OBJECTIVE Treatment of mild and moderate hallux valgus deformities. DISCUSSION Minimally invasive technique enables surgeons to treat mild and moderate hallux valgus deformities with excellent and good results in the majority of patients. Nonunion of first metatarsal, moreover, has only rarely been reported. SUMMARY We describe the essential steps of a surgical technique for the treatment o...

Duplicated hallux is a rare congenital deformity sometimes untreated because it can be hidden in the shoe. The deformity varies from case to case, each requiring careful consideration before operation. We report a case treated by a new microsurgical procedure. Case report. An 18-month-old boy had bilateral congenital duplication ofthe hallux (Fig. 1). The normal-looking tibial halluces were imm...

Buerger's disease is a distal vascular occlusive disease primarily affecting those with a history of tobacco use. Treatment of digital pathology can be quite difficult as a result. This paper discusses a patient who developed an ulceration of the left hallux that did not respond to local wound care and antibiosis. A lumbar sympathectomy was performed in conjunction with a hallux amputation to p...

First metatarsophalangeal joint osteoarthritis, commonly known as hallux rigidus, is a progressive disabling condition. Several staging classification systems exist. We present a staging system incorporating radiographic findings, range of motion, and presence or absence of mid-motion pain and sesamoid pain. On the basis of these clinically significant variables, we present an algorithm for tre...

Background:   Hallux valgus deformity is a common chronic problem in middle age and elderly. Different surgical procedures have been introduced so far with their proposed indications for each. This study aimed to compare three   current procedures namely Chevron osteotomy, Scarf osteotomy and McBride technique.     Methods:   In this study, 44 patients were included from 2010 to 2013. All patie...

Background To describe the clinical and magnetic resonance imaging findings of ganglion cysts with effusion in the flexor hallucis longus tendon sheath around the hallux to evaluate their origin. Methods Patients with recurrent or painful ganglion cysts around the hallux with effusion in the flexor hallucis longus tendon sheath who underwent surgical treatment at St. Vincent's Hospital from F...

Osteotomy of the neck of the first metatarsal bone has been practised for many years in the treatment of hallux valgus. Although various techniques have been described (Hohmann 1948 ; Mitchell, Fleming, Allen, Glenney and Sanford 1958), we are aware of only one detailed report of results (Mitchell et a!. 1958). This paper presents the results of osteotomy in eighty-two feet, and attempts to def...

McBride popularized the lateral release in the earlier part of the century as an isolated soft tissue procedure to correct hallux valgus. Since the procedure did not correct the structural deformity, surgeons performed the procedure with fibular sesamoidectomy and/or adductor transfer in an attempt to maximize the soft tissue correction. However, it became apparent that overzealous work within ...