Joint Surgeons in Germany

Gelenk Klinik Orthopaedic Clinic

Street:
Alte Bundesstrasse 58

Town:
D-79194 Gundelfingen

Germany

fon: +49-761-55 77 58 28

fax: +49-761-58 974 650

clinic@joint-surgeon.com

foot specialist Germany

Splay Feet

Dr. Thomas Schneider

With a splay foot, the transverse bulge of the forefoot disappears, causing, according to the degree of severity, the foot to be strained in places not used to pressure. The forefoot is broadened and the metatarsal bones splay fan-shaped. Often this is accompanied by a painful callused protrusion that is tender under pressure. Because of the pain, the normal rolling mechanism of the foot is disturbed and the patients instinctively malposition their foot causing the shoe to become crooked and bend outwardly.

What are splay feet?

Splay feet are the most common foot deformity. The transverse bulge of the foot disappears and the forefoot is broadened. As a result, certain parts of the foot do not carry weight anymore, which cause very painful and highly unsightly calluses and pressure sores to appear. Women are more commonly affected by splay feet than men.

What are the causes of splay feet?

Two of the main causes of splay feet are being overweight or wearing unsuitable footwear. In the case of extra weight, feet have to carry a load that is beyond their capacities, which may result in the condition of splay feet. As such, the disease often occurs in the second half of life, though even children can be affected. Although mostly caused by a congenital malposition, injuries, paralysis, weak ligaments and bone diseases may also be a cause.

What are the signs of splay feet?

Most commonly, pain in splay feet occurs when they are overstrained, in particular whilst walking or standing, and disappears when in a resting position. The flattening of the forefoot and the foot's falling arch often leads to bunions (hallux valgus), and at the same time the little toe starts to point inwards. This results in a malposition of the metatarso-phalangeal joints (claw foot, hammer toe,) and corns may form. Consequently, the second and the third metatarso-phalangeal bone have to carry a bigger load, and painful calluses occur on the sole of the foot. The patients concerned often have trouble finding appropriate shoes that offer enough space for their deformed feet.

What examinations are made?

The patient is interviewed and undergoes a physical examination which usually makes it possible to establish a diagnosis, as each splay foot exhibits the same typical corn and callus pattern. This pattern is due to the malposition of the toes and the forefoot. On the X-ray the divergent angles between the metatarso-phalangeal bones can be measured, which helps to estimate the degree of deviation.

What would the therapy entail?

A therapy is only necessary when the patient suffers from discomfort. Mostly, a lasting disimpaction of a sunken-in traverse cannot usually be achieved, but there several therapies to reduce the patients discomfort and to relieve the foot. The possible non-surgical therapies are:

  • Foot gymnastics
  • Relieving the pressure sores by wearing wide, comfortable shoes
  • Splay foot inlays
  • Contrast bathing
  • Immobilisation, when irritated
  • Anti-inflammatory painkillers

Metatarso-phalangeal bones and toe deformities may be corrected surgically (Claw foot, hammer toe, bunions).
There are a variety of surgical procedures suitable for the treatment of single toes, depending on the severity of the deformity and the discomfort experienced by the patient. The surgeon may treat bunions by realigning the joints through chevron osteotomy or by removing a wedge of bone (wedge osteotomy). The surgeon will study each case individually to decide what treatment is appropriate: Hohmann's operation, the Weil osteotomy or the Girdlestone operation.

Rating: 
Your rating: None Average: 4 (15 votes)

Please stay up to date with www.joint-surgeon.com: Follow on Facebook

Please Select Your Area

Anatomic structure
Shoulder Pain and Shoulder Problems - Orthopedic Information Ellbow pain Hand und Joint Hip spine Hand Fuss Ankle Pain, Ankle Surgery, Ankle Specialist Knee pain

Orthopaedic Clinic Germany

orthopedic clinic and surgeon in Germany

MVZ Gelenk-Klinik
Orthopaedic Clinic

ISO 9001:2008 certified quality

Street:
Alte Bundesstrasse 58

Town:
D-79194 Gundelfingen

Germany

Foot and Ankle Specialist

Dr med Thomas Schneider Orthopedic Specialist, Consultant for Specialised Knee and Ankle, Hip and Shoulder Surgery

Dr. Thomas Schneider
Orthopedic Specialist, Foot and Ankle Surgery

 

Dr. Martin Rinio, MD, Orthopedist, Surgeon and Trauma Surgeon Dr. Martin Rinio, MD, Orthopedist, Ankle-Surgeon and Trauma Surgeon
Foot & Ankle Inquiry

360° Virtual Tour

Map and Route

Location of Gelenk-Klinik Gundelfingen
View Details of the location
  • Distance to EURO-Airport Basel: 80 km (45 mins)
  • Distance to Zurich: 161 km (1h 40)
  • Distance to Frankfurt: 259 km (2h 20)

Centre for Arthroplasty

Center of Excellence in Arthroplasty

Certified Centre for Arthroplasty (Centre for Endoprosthesis)