Latest videos

A "Hallux Valgus" or "Hallux Abducto-Valgus" deformity, is commonly referred to as a "Bunion." This describes a pathological condition involving the position of the "hallux" in relation to the first metatarsal.

A bunion deformity can clinically present with a variety of characteristics. The foot itself may present with a wide splaying of the forefoot and a painful bump on the medial aspect of the first metatarsal phalangeal joint. In addition, the hallux may be abducted from the midline of the body, with a valgus rotation in the frontal plane.

A radiographic analysis of a bunion deformity in the Anterior/Posterior or Dorsal/Plantar view will reveal a variety of pathological components. Most notably so, is the exaggerated inter-metatarsal angle between the first and second metatarsal. This may be accompanied by a displacement of the first metatarsal from its position over the sesamoids, such that the metatarsal demonstrates a medial alignment away from the sesamoids which lie to the lateral side.

In some cases, the proximal articular set angle at the head of the first metatarsal may be off-set. This "PASA" is one of the factors which determines the position of the proximal phalanx on the metatarsal during movement as well as at rest.

Although conservative care may involve shoe modifications, padding, strapping, and custom orthosis; surgical reconstruction may be required to alleviate painful and immobilizing bunion conditions.

Soft tissue components of the bunion deformity are primarily addressed by means of a capsular modification, as well as a tenotomy of the adductor tendon at its insertion on the base of the proximal phalanx. The fibular sesamoid may be repositioned by a release of the surrounding ligaments.

Surgical management of the bone or osseous components of a bunion deformity will commonly include an osteotomy and correction to re-establish a more functional position of the first metatarsal within the forefoot. This capital fragment of bone is held in place with hardware fixation in order to secure a proper alignment during the healing phase, thus allowing the hallux to return to a more functionally useful position in the sagittal plane.

A DMC Neurologist and Neurosurgeon install a nerve stimulator in a young patient to try and control his epileptic seizures. ~ Detroit Medical Center

DMC Eye specialist restores a woman's vision by removing cataracts and installing an artificial lens. ~ Detroit Medical Center

DMC pediatric heart specialist uses less invasive technique to repair a child's Atrial Septal Defect ("Hole in the heart.".) ~ Detroit Medical Center

DMC Neurosurgeon Sandeep Mittal maps the brain and performs delicate surgery to remove epileptic tissue, and stop a patient's seizures. ~ Detroit Medical Center

DMC Neurosurgeon Sandeep Mittal uses EEG and brain surgery to decode the secrets of adult epilepsy - Part I of a two-part series. ~ Detroit Medical Center

DMC Orthopedic Specialist and Detroit Tigers team physician Dr. Stephen Lemos repairs a young patient's damaged shoulder using a minimally-invasive arthroscopic technique. ~ Detroit Medical Center

DMC pain management Specialists Drs. Renee Baugh and Mohamed Othman work to help patients manage and minimize pain, and restore a more satisfying lifestyle. ~ Detroit Medical Center

DMC Plastic Surgeon Doctor Bruce Chau uses minimally invasive surgery called Liposelection to ultrasonically "melt" fat and remove it, resulting in smoother, younger-looking skin and body. Watch as one patient feels transformed through a procedure to revitalize her breasts and her outlook. ~ Detroit Medical Center

A DMC patient with urinary stress incontinence regains control with less-invasive surgery at DMC Sinai-Grace, performed by DMC Ob/Gyn specialist Dr. Korial Atty. ~ Detroit Medical Center

A DMC patient suffering from an abdominal aortic aneurysm receives an endovascular graft to alleviate the potentially deadly problem, performed by DMC cardiac specialist Dr. Ali Kafi. ~ Detroit Medical Center

Losing Weight- Gaining Health with LapBand Surgery video

A DMC patient suffering from an artery blockage is helped by Intravascular Ultrasound (IVUS), new technology that reveals the condition of the artery and may prevent heart attacks. ~ Detroit Medical Center

After their parents were strongly urged by their local hospital to go to Children's Hospital of Michigan, Dr. Jeffrey Taub controls an aggressive cancer in 2 month old twins. ~ Detroit Medical Center

A little boy with a mystifying eye condition finally found an answer on the other side of the globe with the help of Dr. Harry Chugani at Children's Hospital of Michigan. ~ Detroit Medical Center

At Children's Hospital, Dr. Mary Bedard and the NICU nursing staff save the life of a tiny infant struggling from a serious intestinal infection. ~ Detroit Medical Center

After losing control of his entire right side from a massive stroke, a teenager overcomes a long, difficult, and uncertain recovery with courage, grit, and determination. ~ Detroit Medical Center

DMC Huron Valley-Sinai Hospital offers hope for severe sinus sufferers through new image-guided surgery that opens up passages, allowing freer breathing and higher quality of life. See two patients who have undergone the procedure and hear about their new lease on life. ~ Detroit Medical Center

DMC's Surgical Simulation Lab creates a virtual anatomy, allowing surgeons to train and enhance their skill before moving to live patients. ~ Detroit Medical Center

DMC Interventional Radiologist Doctor Bruce Wolf uses minimally invasive surgery called Balloon Kyphoplasty to bring relief to a patient suffering from severe back pain caused by spinal compression fractures. This new procedure is especially beneficial to patients suffering from osteoporosis. ~ Detroit Medical Center