Private practice: Hauptstraße 62 Top 12, 2344 Maria Enzersdorf+43 664 / 84 98 100

  +43 664 84 98 100

Toes so ugly want to hide
after Vitek´s surgery full of pride !

Dorsal foot exostosis

Röntgenaufnahme Fußgeschwulst

The foot arch hump or dorsal foot exostosis is not a ganglion but an osteoarthritis (wear) of the midfoot joints, as a result from overloading of the midfoot. 

Marginal ridges form resulting from wear and tear and sometimes a synovial bursa on top so as to prevent the pressure of the shoe acting directly on the bone. The ridge and synovial bursa is the foot arch hump.

The foot arch hump or dorsal foot growth osteoarthritis (wear and tear) of the joint between the inner sphenoid and the first metatarsal (TMT joint I).

Treatment

At first, conservative treatment with shoe insoles and possibly shoe adjustments is applied. If the symptoms persist, the protruding bone parts and the bursa are surgically removed. For some time now, we have also been making this correction minimally invasive, i.e. with 2 or 3 tiny stitches of about 2 mm each.

Before: The red arrow shows the arch of the foot. Additionally, the patient had a high heel bone (yellow arrow).

After: The hump of the back of the foot was straightened through the keyhole (percutaneously) and is now no longer disturbing (red arrow). The high heel bone was also removed in the same way (yellow arrow).

Subsequent treatment

Walking can begin the day after the operation in a special shoe. After the wounds heal and the swelling goes down customized insoles should be made to support the arch of the foot.

In case surgery has been performed on bilaterally, forearm crutches can be used for two weeks for support.

Ability to work

Despite the relatively small intervention office workers should resume work only after one to two weeks. Heavy physical activity should be resumed only after three to five weeks.

Sports activities

Sports which put pressure on the foot can only be resumed at the earliest after six to eight weeks.

Results

In over 90 percent of cases symptoms disappear completely or at least a significant improvement is achieved. If the osteoarthritis pain persists then the TMT I joint must be stiffened, though this is a rare occurrence.

Complications

Swellings sometime take 2-3 months to subside, so that only soft footwear can be worn.

Impairment of wound healing and infection can occur in about 2 percent of cases, which however has never occurred amongst our patients up until now.

Address

Michael Vitek Dr. Prof inv. UAG
Meidlinger Hauptstraße 26
(1st floor without elevator)

Vienna,  1120

Private Practice

Hauptstraße 62 Top 12,
2344 Maria Enzersdorf

Opening hours

Monday 12:00 - 16:00

Tuesday 12:00 - 16:00

Thursday 12:00 - 16:00

Private and insured patients

Phone reservation required!

 insured patients: +43 1 815 52 75

 private: +43 664 849 81 00

Information about Cookies and Data Protection:

This website uses cookies. Cookies are small pieces of text, a web browser stores on the user’s device. They cause no harm.

Cookies that are required for the functionality of the website are set in accordance with Art 6 para. 1 lit b) GDPR (legal basis). All other cookies are only stored providing that you give consent according to Art 6 para. 1 lit a) GDPR (legal basis).


You have the right to withdraw your consent at any time. The withdrawal of consent does not affect the lawfulness of processing based on consent before its withdrawal. You are not obliged to give your consent in order to use the website. You can use the website irrespectively of your given, refused or withdrawn consent. However, the functionality of the website may be limited, when you refuse or withdraw your consent.


The offered information on this website is not addressed to children and persons below the age of 16.


To withdraw your consent or to restrict cookies, you have particularly the following possibilities:

Necessary Cookies:

This website could use the following cookies that are essential for operating the website:


Optional cookies for marketing and analysis purposes:


Cookies that are set for marketing and analysis purposes usually are stored longer than for the particular session; the precise storage time can be learned from the guidelines of the respective providers.

Additional information about the utilization of personal data in connection with the usage of this website can be found in our Data Protection Guidelines in accordance with Art 13 GDPR.