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The Journal of Bone and Joint Surgery 80:898-908 (1998)
© 1998 The Journal of Bone and Joint Surgery, Inc.

Current Concepts Review

Current Concepts Review - Hallux Rigidus and Osteoarthrosis of the First Metatarsophalangeal Joint*

MICHAEL J. SHEREFF, M.D.{dagger}, MILWAUKEE, WISCONSIN and JUDITH F. BAUMHAUER, M.D.{ddagger}, ROCHESTER, NEW YORK

*No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article. No funds were received in support of this study.


   Introduction
 
Hallux rigidus is characterized by restriction of motion at the first metatarsophalangeal joint8,11. It is a common disorder that has been reported to affect one in forty-five individuals who are more than fifty years of age19. There is a generalized decrease in motion with particular limitation of dorsiflexion8,27,35,51. Hallux rigidus is often associated with a mechanical block to dorsiflexion caused by periarticular osteophytes, with an impingement exostosis of the first metatarsal head against an osteophyte at the base of the proximal phalanx13,15,16,37,41. The natural course of this disorder is typical of degenerative processes, with progression of the osteoarthrotic changes leading to limitation of motion and interference with function of the metatarsophalangeal joint3,13,27,41.

Other terms that have been used to describe this clinical entity include hallux limitus5,22,32,66, dorsal bunion37,41, and localized arthrosis32. When there is a large dorsal osteophyte, the great toe is . . . [Full Text of this Article]


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