AskDefine | Define bunion

Dictionary Definition

bunion n : a painful swelling of the bursa of the first joint of the big toe

User Contributed Dictionary

English

Noun

  1. A bump or bulge on the first joint of the big toe caused by the swelling of a sac of fluid under the skin.

Extensive Definition

A bunion (hallux valgus) is a structural deformity of the bones and the joint between the foot and big toe, and may be painful.
A bunion is an enlargement of bone or tissue around the joint at the base of the big toe (metatarsophalangeal joint). The big toe may turn in toward the second toe (angulation), and the tissues surrounding the joint may be swollen and tender.
Today the term usually is used to refer to the pathological bump on the side of the great toe joint. The bump is the swollen bursal sac and/or an osseous (bony) deformity that has grown on the mesophalangeal joint (where the first metatarsal bone and hallux meet).

Medical terms

The term "hallux valgus" or "hallux abducto valgus" are the most commonly-used medical terms associated with a bunion deformity, where "hallux" refers to the great toe, "valgus" refers to the abnormal angulation of the great toe commonly associated with bunion deformities, and "abducto" refers to the abnormal drifting or inward leaning of the great toe towards the second toe, which is also commonly associated with bunion disorders.

Symptoms

The symptoms of bunions include irritated skin around the bunion, joint redness and pain, and possible shift of the big toe toward the other toes.

Formation/Development

Bunions are caused by a biomechanical abnormality, where certain tendons, ligaments, and supportive structures of the first metatarsal are no longer functioning correctly. This biomechanical abnormality may be caused by a variety of conditions intrinsic to the structure of the foot--such as flat feet, excessive ligamentous flexibility, abnormal bone structure, and certain neurological conditions. These factors are often considered genetic. Although no experts are convinced that poor fitting footwear is the main cause of bunion formation http://orthopedics.about.com/cs/toeproblems/a/bunions.htm, other sources concede only that footwear exacerbates the problem caused by the original genetic deformity. http://www.footphysicians.com/footankleinfo/bunions.htm
Bunions are commonly associated with a deviated position of the big toe toward the second toe; and the deviation in the angle between the first and second metatarsal bones of the foot. The small sesamoid bones found beneath the first metatarsal (which help the flexor tendon bend the big toe downwards) may also become deviated over time as the first metatarsal bone drifts away from its normal position. Arthritis of the great toe joint, diminished and/or altered range of motion, and discomfort with pressure applied to the bump or with motion of the joint, may all accompany bunion development.

Treatment

Bunions may be treated conservatively with changes in shoe gear, different orthotics (accommodative padding and shielding), rest, ice, and medications. These sorts of treatments address symptoms more than they correct the actual deformity. Surgery, by a Podiatrist, may be necessary if discomfort is severe enough or when correction of the deformity is desired.

Orthotics

Orthotics are bunion cushions, splints, regulators while conservative measures include various footwear like gelled toe spacers, bunion / toes separators, bunion regulators, bunion splints, and bunion cushions.

Surgery

Procedures are designed and chosen to correct a variety of pathologies that may be associated with the bunion. For instance, procedures may address some combination of:
  • removing the abnormal bony enlargement of the first metatarsal,
  • realigning the first metatarsal bone relative to the adjacent metatarsal bone,
  • straightening the great toe relative to the first metatarsal and adjacent toes,
  • realigning the cartilagenous surfaces of the great toe joint,
  • addressing arthritic changes associated with the great toe joint,
  • repositioning the sesamoid bones beneath the first metatarsal bone,
  • shortening, lengthening, raising, or lowering the first metatarsal bone, and
  • correcting any abnormal bowing or misalignment within the great toe.
The age, health, lifestyle, and activity level of the patient may also play a role in the choice of procedure.
Bunion surgery can be performed under local, spinal, or general anesthetic. The trend has moved strongly towards using the less invasive local anesthesia over the years. A patient can expect a 6- to 8-week recovery period during which crutches are usually required for aid in mobility. It is much less common today as newer, more stable procedures and better forms of fixation (stabilizing the bone with screws and other hardware) are used.

See also

References

External links

bunion in German: Hallux valgus
bunion in Spanish: Hallux valgus
bunion in French: Hallux valgus
bunion in Italian: Alluce valgo
bunion in Spanish: Hallux valgus
bunion in Finnish: Vaivaisenluu
bunion in French: Hallux valgus
bunion in Japanese: 外反母趾
bunion in Dutch: Hallux valgus
bunion in Norwegian: Hallux valgus
bunion in Polish: Paluch koślawy
bunion in Portuguese: Hallux valgus
bunion in Swedish: Hallux valgus
bunion in Dutch: Hallux valgus
bunion in Norwegian: Hallux valgus
bunion in Polish: Paluch koślawy
bunion in Portuguese: Hallux valgus
bunion in Finnish: Vaivaisenluu
bunion in Swedish: Hallux valgus

Synonyms, Antonyms and Related Words

abscess, adenoiditis, adrenitis, aposteme, appendicitis, arteritis, arthritis deformans, arthritis fungosa, arthritis pauperum, atrophic arthritis, atrophic inflammation, bed sore, blain, bleb, blennorrhagic arthritis, blister, boil, brain fever, bronchitis, bubo, bulla, bump, bursitis, canker, canker sore, capillaritis, carbuncle, carditis, catarrh, catarrhal inflammation, cerebellitis, cerebral meningitis, cerebritis, cerebrospinal meningitis, chancre, chancroid, chilblain, chronic infectious arthritis, chronic inflammation, cirrhotic inflammation, climactic arthritis, clitoritis, cold sore, colitis, collagen disease, conjunctivitis, corn, cyst, cystitis, degenerative arthritis, diffuse inflammation, dilatation, dilation, distension, edema, encephalitis, endocarditis, enteritis, equine encephalomyelitis, eschar, exudative inflammation, felon, fester, festering, fever blister, fibroid inflammation, fistula, focal inflammation, furuncle, furunculus, gastritis, gathering, gingivitis, glossitis, gonococcal arthritis, gonorrheal arthritis, gonorrheal rheumatism, gout, gouty arthritis, gumboil, hemophilic arthritis, hemorrhoids, hepatitis, hyperplastic inflammation, hypertrophic arthritis, hypertrophic inflammation, infectional arthritis, infectious hepatitis, inflammation, intumescence, irritable bowel syndrome, kibe, laryngitis, lesion, lumbago, lumbar rheumatism, lump, mastoiditis, meningitis, menopausal arthritis, metastatic inflammation, metritis, milk leg, mucous colitis, mumps meningitis, myelitis, necrotic inflammation, nephritis, neuritis, obliterative inflammation, ophthalitis, ophthalmia, orchitis, osseous rheumatism, osteitis, osteoarthritis, osteomyelitis, otitis, ovaritis, papula, papule, paradental pyorrhea, paronychia, parulis, penitis, pericarditis, periodontitis, peritonitis, petechia, pharyngitis, phlebitis, piles, pimple, pock, podagra, polyp, proliferative arthritis, prostatitis, pustule, pyonephritis, pyorrhea, pyorrhea alveolaris, reactive inflammation, rheumatism, rheumatiz, rheumatoid arthritis, rhinitis, rising, scab, sclerosing inflammation, sebaceous cyst, seroplastic inflammation, serous inflammation, serum hepatitis, simple inflammation, sinusitis, soft chancre, sore, spastic colon, specific inflammation, stigma, sty, subacute rheumatism, suppuration, suppurative arthritis, suppurative inflammation, swell, swelling, swollenness, syphilitic arthritis, tennis elbow, testitis, thrombophlebitis, tonsilitis, torticollis, toxic inflammation, traumatic inflammation, tubercle, tuberculous arthritis, tuberculous rheumatism, tumefaction, tumescence, tumidity, tumor, turgescence, turgescency, turgidity, ulcer, ulceration, ulcerative colitis, uratic arthritis, ureteritis, urethral arthritis, urethritis, uteritis, vaginitis, vertebral arthritis, visceral rheumatism, vulvitis, wale, welt, wen, wheal, whelk, whitlow, wound, wryneck
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