Βλαισός Μέγας Δάκτυλος (κότσι)

Ο βλαισός μέγας δάκτυλος είναι, μία επώδυνη, σύνθετη παραμόρφωση των οστών και των μαλακών μορίων της πρώτης ακτίνας του άκρου πόδα. Κατόπιν τούτου, η κεφαλή του μεταταρσίου προβάλει προς τα έσω με αποτέλεσμα την τριβή του στο υπόδημα. Η αιτιολογία της δεν είναι απολύτως ξεκαθαρισμένη. Είναι 10 φορές πιο συχνή στις γυναίκες παρά στους άνδρες. Στην εμφάνισή της προδιαθέτουν παράγοντες όπως :
 
  • στενά παπούτσια γι΄αυτό και σπάνια παρατηρείται σε πληθυσμούς που δεν φορούν υποδήματα
  • τριγωνικά παπούτσια με ψηλά τακούνια 
  • παρατεταμένη ορθοστασία 
  • συνεχής μεταφορά βαρέων αντικειμένων άρση βαρών
  • γονιδιακές και άλλες όπως :
  • ραιβό μετατάρσιο 
  • κληρονομικότητα 
  • πρηνισμός οπισθίου ποδός 
  • κοντός Αχίλλειος τένοντας 
  • γενικευμένη χαλαρότητα αρθρώσεων 
  • μεγάλη διαμετατάρσια γωνία 
  • νευρομυϊκές διαταραχές (εγκεφαλική παράλυση)
  • αρθρίτιδες (ρευματοειδής, ουρική )

  Η ανατομική παραμόρφωση των οστών του άκρου πόδα συνίσταται σε βλαισή (προς τα έξω) απόκλιση του μεγάλου δακτύλου με υπεξάρθρημα της μεταταρσοφαλαγγικής άρθρωσης, σε προσαγωγή του πρώτου μεταταρσίου προβολή της κεφαλής του πρώτου μεταταρσίου με σχηματισμό εξόστωσης (κότσι) σε πρηνισμό του μεγάλου δακτύλου και σε σφυροδακτυλία του δεύτερου δακτύλου.

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