Dear Howard et al,
Howard you wrote.
>
>
>While the symptoms in the 1st MTP joint of subjects with Fhl may be
>limited, I do see many symptomatic runners with problems related to
>Fhl, but not in the 1st MTP joint.
.....
>I would also add that during running, there is only a single limb
>support phase, with the limb in an increased varus position relative
>to walking. This magnification of the varus attitude would tend to
>make it easy for a runner to avoid 1st MTP joint dorsiflexion, by
>running on the lateral side of the foot. This may explain the lack
>of localized symptoms due to Fhl, but the prevalence of other
>(remote) problems linked to it in runners.
>
Very true indead. Yesterday, we got a patient with the sole complaint
of burning 4th and 5th meta heads. This person had a structural and
functional hallux limitus (plantar pressures indicated unloaded 1st
met and a sagittal blokkade of the heel curves) and compensated by
rolling off laterally with overload of the lateral forefoot as a
consequence.
Just my two pence worth of comment.
Regards to all.
Bart
--
*******************************************************************
Bart Van Gheluwe
Laboratory of Biomechanics
Vrije Universiteit Brussel -Fac. LK
Vakgroep BIOM
Pleinlaan 2, 1050 Brussel, Belgium
Tel.: 02/629.27.33 (31)
Fax: 02/629.27.36
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