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The Journal of Bone and Joint Surgery 78:932-66 (1996)
© 1996 The Journal of Bone and Joint Surgery, Inc.

Instructional Course Lecture

Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - Hallux Valgus*{dagger}

MICHAEL J. COUGHLIN, M.D.{ddagger}, BOISE, IDAHO

An Instructional Course Lecture, The American Academy of Orthopaedic Surgeons


   Introduction
 
Hallux valgus occurs with lateral deviation of the great toe and medial deviation of the first metatarsal. Commonly, the deformity is characterized by progressive subluxation of the first metatarsophalangeal joint (Figs. 1-A, 1-B, and 1-C). Occasionally, there is a static deformity due to valgus angulation of the distal articular surface of the first metatarsal or the proximal phalangeal articular surface (Fig. 2).



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  		Figs. 1-A, 1-B, and 1-C: Radiographs demonstrating the different degrees of a hallux valgus deformity. The arrow indicate the direction of the subluxation, and the arrowheads indicate the extent of the joint surface. Fig. 1-A: A mild hallux valgus deformity with subluxation of the first metatarsophalangeal joint. The hallux valgus angle is 19 degrees, the first-second intermetatarsal angle is 10 degrees, and there is less than 50 per cent (mild) subluxation of the sesamoids.

 


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  		Fig. 1-B: Moderate hallux valgus deformity with subluxation . . . [Full Text of this Article]

 

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