Hallux Limitus

Incidence

Pathogenesis

1. A long 1st metatarsal.
2. An elevated 1st metatarsal. (Metatarsus primus elevatus)
3. An impaction injury (trauma) of the 1st MPJ resulting in an osteochondral defect (OCD) of the joint.
4. Systemic diseases that cause injury to the joint such as rheumatoid arthritis, lupus, or gout.

Shepard's "Veggie" Pie

To view this, and other recipes online please visit:
http://www.footdrhorsley.com/lifestyle/cookbook/shepards_veggie_pie.php

Ingredients

• 2 pounds potatoes, such as russet, peeled and cubed
• 2 tablespoons sour cream
• 1 large egg yolk
• 11/2 cup vegetable broth
• 1 tablespoon extra-virgin olive oil, 1 turn of the pan
• 1 carrot, peeled and chopped
• 1 onion, chopped
• 2 tablespoons butter
• 2 tablespoons all-purpose flour
• 2 teaspoons Worcestershire
• 1/2 cup peas
• 1 teaspoon sweet paprika
• 2 tablespoons chopped fresh parsley leaves

1. Boil potatoes in salted water until tender, about 12 minutes.
2. Drain potatoes and pour them into a bowl.
3. Combine sour cream, egg yolk and 1/2 cup of vegetable broth.
4. Add the cream mixture into potatoes and mash until potatoes are almost smooth.
5. While potatoes boil, preheat a large skillet over medium high heat. Add oil to hot pan with chopped carrot and onion.
6. Cook vegetables 5 minutes, stirring frequently.
7. In a second small skillet over medium heat cook butter and flour together 2 minutes.
8. Whisk in remaining 1 cup of broth and Worcestershire sauce.
9. Thicken gravy 1 minute. Add gravy to vegetables and stir in peas.
10. Preheat broiler to high. Fill a small rectangular casserole with vegetable mixture.
11. Spoon potatoes over vegetables evenly.
12. Top potatoes with paprika and broil 6 to 8 inches from the heat until potatoes are evenly browned.
13. Top casserole dish with chopped parsley and serve.

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