Hallux valgus

A 48-year-old woman had spinal anesthesia for hallux valgus surgery and had pain radiating to the left buttock during insertion of the needle. Hjq)erbaric 5% Udocaine... 

A 59-year-old man had spinal anesthesia for hallux valgus surgery with 5% hyperbaric Udocaine 75 mg. The next day he had persistent perianal numbness, difficulty in micturition, and a large residual urine volume. An MRI scan was normal and he had reduced perianal and scrotal sensation, difficulty in defecation, and erectile impotence. He was no better 5 months later. 

A bunion is an enlargement of the first metatarsal phalangeal joint on the outside of the large toe. The deviation of the joint is known as hallux valgus. 

HTLC HTLV III HTN HTP HTR HTVD HUIFM HUR HUS HV H V HW hwb Hx Hz HZ HZO human T-cell leukemia virus human T-cell lymphotrophic virus type III hypertension House-Tree-Person test acute hemolytic transfusion reaction hypertensive vascular disease human leukocyte interferon meloy hemolytic uremic syndrome hemolytic uremic syndrome hallux valgus has voided hemigastrectomy and vagotomy heparin well housewife hot water bottle history hospitalization Hertz herpes zoster herpes zoster ophthalmicus... 

The client 4 hours postoperative bunionectomy (removal of hallux valgus) is prescribed hydromorphone (Dilaudid), a narcotic analgesic. The client is complaining of pain 9 on the 1-10 pain scale. Which action should the nurse implement ... 

A hallux valgus is a deformity in which the great toe deviates laterally. The surgery to correct this deformity may cause an intense throbbing pain at the operative site that requires liberal amounts of potent analgesics. 

Brattwall M, Turan I, Jakobsson J. Pain management after elective hallux valgus... 

The high prevalence of hallux valgus testifies to the longitudinal forces and the resultant joint disease found at this site. 

In addition, postural abnormalities are observed resulting from spondylitis deformans of the thoracic or cervical spine, with kyphosis and kyphoscoliosis. Other patients exhibit pes cavus deformities, hallux valgus, or hammer toes. 

Hajek V, Dussart C, Klack F, Lamy A, Martinez JY, Laine P, et al. Neuropathic complications after 157 procedures of continuous popliteal nerve block for hallux valgus surgery. A retrospective study. Orthop Traumatol Surg Res 2012 98(3) 327-33. 

Apart from intermetatarsal bursitis, superficial palpable bursitis can occur in the midfoot over a hypertrophied peroneal tubercle and in the forefoot involving the adventitial bursae beneath the metatarsal heads (Ashman et al. 2001). A distended bursa underlying the head of the first metatarsal is often observed in association with hallux valgus (Schweitzer et al. 1999). It can be recognized as a focal mass with mixed echotexture (containing fluid and hypertrophied synovium) interrupting the subcutaneous fat plane focally (Fig. 17.57). 

Enns P, Pavlidis T, Stahl JP et al (2004) Sonographic detection of an isolated cuboid bone fracture not visualized on plain radiographs.) Clin Ultrasound 32 154-157 Eustace S, Williamson D, Wilson M et al (1996) Tendon shift in hallux valgus observations at MR imaging. Skeletal Radiol 25 519-524... 

Schon LC (1994) Nerve entrapment, neuropathy and nerve dysfunction in athletes. Orthop Clin North Am 25 47-59 Schweitzer ME, Maheshwari S, Shabshin N (1999) Hallux valgus and hallux rigidus MRI findings. Clin Imaging 23 397-402... 

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