Hallux Valgus and First Ray Mobility: A Cadaveric Study

Coughlin, Michael J.; Jones, Carroll P.; Viladot, Ramón; Glanó, Pau; Grebing, Brett R.; Kennedy, Michael; Shurnas, Paul S.; Álvarez, Fernándo

doi:10.1177/107110070402500805

Cited by 115 publications

(56 citation statements)

References 33 publications

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“…Joint laxity may be incidental 15,48 or it may be the catalyst that activates other precursor traits. 46,49 -52 Research investigating the mechanisms of deformity should explore the importance of tissue stiffness and joint laxity.…”

Section: Synthesismentioning

confidence: 99%

An Image-Based Gait Simulation Study of Tarsal Kinematics in Women With Hallux Valgus

et al. 2013

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Section: Synthesismentioning

confidence: 99%

An Image-Based Gait Simulation Study of Tarsal Kinematics in Women With Hallux Valgus

et al. 2013

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“…The concept of first ray sagittal hypermobility as a primary underlying factor predisposing to hallux valgus was accepted by many authors [31][32][33] who demonstrated a significant decrease of the metatarsocuneiform joint motion after surgery, while others denied the role of hypermobility of this joint in the genesis of hallux valgus [34]. Between these controversial hypotheses we consider that stabilisation of the metatarsocuneiform joint is an important objective in the surgical treatment.…”

Section: Discussionmentioning

confidence: 99%

Opening wedge osteotomy of the first cuneiform for the treatment of hallux valgus

Jawish¹,

Assoum²,

Saliba³

2009

International Orthopaedics (SICOT)

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We performed an opening wedge osteotomy of the first cuneiform for the correction of all degrees of hallux valgus deformities. A wedge-shaped graft maintained the open wedge osteotomy and decreased the metatarsocuneiform joint inclination to correct the main angles of the hallux valgus. This procedure was performed for 101 feet of 63 patients (two men and 61 women). Fifteen feet benefited from a shortening of P1. The average age was 42 (16 to 84) years with a mean follow-up of 7.7 (1.5 to 14.8) years. We evaluated the M1-P1 and the M1-M2 angles, the joint congruency and the position of the lateral sesamoid. The clinical examination was graded by the AOFAS score which includes comprehensive assessment of pain, function and alignment and the subjective assessment of patients. The clinical AOFAS score improved from 35.24 points preoperatively to 86.36 postoperatively and from 33.25 to 88.03 points in severe deformity. The subjective rating was 44.44% excellent, 41.27% good, 9.52% fair and 4.76% poor. The M1-P1 angle improved from 29.38°to 16.28°a nd the M1-M2 angle from 14.36°to 10.34°. In the 42 severe feet deformity, these angles improved respectively from 45.58°to 19.58°and from 18.51°to 11.16°. This technique allowed an accurate correction of the main angles of hallux valgus with different degrees of deformity and avoided the complications related to different types of osteotomies achieved along the first metatarsal. After a long follow-up, we demonstrated a durable result while 86% of patients proved excellent and good results according to the AOFAS score.

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“…We do not perform Lapidus arthrodesis routinely in revision bunion surgery. Coughlin et al 10 showed that the stability of the first ray may be restored after surgical correction of the hallux valgus deformity despite leaving the capsule of the first tarsometatarsal joint undisturbed. Preoperatively, the need for the Lapidus procedure can be predicted by performing the relocation drawer test.…”

Section: Discussionmentioning

confidence: 99%

Correction of Recurred Hallux Valgus Deformity by Endoscopic Distal Soft Tissue Procedure

Lui¹

2017

Arthroscopy Techniques

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Abstract:The underlying reason for recurrence of hallux valgus deformity after bunion surgery is multifactorial and includes surgeon-based and patient-based factors as well as original components of deformity initially unaddressed at the index procedure. Surgical treatment of a recurred hallux valgus deformity should be undertaken using the same guidelines for correction of a primary hallux valgus deformity. It requires correction of bony alignment, restoration of joint congruity, and achievement of soft tissue balance. The purpose of this Technical Note is to describe the details of endoscopic soft tissue procedure to correct a recurred hallux valgus deformity. To successfully complete this procedure, adequate lateral release to achieve soft tissue balance around the first metatarsophalangeal joint with reduction of the sesamoid bones is mandatory.

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Hallux Valgus and First Ray Mobility: A Cadaveric Study

Cited by 115 publications

References 33 publications

An Image-Based Gait Simulation Study of Tarsal Kinematics in Women With Hallux Valgus

An Image-Based Gait Simulation Study of Tarsal Kinematics in Women With Hallux Valgus

Opening wedge osteotomy of the first cuneiform for the treatment of hallux valgus

Correction of Recurred Hallux Valgus Deformity by Endoscopic Distal Soft Tissue Procedure

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