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Bunionette
Tailor's bunion, also known as digitus quintus varus or bunionette, is a condition caused as a result of inflammation of the fifth metatarsal bone at the base of the little toe. It is usually characterized by inflammation, pain and redness of the little toe. Often a tailor's bunion is caused by a faulty mechanical structure of the foot. The fifth metatarsal bone starts to protrude outward, while the little toe moves inward. This change in alignment creates an enlargement on the outside of the foot. It is mostly similar to a bunion (the same type of ailment affecting the big toe). It is called Tailor's bunion because in past centuries, tailors sat cross-legged, and this was thought to cause this protrusion on the outside aspect of the foot. Patients will present with a history of pain of the lateral bunion, plantar callous, and pain that increases with constrictive shoe wear. Studies have shown that tight shoe wear can cause both bunions as well as tailor's bunions. Treatment Non ...
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Bunion
A bunion, also known as hallux valgus, is a deformity of the metatarsophalangeal joint, MTP joint connecting the big toe to the foot. The big toe often bends towards the other toes and the joint becomes red and painful. The onset of bunions is typically gradual. Complications may include bursitis or arthritis. The exact cause is unclear. Proposed factors include wearing overly tight shoes, high-heeled shoes, family history, and rheumatoid arthritis. Diagnosis is generally based on symptoms and supported by radiographs, X-rays. A similar condition of the little toe is referred to as a bunionette. Treatment may include proper shoes, orthotics, or NSAIDs. If this is not effective for improving symptoms, surgery may be performed. It affects about 23% of adults. Females are affected more often than males. Usual age of onset is between 20 and 50 years old. The condition also becomes more common with age. It was first clearly described in 1870. Archaeology, Archaeologists have iden ...
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Toe Box
The toe box is the section of footwear that surrounds the toes on closed-toe shoes. Toe boxes that are too tight can cause injuries and foot deformity, foot deformities, whereas wider toe boxes may be used to treat or prevent common foot conditions such as broken toes, bunions, and Morton's neuroma. Toe boxes come in a variety of shapes and styles of construction, some of which are a matter of fashion, and some of which are designed for specialized functions. Fitting The toe box of a shoe should fit the wearer's foot without cramping or compressing it. A simple way to test if a toe box is too tight is to take out the insole of the shoe and stand on it. If the toes overhang the insole, the toe box is too small for the foot. The toe box also needs enough extra room to accommodate movements of the foot, such as lengthening arches and the splay of the toes. With each step, ankles and feet bend, toes spread and flex, and the arches of the foot flatten and rebound. Because the arches f ...
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Bunion
A bunion, also known as hallux valgus, is a deformity of the metatarsophalangeal joint, MTP joint connecting the big toe to the foot. The big toe often bends towards the other toes and the joint becomes red and painful. The onset of bunions is typically gradual. Complications may include bursitis or arthritis. The exact cause is unclear. Proposed factors include wearing overly tight shoes, high-heeled shoes, family history, and rheumatoid arthritis. Diagnosis is generally based on symptoms and supported by radiographs, X-rays. A similar condition of the little toe is referred to as a bunionette. Treatment may include proper shoes, orthotics, or NSAIDs. If this is not effective for improving symptoms, surgery may be performed. It affects about 23% of adults. Females are affected more often than males. Usual age of onset is between 20 and 50 years old. The condition also becomes more common with age. It was first clearly described in 1870. Archaeology, Archaeologists have iden ...
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Fifth Metatarsal Bone
The fifth metatarsal bone is a long bone in the foot, and is palpable along the distal outer edges of the feet. It is the second smallest of the five metatarsal bones. The fifth metatarsal is analogous to the fifth metacarpal bone in the hand. As with the four other metatarsal bones it can be divided into three parts; a base, body and head. The base is the part closest to the ankle and the head is closest to the toes. The narrowed part in the middle is referred to as the body (or shaft) of the bone. The bone is somewhat flat giving it two surfaces; the plantar (towards the sole of the foot) and the dorsal side (the area facing upwards while standing). These surfaces are rough for the attachment of ligaments. The bone is curved longitudinally, so as to be concave below, slightly convex above. The base articulates behind, by a triangular surface cut obliquely in a transverse direction, with the cuboid; and medially, with the fourth metatarsal. The fifth metatarsal has a rough emi ...
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Nonsteroidal Anti-inflammatory Drug
Non-steroidal anti-inflammatory drugs (NSAID) are members of a Indication (medicine), therapeutic drug class which Analgesic, reduces pain, Anti-inflammatory, decreases inflammation, Antipyretic, decreases fever, and Antithrombotic, prevents blood clots. Side effects depend on the specific drug, its dose and duration of use, but largely include an increased risk of Stomach ulcers, gastrointestinal ulcers and bleeds, heart attack, and kidney disease. The term ''non-steroidal'', common from around 1960, distinguishes these drugs from corticosteroids, another class of anti-inflammatory drugs, which during the 1950s had acquired a bad reputation due to overuse and side-effect problems after their introduction in 1948. NSAIDs work by inhibiting the activity of cyclooxygenase enzymes (the COX-1 and COX-2 isozyme, isoenzymes). In cells, these enzymes are involved in the synthesis of key biological mediators, namely prostaglandins, which are involved in inflammation, and thromboxanes, ...
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Corticosteroid
Corticosteroids are a class of steroid hormones that are produced in the adrenal cortex of vertebrates, as well as the synthetic analogues of these hormones. Two main classes of corticosteroids, glucocorticoids and mineralocorticoids, are involved in a wide range of physiological processes, including stress response, immune response, and regulation of inflammation, carbohydrate metabolism, protein catabolism, blood electrolyte levels, and behavior. Some common naturally occurring steroid hormones are cortisol (), corticosterone (), cortisone () and aldosterone () (cortisone and aldosterone are isomers). The main corticosteroids produced by the adrenal cortex are cortisol and aldosterone. The etymology of the '' cortico-'' part of the name refers to the adrenal cortex, which makes these steroid hormones. Thus a corticosteroid is a "cortex steroid". Classes * Glucocorticoids such as cortisol affect carbohydrate, fat, and protein metabolism, and have anti ...
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Osteotomy
An osteotomy is a surgical operation whereby a bone is cut to shorten or lengthen it or to change its alignment. It is sometimes performed to correct a hallux valgus, or to straighten a bone that has healed crookedly following a fracture. It is also used to correct a coxa vara, genu valgum, and genu varum. The operation is done under a general anaesthetic. Osteotomy is one method to relieve pain of arthritis, especially of the hip and knee. It is being replaced by joint replacement in the older patient. Due to the serious nature of this procedure, recovery may be extensive. Careful consultation with a physician is important in order to ensure proper planning during a recovery phase. Tools exist to assist recovering patients who may have non– weight bearing requirements and include bedpans, dressing sticks, long-handled shoe-horns, grabbers/reachers and specialized walkers and wheelchairs. Osteotomies of the hip Two main types of osteotomies are used in the correction of h ...
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Intermetatarsal Joints
The intermetatarsal joints are the articulations between the base of metatarsal bones. The base of the first metatarsal is not connected with that of the second by any ligaments; in this respect the great toe resembles the thumb. The bases of the other four metatarsals are connected by the dorsal, plantar, and interosseous ligaments. * The '' dorsal ligaments'' pass transversely between the dorsal surfaces of the bases of the adjacent metatarsal bones. * The '' plantar ligaments'' have a similar arrangement to the dorsal. * The '' interosseous ligaments'' consist of strong transverse fibers which connect the rough non-articular portions of the adjacent surfaces. Synovial membranes The synovial membranes between the second and third, and the third and fourth metatarsal bones are part of the great tarsal synovial membrane; that between the fourth and fifth is a prolongation of the synovial membrane of the cuboideometatarsal joint. Movements The movement permitted between the t ...
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Metatarsophalangeal Joints
The metatarsophalangeal joints (MTP joints) are the joints between the metatarsal bones of the foot and the proximal bones (proximal phalanges) of the toes. They are analogous to the knuckles of the hand, and are consequently known as toe knuckles in common speech. They are condyloid joints, meaning that an elliptical or rounded surface (of the metatarsal bones) comes close to a shallow cavity (of the proximal phalanges). The region of skin directly below the joints forms the ball of the foot. The ligaments are the plantar and two collateral. Movements The movements permitted in the metatarsophalangeal joints are flexion, extension, abduction, adduction and circumduction. File:The feet of C. H. Unthan, the armless fiddler Wellcome L0034227.jpg, Left: toes adducted (pulled towards the center) and spread (abducted); right, both feet clenched (plantar flexed) File:Footgym rings1.jpg, The upper foot is clenching (plantarflexing) at the MTP joints and at the joints of the to ...
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Fifth Metatarsal Bone
The fifth metatarsal bone is a long bone in the foot, and is palpable along the distal outer edges of the feet. It is the second smallest of the five metatarsal bones. The fifth metatarsal is analogous to the fifth metacarpal bone in the hand. As with the four other metatarsal bones it can be divided into three parts; a base, body and head. The base is the part closest to the ankle and the head is closest to the toes. The narrowed part in the middle is referred to as the body (or shaft) of the bone. The bone is somewhat flat giving it two surfaces; the plantar (towards the sole of the foot) and the dorsal side (the area facing upwards while standing). These surfaces are rough for the attachment of ligaments. The bone is curved longitudinally, so as to be concave below, slightly convex above. The base articulates behind, by a triangular surface cut obliquely in a transverse direction, with the cuboid; and medially, with the fourth metatarsal. The fifth metatarsal has a rough emi ...
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Plantar Fasciitis
Plantar fasciitis or plantar heel pain is a disorder of the plantar fascia, which is the connective tissue that supports the Arches of the foot, arch of the foot. It results in pain in the heel and Sole (foot), bottom of the foot that is usually most severe with the first steps of the day or following a period of rest. Pain is also frequently brought on by dorsiflexion, bending the foot and toes up towards the shin. The pain typically comes on gradually, and it affects both feet in about one-third of cases. The cause of plantar fasciitis is not entirely clear. Risk factors include overuse, such as from long periods of standing, an increase in exercise, and obesity. It is also associated with pronation of the foot, inward rolling of the foot, a tight Achilles tendon, and a sedentary lifestyle. It is unclear if calcaneal spur, heel spurs have a role in causing plantar fasciitis even though they are commonly present in people who have the condition. Plantar fasciitis is a disorder ...
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Tailor's Muscle
The sartorius muscle () is the longest muscle in the human body. It is a long, thin, superficial muscle that runs down the length of the thigh in the anterior compartment. Structure The sartorius muscle originates from the anterior superior iliac spine, and part of the notch between the anterior superior iliac spine and anterior inferior iliac spine. It runs obliquely across the upper and anterior part of the thigh in an inferomedial direction. It passes behind the medial condyle of the femur to end in a tendon. This tendon curves anteriorly to join the tendons of the gracilis and semitendinosus muscles in the pes anserinus, where it inserts into the superomedial surface of the tibia. Its upper portion forms the lateral border of the femoral triangle, and the point where it crosses adductor longus marks the apex of the triangle. Deep to sartorius and its fascia is the adductor canal, through which the saphenous nerve, femoral artery and vein, and nerve to vastus medialis pass. ...
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