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.

Short first ray

Discussion in 'Introductions' started by piyokimmy, May 4, 2010.

  1. piyokimmy

    piyokimmy Welcome New Poster

    Members do not see these Ads. Sign Up.
    Hi everyone!

    I am Kimberly.

    I have got a query on short first met. I have seen a patient who has short first met and he is having some pain in second MPJ.

    May I know if first ray cut out will allow the short first ray to plantarflex to allow windlass mechanism?

    Will short first ray be dorsiflexed when patient weight bears? How does short first ray functions?

    Thank you!!!

  2. Hi Kimberly :welcome: to Podiatry Arena

    There are many threads with 1st ray, windlass if you go into the biomechanics forum advance search and put in 1st ray you will find lots of info for you.

    But here is some quick info. A short 1st ray will lead to increase Ground reaction force ( GRF) to the 2nd ray/2nd metatarsal. You see it alot with people post Hallux Valgus surg which shortens the 1st ray. They maybe happy with the surg result but now have pain in the 2nd metatarsal head. The results of the increased GRF will result in increased bending moments of the 2nd met. So with your treatment you may want to look at reducing the GRF under the 2nd met.

    An orthotic with a metatarsal dome will reduce the GRF under the 2nd, a device with a web ppt with cut out for the 2nd metatarsal head will also. There are more ways you can decide which way is best.

    Hope that the info helps.
  3. piyokimmy

    piyokimmy Welcome New Poster

    Many thanks for your reply Michael!!! :)

Share This Page