.g. Budin et al. This would certainly take you to Wolf and Davis Laws and how these may be applied to corrective treatments, such as manipulation etc. Try physio/physical therapy literature as a starting place.

Are non surgical approachs to HAV effective? Conditions must apply and much depends on the individual cases as well as the definiton and severity of Hallux Abducto-Valgus. Speaking personally I would doubt their efficiency. (although I would qualify this by saying so patients feel they are doing something and that makes them feel better )

Does surgical treatment have a benefit? Yes, but a significant large percentage of the HAV will return.

But hey what do I know?
toeslayer

 

toeslayer

thank you that was a great help

regards to the surgery part of the management he dose mean more open side of it, i believe it because i am on a undergraduate course, and will not being doing surgery when i first quailify, also the surgical side of things is covered in more detail in the final year of my degree

i will strart going through the lit from the physio side of things. say that this site has had a few good finds for me here just finding the orginal source is the hard part, the joys of being a
student hey.

the comment of pt feeling that they are doing something i know what you mean, some of pt at the uni clinc believe they have not had a proper tx untill they have got some semi compressed felt.

the other annoying thing is that i only have 1500 words to write this essay.

cheers
nick

 

nick

>the other annoying thing is that i only have 1500 words to write this essay.

That's the easiest thing, just make clever use of labelled tables/diagrams and the Appendix. The words do not count !

Good hunting
toeslayer

 

Nick,

"Basing your account on the different aetiologies of hallux valgus, discuss the main lines of management of this deformity."

Have a look at the Cochrane Review - Ferrari J, Higgins JPT, Prior TD. Interventions for treating hallux valgus (abductovalgus) and bunions. Cochrane Database of Systematic Reviews 2004, Issue 1. Art. No.: CD000964. DOI: 10.1002/14651858.CD000964.pub2

http://www.cochrane.org/reviews/en/ab000964.html

or get the full text via your university at:

http://mrw.interscience.wiley.com/cochrane/clsysrev/articles/CD000964/frame.html

It's a good start. Good luck finding aetiologies!
Merry Christmas,
Lee
:santa2:

 

lee,

that article was very helpful, thank you

yer the aetioloigies is hard, but not the main part of the essay so will not be worth many marks

merry xmas

nick

 

i saw that thread, and i agree with what Craig says, that nothing causes, but aids towards.

thank you all for your help with this, has helped alot

nick