BACKGROUND Arthrodesis of the hallux metatarsophalangeal (MTP) joint is commonly done as a primary procedure either to correct severe hallux valgus deformities or for rheumatoid arthritis, hallux rigidus, in patients with neuromuscular disorders and as a salvage procedure for failed bunion surgery or infection. Prominent metalwork frequently can cause soft tissue impingement and thus require re...

Objective: Inclination of the first ray axis has been identified as a risk factor of bunion, but the actual orientation of a joint axis can only be quantified with motion analysis techniques. This investigation used a single-group regression design for the purpose of identifying a surrogate measure, or system of measurements, that could predict the orientation of the first ray axis. Methods: Th...

Background: Hallux valgus deformity is a common condition and several surgical treatments are discussed in the literature. The main purpose of this study is to review the literature concerning rehabilitation treatment following hallux valgus surgery. Methods: The present literature review is performed by searching the following databases: PubMed and Embase using the Medical Subject Headings ter...

Functional hallux limitus is an underrecognized entity that generally does not produce symptoms but can result in a variety of compensatory mechanisms that can produce symptoms. Clinically, hallux limitus can be determined by assessing the range of motion available at the first metatarsophalangeal joint while the first ray is prevented from plantarflexing. The aim of this study was to determine...

PURPOSE To report the midterm outcome of the Endolog system for correction of moderate-to-severe hallux valgus. METHODS 23 women and 2 men (33 feet) aged 35 to 80 (mean, 52) years underwent minimally invasive surgery for moderate (n=25) and severe (n=8) hallux valgus using the Endolog system. The hallux valgus angle (HVA), the intermetatarsal angle (IMA), and the proximal articular set angle ...

The aim of this study was to determine whether the treatment of abnormal subtalar pronation restores functional (as opposed to structural) limited dorsiflexion of the first metatarsophalangeal joint (functional hallux limitus). We studied 16 feet of eight individuals with abnormal subtalar pronation. Orthoses were made for all of the feet, and hallux dorsiflexion was measured during weightbeari...

BACKGROUND Multiple reports are found in the literature about the surgical treatment of hallux valgus deformities. Few, however, are prospective outcome studies. The purpose of this study was to prospectively look at the functional outcome of patients with moderate and severe hallux valgus deformities (intermetatarsal angle of more than 14 degrees and a hallux valgus angle of more than 30 degre...

Hallux valgus is one of the commonest conditions of the foot and has been reported to affect nearly half of the adult population. It is most effectively treated by a corrective osteotomy of which there a numerous subtypes. The Mau osteotomy confers the greatest structural stability but is not thought to provide adequate correction of moderate-severe deformities. Accordingly, complications such ...

Background: Algorithms have been developed to aid in the decision process in order to choose an optimal surgical procedure for different types of hallux valgus. These algorithms are evaluated in this study with current level 1 and 2 studies. Materials and methods: Criteria for typing hallux valgus and surgical procedures in the treatment algorithms as proposed by Coughlin and Robinson were cate...

BACKGROUND The high frequency of hallux valgus deformities in females is well known and has been widely reported in the literature. This finding tends to obscure the importance and the characteristic details of hallux valgus deformities in males. The severity of the deformity, its onset at an earlier age, and its inheritability seem to be more frequent in males, but there are no reports in the ...