Year 2019 / Volume 30 / Number 1

Abstract PDF PDF

Clinical Cases

Extraction of gotous tofos. Clinical case.

Rev. Esp. Pod. 2019; 30(1): 24-30 / DOI: 10.20986/revesppod.2019.1515/2018

José María del Pino Torres, Fernando Martínez Merino


ABSTRACT

This article shows a clinical case of an 83-year-old patient with persistent pain at the level of the 1st metatarsophalangeal and interphalangeal joint of the left foot, as well as a large deformity that prevented her from fitting properly. After the first exploration, diagnosis of presumption was directed towards gout. Gout is a disease caused by an accumulation of crystals of monosodium urate in different parts of the body, especially in the joints, soft tissues and kidneys. Although the radiological reports did not comfirm gout, clinical findings indicated that the previous diagnosis of gout was the most probable and a Du Vries cheilectomy was performed to improve Hallux Limitus symptoms and mechanical removal of the first toe gout deposits with an skin plasty to remove excess of skin plasty. Special care was taken to respect plantar structures not compromising the plantar skin in the future and avoid postoperative fibrosis. Pain relief was achieved with a mobility of the first metatarsophalangeal joint within normal limits, with a slightly insufficient first radius, but no postoperative treatment with plantar supports was necessary. After more than a year, the results are optimal, being able to make a completely normal life and with a fully recovered functionality.



RESUMEN

El presente artículo muestra un caso clínico de una paciente de 83 años que presentaba dolor persistente a nivel de la 1ª articulación metatarsofalángica e interfalángicas del pie izquierdo, así como una gran deformidad que le impedía calzarse de forma adecuada. Tras la primera exploración, el diagnóstico de presunción se encaminó hacia la gota. La gota es una enfermedad producida por una acumulación de cristales de urato monosódico en distintas partes del cuerpo como articulaciones, tejidos blandos y riñones. A pesar de que los informes radiológicos apuntaban a otro tipo de lesiones, la clínica indicaba el diagnóstico clínico estaba más acorde con el problema y se decidió realizar intervención quirúrgica mediante queilectomía de Du Vries para mejorar la sintomatología y eliminar los tofos gotosos del primer dedo y plastia de piel sobrante, con especial cuidado de respetar en la medida de lo posible las estructuras plantares para no comprometer la piel plantar y evitar posible fibrosis posterior. Se consiguió alivio del dolor con una movilidad de la primera articulación metatarsofalángica dentro de límites normales, con un primer radio ligeramente insuficiente, pero no siendo necesario un tratamiento postquirúrgico con soportes plantares para mejorar la funcionalidad. Tras más de un año, los resultados obtenidos fueron óptimos, pudiendo hacer una vida completamente normal y con una funcionalidad completamente recuperada.


Nuevo comentario

Security code:
CAPTCHA code image
Speak the codeChange the code
 

Comentarios

No comments in this article

Artículos relacionados

Anatomy and sonopathology of the metatarsophalangeal plantar plate

Rev. Esp. Pod. 2024; 35(1): 57-68 / DOI: 10.20986/revesppod.2024.1693/2024

Eficacy of arthroscopy in hallux rigidus: a sistematic review

Rev. Esp. Pod. 2024; 35(1): 49-56 / DOI: 10.20986/revesppod.2024.1689/2024

Association between degenerative changes of the fi rst metatarsophalangeal joint with goniometric variables of the internal longitudinal arch: observational study

Rev. Esp. Pod. 2024; 35(1): 36-41 / DOI: 10.20986/revesppod.2024.1694/2024

Peroneus longus potentiation in subjects with flexible dorsiflexed first ray. Prelimimary results of a randomized clinical trial

Rev. Esp. Pod. 2024; 35(1): 22-29 / DOI: 10.20986/revesppod.2024.1683/2023

Surgical approach to rheumatic foot. Case series

Rev. Esp. Pod. 2024; 35(1): 17-21 / DOI: 10.20986/revesppod.2024.1678/2023

Proposal for a classification of podiatric surgery techniques according to their degree of complexity

Rev. Esp. Pod. 2024; 35(1): 2-3 / DOI: 10.20986/revesppod.2024.1685/2024

Ultrasound suspicion of basal cell carcinoma. Case Report

Rev. Esp. Pod. 2023; 34(2): 109-112 / DOI: 10.20986/revesppod.2023.1675/2023

Rotational anomalies in women with hallux valgus. Observational study

Rev. Esp. Pod. 2023; 34(2): 90-98 / DOI: 10.20986/revesppod.2023.1673/2023

Morphology and function of the foot in patients with sciatica. A cross-sectional study

Rev. Esp. Pod. 2023; 34(2): 82-89 / DOI: 10.20986/revesppod.2023.1672/2023

Limitation of ankle dorsiflexion and hallux in master category swimmers

Rev. Esp. Pod. 2023; 34(2): 74-81 / DOI: 10.20986/revesppod.2023.1671/2023

Sonographic mapping of the nerves of the medial side of the ankle and foot

Rev. Esp. Pod. 2023; 34(1): 52-57 / DOI: 10.20986/revesppod.2023.1665/2023

Influence of the menstruation and ovulation phase in the extension range of motion of the ankle and first metatarsophalangeal joint

Rev. Esp. Pod. 2023; 34(1): 25-31 / DOI: 10.20986/revesppod.2023.1659/2023

Influence of surgical treatment of hallux abducto-valgus on first ray mobility

Rev. Esp. Pod. 2023; 34(1): 13-18 / DOI: 10.20986/revesppod.2023.1650/2022

Surgical resolution of an hallucal interphalangeal sesamoid

Rev. Esp. Pod. 2022; 33(2): 122-127 / DOI: 10.20986/revesppod.2022.1645/2022

Analysis of risk factors related to reulceration in patients with diabetic foot in the scientific literature: a narrative review

Rev. Esp. Pod. 2022; 33(2): 115-121 / DOI: 10.20986/revesppod.2022.1639/2022

Update of new neuromuscular bandage techniques in podiatry

Rev. Esp. Pod. 2022; 33(1): 59-65 / DOI: 10.20986/revesppod.2022.1630/2022

False rheumatoid nodule in the left third toe and its surgical treatment. A case report

Rev. Esp. Pod. 2022; 33(1): 54-58 / DOI: 10.20986/revesppod.2022.1628/2021

Clinical case: angioleiomyoma on the foot

Rev. Esp. Pod. 2022; 33(1): 50-53 / DOI: 10.20986/revesppod.2022.1622/2021

Keller arthroplasty vs hemi-implant arthroplasty for the surgical treatment of hallux rigidus: Mid-term comparative analysis

Rev Esp Podol. 2017;28(1):21-29

Talectomy. A case report

Rev. Esp. Pod. 2021; 32(2): 140-145 / DOI: 10.20986/revesppod.2021.1616/2021

First ray mobility in hallux limitus patients vs. normal patients
III Premio Virginia Novel

Rev. Esp. Pod. 2021; 32(2): 116-122 / DOI: 10.20986/revesppod.2021.1621/2021

Kinematic analysis of ankle and midfoot joints in children with osteogenesis imperfecta

Rev. Esp. Pod. 2021; 32(2): 99-105 / DOI: 10.20986/revesppod.2021.1603/2021

Effect of laser therapy on post surgical pain and edema after hallux valgus surgery: a prospective analytical study

Rev. Esp. Pod. 2021; 32(2): 74-78 / DOI: 10.20986/revesppod.2021.1570/2020

Morton’s neuroma decompression: current insights & recommendations

Rev. Esp. Pod. 2021; 32(1): 63-69 / DOI: 10.20986/revesppod.2021.1609/2021

Multibranched acquired digital fibrokeratoma. Clinical case

Rev. Esp. Pod. 2021; 32(1): 58-62 / DOI: 10.20986/revesppod.2021.1578/2020

Relationship between ankle dorsiflexion and dorsiflexion of the first metatarsophalangeal joint in the full stance and toe-off phases of gait: cross-sectional study in healthy subjects

Rev. Esp. Pod. 2021; 32(1): 36-41 / DOI: 10.20986/revesppod.2021.1602/2021

Mechanical determinants of external knee joint adductor moments during gait in healthy population

Rev. Esp. Pod. 2021; 32(1): 18-26 / DOI: 10.20986/revesppod.2021.1599/2021

Relationship between dorsal ankle flexion and medial column flexibility

Rev. Esp. Pod. 2021; 32(1): 7-12 / DOI: 10.20986/revesppod.2021.1572/2020

Perioperative management of the diabetic patient in podiatric surgery

Rev. Esp. Pod. 2020; 31(2): 133-141 / DOI: 10.20986/revesppod.2020.1590/2020

Surgical reconstruction of a complex neuroarthopatic charcot foot: a case report

Rev. Esp. Pod. 2020; 31(2): 117-125 / DOI: 10.20986/revesppod.2020.1569/2020

Distal metatarsal mini-invasive osteotomy for the iatrogenic metatarsalgia. Retrospective study of a serie of cases

Rev. Esp. Pod. 2020; 31(2): 93-101 / DOI: 10.20986/revesppod.2020.1574/2020

Anxiety study in the presurgical patient in foot surgery

Rev. Esp. Pod. 2020; 31(2): 87-92 / DOI: 10.20986/revesppod.2020.1562/2020

Effects of a stabilizer sock in balance in patients with different neurologic diseases

Rev. Esp. Pod. 2020; 31(1): 38-45 / DOI: 10.20986/revesppod.2020.1566/2020

Clinical test in diagnosis of ankle sprain: a literature review

Rev. Esp. Pod. 2019; 30(2): 87-100 / DOI: 10.20986/revesppod.2019.1535/2019

Prospective evaluation of an action protocol for metatarsalgia due to failure of the first radius: results of conservative and surgical treatment

Rev. Esp. Pod. 2019; 30(2): 70-80 / DOI: 10.20986/revesppod.2019.1544/2019

Basic concepts for the request and interpretation of blood tests in podiatry

Rev. Esp. Pod. 2019; 30(1): 53-68 / DOI: 10.20986/revesppod.2019.1539/2019

Effects of the Low-Dye tape on the foot. A narrative review

Rev. Esp. Pod. 2019; 30(1): 38-52 / DOI: 10.20986/revesppod.2019.1526/2018

Elongation of the gastrocnemius and tendon transfer of anterior tibial and long extensor of the first finger in a patient with common peroneal nerve neuropathy. Case report

Rev. Esp. Pod. 2019; 30(1): 31-37 / DOI: 10.20986/revesppod.2019.1524/2018

Normative values to determine a flatfoot or cavus foot

Rev. Esp. Pod. 2019; 30(1): 15-23 / DOI: 10.20986/revesppod.2019.1540/2019

Tissue stress model. Clinical applications in foot pathology

Rev. Esp. Pod. 2018; 29(2): 101-112 / DOI: 10.20986/revesppod.2018.1531/2018

Osteochondroma or subungual exostosis subungueal? A systematic review

Rev. Esp. Pod. 2018; 29(2): 81-86 / DOI: 10.20986/revesppod.2018.1521/2018

Mapping the 25 top-cited research papers in plantar fasciitis in runners

Rev Esp Podol. 2018;29(1):13-20 / DOI: 10.20986/revesppod.2018.1505/2018

Effectiveness of conservative orthotic treatment in flexible pediatric flatfoot

Rev Esp Podol. 2018;29(1):2-12 / DOI: 10.20986/revesppod.2018.1507/2018

Instrucciones para citar

del Pino Torres J, Martínez Merino F. Extraction of gotous tofos. Clinical case.. Rev Esp Pod 2019; 30(1): 24-30 / DOI: 1020986/revesppod20191515/2018


Descargar a un gestores de citas

Descargue la cita de este artículo haciendo clic en uno de los siguientes gestores de citas:

Métrica

Este artículo ha sido visitado 69281 veces.
Este artículo ha sido descargado 11 veces.

Estadísticas de Dimensions


Estadísticas de Plum Analytics

Ficha Técnica

Recibido: 19/03/2018

Aceptado: 05/03/2019

Prepublicado: 17/04/2019

Publicado: 28/06/2019

Tiempo de revisión del artículo: 349 días

Tiempo de prepublicación: 394 días

Tiempo de edición del artículo: 466 días


Compartir

Este artículo aun no tiene valoraciones .
Reader rating:
Rate this article:
Send by e-mail
2024 Revista Española de Podología
ISSN: 0210-1238   e-ISSN: 2695-463X

       Indexada en:
Política de Privacidad