A modified Akin procedure for the correction of hallux valgus

Reliability Study of Diagnostic Tests for Functional Hallux Limitus

“…Our passive range of first MPJ motion measurement with the subject in nonweightbearing situation under the Buell technique 2 reached 81.1 ± 9.2 degrees and 68.6 ± 3.7 degrees in the control and FHL case groups, which were similar to values obtained by the author (82 and 55 degrees, respectively). In relation to the first MPJ motion, Dananberg 6 himself did not provide data about this; other authors subsequently set these values as <12 degrees of dorsiflexion during weightbearing 18,29 or around 60 to 65 degrees 11 or 65 to 75 degrees 17 with a simulated load on the first MPJ. In agreement with the latter values, in this study we found dorsiflexion during weightbearing values of 67.6 ± 11 degrees and 21 ± 5.9 degrees for the control and case group, respectively.…”

“…The Dananberg test 6 consists of a clinician grasping the proximal phalanx of the hallux (PPH) and moving it over the first MH while applying pressure passively under it to prevent plantarflexion until the clinician feels this first metatarsal plantarflexion. Some authors have noted the need to reach 60 to 65 degrees 11 or 65 to 75 degrees 27 during the gait propulsion phase, but they did not specify their measurement methods. Buell et al 2 used a second kind of nonweightbearing assessment that involves examining the first MPJ without immobilizing the first metatarsal head.…”