Today I was visiting a orthotic technician for a couple of hours just to have a look on how they work. One patient, female 70+ yo, complained of forefoot pain. The patient had recently had HAV corrective surgery on one foot and was waiting for surgery on the other. She showed moderate STJ pronation and on NWB examination she showed signs of forefoot supinatus. The orthopedic doctor had prescribed an orthotic with a met dome and a 6mm ff varus wedge. wouldn’t this stop the 1:st ray from plantarflexing and create a FHL? according to the technician The doctor wanted to create a more even pressure distribution but when I think about it wouldn’t it be better to plantarflex the first met when casting and promote 1:st ray plantarflexing. Or what was the doctors intention?
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Björn Englund student
Soon to begin 3:rd year
Karolinska Institute
Sweden
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Compensation for forefoot deformities in light of the single axis MTJ model
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Measuring 1st MTP joint range of motion.
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Compensation for forefoot deformities in light of the single axis MTJ model
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Measuring 1st MTP joint range of motion.
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