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Toe to hand transfer query

Discussion in 'Biomechanics, Sports and Foot orthoses' started by markjohconley, Mar 4, 2014.

  1. markjohconley

    markjohconley Well-Known Member


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    Anyone been involved with or have opinions on "toe to hand transfer"'s.

    Have a patient now;
    13 y/o male of Chinese descent ~ 50 kg
    Chief Complaint (CC) - pt c/o pain, R/plantar 1st MPJ, B/medial plantar midfoot, after prolonged weight-bearing
    History of Present Illness (HPI) - pain present in similar form since surgery 2003
    Past Medical History (PMH) - bilateral 2nd foot digit to R/hand (2003, Childrens hospital, sydney) pt born without R/hand digits (?DD includes Symbrachydactyly, amniotic band syndrome/ring constriction syndrome
    Physical Exam (PE) - B/F significant scar tissue plantar and dorsum (white scar tissue)
    Diagnostic Tests - supination resistance VERY HARD; Jack's test NAD; Lunge test B>30 degrees
    Differential Diagnosis - B/ Tibialis Posterior muscle overuse
    Treatment Plan - increase external supinatory STJ moments (medial heel skive)

    Any comments appreciated, mark
     
  2. Admin2

    Admin2 Administrator Staff Member

  3. Craig Payne

    Craig Payne Moderator

    Articles:
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    That is pretty much all you can do!
     
  4. phil

    phil Active Member

    I have a patient who had a second toe and second metatarsal to thumb transfer. He lost the thumb in a big piece of mining machinery.

    I saw him about 6 weeks post surgery. He was getting dorsal mid foot pain in the donor foot. Obviously, when you lose a metatarsal, the other four have to work harder.

    I used 4mm poly orthotics with full length cover, with excellent success.
     
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