What is the description of bony overgrowth on the dorsal aspect of the foot, also known as hallux limitus (HL) or hallux rigidus (HR)?

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Last updated: April 11, 2025View editorial policy

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From the Research

Bony overgrowth on top of the foot is typically described as an osteophyte, which is a fibrocartilage-capped bony outgrowth, often associated with osteoarthritis 1. When describing this condition to a healthcare provider, it is essential to mention its specific location, such as on the midfoot, near the big toe joint, or on top of the arch, as well as its approximate size, which can be measured in centimeters or compared to a common object.

  • Associated symptoms like pain, redness, or difficulty wearing shoes should also be noted.
  • The patient should describe when they first noticed the condition, whether it has grown in size, and if certain activities or footwear make symptoms worse.
  • Any skin changes over the bump, such as calluses or ulceration, should be described in detail. This detailed description helps healthcare providers determine if the patient has a common condition like a dorsal bone spur, metatarsal exostosis, or possibly a condition called Haglund's deformity.
  • These bony prominences often develop due to repetitive pressure, foot structure abnormalities, or inflammatory conditions like arthritis.
  • While many bone spurs are harmless, those causing pain or functional problems may require treatment ranging from footwear modifications to surgical intervention, such as cheilectomy for impingement syndromes during joint replacement 1.

References

Research

Review Article: Osteophytes.

Journal of orthopaedic surgery (Hong Kong), 2016

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This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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