Nothing to worry!
I am the central reader of lapiplasty prospective trial where we have followed about 170 plus such cases of hallux valgus for the last three years pre- and post-surgery from seven different centers at regular intervals.
It is commonly seen in moderate or severe hallux valgus with HVA of more than 20-25 deg and IMA of more than 13-14 deg.
The 1st MT overpronates and 1st ray shortens with rounding of the distal lateral head – consequent capsular/tibial coll lig traction change of subcortical cysts and bony hypertrophy occurs with increasing degrees of hallux valgus deformity. The bony hypertrophy and subcortical cystic change is similar to rotator cuff attachment findings at greater and lesser tuberosities from chronic traction.
Have a good friday!
Best!
AC
Avneesh Chhabra, M.D. M.B.A.
Professor, Radiology & Orthopedic Surgery
Chief, Musculoskeletal Radiology
Department of Radiology
5323 Harry Hines, Blvd. Dallas, Tx-75390-9316
Office: 214-648-2122
www.utsouthwestern.edu/radiology<www.utsouthwestern.edu/education/medical-school/departments/radiology/>
On Mar 17, 2022, at 10:10 PM, Howard Galloway <galloway.howard@gmail.com> wrote:
EXTERNAL MAIL
I would call them subcortical ganglion cysts given the lack of soft tissue inflammation
regards
Howard
On Thursday, 17 March 2022 at 23:36:21 UTC+11 Andrei Dumitrescu wrote:
F50 due to undergo corrective surgery for hallux valgus.
At the medial aspect of the 1st MT head there are either subcortical ganglion cysts with some perifocal edema, or marginated chronic erosions.
I don^t see any soft tissue mass or calcification. She has pain at that site and moderate swelling.
What is your impression?
Cheers,
Andrei
