Hallux valgus

Abstract

Hallux valgus is a complex deformity of the forefoot. Beside the lateral deviation of the first metatarsophalangeal joint angle exceeding 15-20 degrees and intermetatarsalvarus exceeding 8-9 degrees, it is also characterized by extensive changes of the soft tissue arch, sesamoid mechanism and metatarsocuneiform joint. It occurs almost exclusively in humans wearing shoes. Although in some measure it can be treated non-operatively, by corrective separators and inserts, operative treatment is predominant. There are numerous operative procedures aimed at the correction of the deformity and inducing normal biomechanics of the forefoot. There are seven conceptually different procedures starting from simple bunionectomy, through various soft tissue procedures, metatarsal and phalangeal osteotomies, to resection arthroplasty and metatarsophalangeal arthrodesis. All have clear indications, and none of them has advantages over the others. In accordance with the etiopathogenesis of the disease prevention is easy; wearing comfortable shoes.

Characteristics Associated With Hallux Valgus in a Population‐Based Foot Study of Older Adults

“…Additionally, our definition of HV is not radiographically based. Despite this, we used a common, visual definition that has been used in other studies and described in clinical textbooks (). There is the potential for recall bias of high‐heeled shoe use, especially in past shoewear groups, since we are asking participants to remember what shoe they were wearing decades in the past.…”

“…Presence or absence of HV was evaluated based upon visual inspection and considered to be present if the weight‐bearing angle of the hallux toward the lesser toes was observed to be >15 degrees. Examiners used a laminated depiction of the angle to determine if the deviation of the hallux was >15 degrees ().…”

Attitude and knowledge about foot health: a spanish view

“…These conditions are multifactorial in their origin and their high incidence was related with difficulty in putting shoes, pain, gait disturbance, reduced walking speed, variation in plantar pressures, risk of falls 6 - 8 . The pathologies and alterations more frequently found were claw toes, hallux valgus, hammer toes, overlapping toes, hallux extensus, pes planus, morton's neuroma, tailor's bunions, plantar fascitis and pes cavus 2 , 9 .…”

Impact of Hallux Valgus related of quality of life in Women

“…HV is recognised as a major public health problem with escalating trajectories ; given the high incidence related to orthopaedic foot surgery , its association may pose notable health problems in women, such as osteoarthritis , disability , greater risk of falling , impaired balance and gait patterns , toe muscle weakness , worse physical performance , lesser quality of daily life and many others. However, the effects of varying degrees of HV on the quality of life related to foot health in women are not well understood.…”