- Salix's NDA for crofelemer in HIV-associated diarrhea assigned priority review status
- Genentech's BLA for pertuzumab receives priority review status in previously untreated HER2-positive metastatic breast cancer indication
- FDA reviewers questions efficacy of NeurogesX's Qutenza pain patch in proposed new use
- Shire's Vyvanse approved for maintenance treatment in adults with ADHD
- FDA accepts Ziopharm's IND application for oral formulation of Zymafos
- Private FFS MA plans may be linked with higher costs for beneficiaries, GAO report shows
- Pediatric subspecialty telephone consultations may be cost-saving for Medicaid, research reveals
- Use of mental health services greater in health plans with parity in cost sharing, data find
- Public opinions appear split on health care affordability, satisfaction, survey finds
- In Brief: California Supreme Court
Metatarsophalangeal joint arthroscopy may reduce metatarsophalangeal joint pain in patients with hallux valgus
Thursday, October 30 2008 | Comments
What's This?
Metatarsophalangeal joint (MTPJ) arthroscopy may reduce MTPJ pain in patients with hallux valgus when conservative treatment fails, a recent trial suggests.In the study, researchers evaluated 121 first MTPJ arthroscopies performed in 107 subjects with hallux valgus. The subjects were divided into 3 groups. The first group had 30 (25%) first MTPJ arthroscopies performed in patients with first MTPJ pain and no bunion pain. In the second group, 23 (19%) first MTPJ arthroscopies were performed in patients with both first MTPJ pain and bunion pain. The third group consisted of 68 first MTPJ arthroscopies performed in patients with only bunion pain.
All participants in the second and third groups also had endoscopic distal soft-tissue procedures to correct the hallux valgus deformity.
The results showed that MTP compartment cartilage defect was statistically significantly associated with first MTPJ pain (P<.05). However, no statistically significant associations were noted between metatarso-sesamoid compartment cartilage defect and first MTPJ pain (P<.05). MTP compartment cartilage defect was significantly associated with hallux valgus severity (P<.001). In addition, the investigators found a significant linear-by-linear association showing that a more lateral cartilage lesion was associated with severe hallux valgus.
While there was a statistically significant association between MTP compartment synovitis and first MTPJ pain (P<.05), no such association was detected between metatarso-sesamoid compartment synovitis and first MTPJ pain (P<.05).
Of those with first MTPJ pain, 90% had complete or significant relief of the joint pain after arthroscopic synovectomy. (Lui TH, et al. Arthroscopy 2008;24:1122-1129.)
Comments
Be the first to write a comment for this article!
You must be logged in to post a comment.
- White blood cell count in presence of elevated ESR, CRP level predicts infection status in patients undergoing total hip arthroplasty, researchers report
- AISRS useful in measuring methylphenidate therapy for adults with ADHD
- Adalimumab improves peripheral arthritis, enthesitis, axial signs, symptoms of AS in patients with long-standing disease treated in real-life practice, researchers report
- Symptoms of early, delayed puberty demand close clinical attention, in spite of shifting norms for pubertal onset
- Low-dose doxepin improves wake after sleep onset among individuals with primary insomnia, data indicate
- School-based nutrition, exercise intervention program may not maintain BMI decreases through 10 months in overweight students, data indicate
- Careful discharge planning, follow-up vital for high-risk neonates facing hospital discharge, updated AAP guidelines state
- Nissen fundoplication in children with GERD reduces need for antireflux medication, researchers find
- AISRS useful in measuring methylphenidate therapy for adults with ADHD
- Radiotherapy, chemotherapy increase risks of second malignancy, cardiovascular disease similar to smoking in patients with testicular cancer, researchers report
