Hallux valgus and cartilage degeneration in the first metatarsophalangeal joint

Abstract

This study relates the extent of cartilage lesions within the first metatarsophalangeal joint to hallux valgus. We prospectively examined 265 first metatarsophalangeal joints of 196 patients with a mean age of 54.2 years at operation for the existence of cartilage lesions. Grade I lesions were found in 41 feet (15.5%), grade II in 82 (30.9%), grade III in 51 (19.3%), grade IV in 20 (7.5%). Only 71 (26.8%) showed no cartilage lesion. Cartilage lesions were found within the metatarsosesamoid and metatarsophalangeal compartments in 66 feet (34.0%), within the metatarsophalangeal compartment in 26 (13.4%) and within the metatarsosesamoid compartment in 102 (52.6%). A statistically significant correlation was found between the grade of cartilage lesion and the hallux valgus angle, both for the changes within the metatarsophalangeal and the metatarsosesamoid joints.

Osteodesis for Hallux Valgus Correction: Is it Effective?

“…Prospective studies may be necessary to identify the reasons for some of the recurrence of metatarsus primus varus and hallux valgus deformities. Postoperative joint stiffness mostly can be prevented by early and frequent exercises but some deformities may not be avoided completely owing to relative shortening of the hallucis tendons after nonosteotomy realignment of the first ray and for the same reason that compression force may be increased across stiff metatarsophalangeal joints to accelerate the degenerative process of some preoperatively undetected arthritis [1]. Medial subluxation of metatarsophalangeal joints can occur owing to metatarsus primus varus overcorrection but it is temporary and amenable by taping of the joint.…”

Evaluation of the Pain and Foot Functions in Women with Hallux valgus deformities

“…The severity of HV deformity, which was one of the inclusion criteria, was determined using the Manchester scale developed by Garrow et al The scale assesses the severity of HV deformity as none [1], mild [2], moderate [3] and severe [4] by comparing the appearance of the patient's foot with standardized photographs of four types of HV. It is a clinical instrument of proven validity and reliability [17].…”

“…Lateral deviation of the big toe and its internal rotation along the longitudinal axis exist along with medial deviation of the 1st metatarsal bone. HV is the most common pathological condition that affects the big toe [1][2][3][4]. It is a painful and progressive disease of the big toe of gradually increasing frequency that impairs the aesthetic appearance of the foot, and severely limits the patient's daily activities if not treated.…”

Osteotomías en el tratamiento quirúrgico del hallux abductus valgus

“…Es una deformidad progresiva y que puede conducir a la osteoartritis de la primera AMTF, sobre todo en mayores de 50 años 2,3 . Es el estado patológico más común que afecta al primer dedo del pie y su prevalencia aumenta con la edad, afectando entre el 12% y el 65% de la población mayor de 65 años [4][5][6][7] .…”