Other diseases
This disease is a deformity of the first metatarsal bone (the head deviates inwards) and the first toe (this is bent towards the small toe). This occurs more frequently in the so-called splayfoot and is promoted by tight shoes with high heels. The skin over the bony prominence becomes cornified and inflamed, and this is accompanied by swelling and pain.
In early stages, it is possible to prevent progress by means of splints and shoe padding, but in the case of chronic complaints, surgical correction should be considered. There are over a hundred different surgical techniques. This involves the sinking of the head of one of the metatarsals II-IV, which occurs without infection from the outside.
Young girls are particularly affected. It is assumed that insufficient blood supply to this bone plays a role in this process, but this has not been conclusively clarified. Patients complain of pain and swelling in the affected joint area, which would increase greatly under stress.
An X-ray is taken to assess the extent of the bone loss. At the beginning of the disease, an attempt can be made to allow healing by means of inserts and measures to promote blood circulation. If this is not successful, the affected bones must be surgically treated.
In this case, the metatarsal and toe bones are connected by metal, which leads to ossification and should therefore lead to healing. Especially after excessive jogging the metatarsus can break out of fatigue. This fracture is shear and is called a fatigue fracture.
