Pedobarography. Left foot with debilitating pain at the first metatarsophalangeal joint caused by sesamoid nonunion. Elevation of the first ray has occurred with lateral drift of the central line of pressure (arrows on picture). Big toe push off is markedly reduced compared with the healthy contralateral side (arrows on chart)
60.1).16 On examination, conditions that stress the sesamoid
complex such as cavus foot with a plantar-flexed first ray or splay
foot with hallux valgus formation should be included in the
surgical plan.16 .
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