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CHAPTER 16 EVALUATION OF FIRST METATARSOPHALANGEAL RANGE OF MOTION PRE AND POST BUNION SURGERY: A Clinical and Radiographic Correlation with Stress Lateral Dorsiflexion Views; A Retrospective Approach.

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How to fill out evaluation of first metatarsophalangeal:

1. Start by accurately documenting the patient's medical history, including any previous conditions or injuries related to the first metatarsophalangeal joint.
2. Perform a thorough physical examination of the joint, assessing for any deformities, tenderness, swelling, or limited range of motion.
3. Use diagnostic imaging techniques like X-rays or MRI scans to further evaluate the joint and identify any underlying structural abnormalities or damage.
4. Document the patient's pain levels and functional limitations related to the first metatarsophalangeal joint. Include any information regarding the impact on daily activities, such as walking or wearing certain types of shoes.
5. Consider conducting additional tests, such as gait analysis or biomechanical assessments, to assess the patient's overall foot and ankle function and identify any contributing factors to the first metatarsophalangeal joint condition.
6. Based on the gathered information, provide a comprehensive diagnosis, outlining the specific condition affecting the first metatarsophalangeal joint.
7. Finally, create a treatment plan tailored to the patient's needs, which may include conservative measures like physical therapy, custom orthotics, or medication, or surgical intervention if necessary.

Who needs evaluation of first metatarsophalangeal:

1. Individuals experiencing persistent pain in the area of the first metatarsophalangeal joint, particularly if it significantly affects daily activities or quality of life.
2. Patients with a history of trauma or injury to the first metatarsophalangeal joint.
3. Individuals with known conditions that commonly affect the joint, such as arthritis or gout.
4. Athletes or individuals involved in activities that place repetitive stress on the foot, such as running or ballet dancing.
5. Individuals with structural abnormalities in the foot that may contribute to the development of first metatarsophalangeal joint problems.
6. Patients with a family history of foot or joint disorders, as they may be at higher risk for developing issues with the first metatarsophalangeal joint.

It is important to note that only a qualified healthcare professional should perform the evaluation and provide appropriate treatment recommendations based on the specific case and individual needs.

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