- FRAME MODIFICATIONS -

Forefoot: 1st Ray Cut Out

Frame resection proximal to 1st metatarsal head

Function:
Offloads 1st metatarsal head
Increases 1st ray joint excursions

Clinical Indication:
Hallux valgus
Hallux limitus
Plantarflexed 1st rays
Bunion deformities
Sesamoiditis

A 1st ray cut out is a 45°, 65° or full clipping of the distal medial portion of the orthotic frame. The cut’s angulation begins at the 1st innerspace of the distal frame and terminates at the medial edge of the frame. A full 1st ray cut out is a perpendicular cut at the 1st innerspace, runs parallel along the medial 1st metatarsal and curves 90° outwards at the 1st metatarsal base and terminates at the medial edge of the frame.

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