cheilectomy

Definition

Painful restriction of dorsiflexion of the great toe 

- secondary to degenerative changes in MTPJ

- initially pain and synovitis

- osteophytes don't form medially or on plantar aspect

Epidemiology 

Two peaks

1.  Adolescence F > M

2.  Middle Age M > F

Aetiology

Often Idiopathic

Trauma

Definition

Crushing osteochondritis of metatarsal head

Epidemiology

Usually 2nd metatarsal (80%)

- occasionally third

- can occur in any

Age 10-15 years

- peak 15 year old girls

- F:M = 3:1

- occurs during the growth spurt at puberty

Bilateral in 6%

Aetiology