The Journal of Bone and Joint Surgery (American). 2005;87:462-463.
© 2005 The Journal of Bone and Joint Surgery, Inc.
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Hallux Rigidus: Grading and Long-Term Results of Operative Treatment

Brad S. Webb, DPM, Rob Amiot, DPM, Sean Wilson, DPM and Michael Nute, DPM

Corresponding author: Brad S. Webb, DPM
St. Joseph Regional Medical Center
5000 West Chambers Street
Milwaukee, WI 53210
longboarder72@hotmail.com

Letter to the Editor

Hallux Rigidus: Grading and Long-Term Results of Operative Treatment

Brad S. Webb, DPM, Rob Amiot, DPM, Sean Wilson, DPM and Michael Nute, DPM

Corresponding author: Brad S. Webb, DPM
St. Joseph Regional Medical Center
5000 West Chambers Street
Milwaukee, WI 53210
longboarder72@hotmail.com

The first 150 words of the full text of this article appear below.

To The Editor:

While we agree with many of the points brought forth in the article, "Hallux Rigidus. Grading and Long-Term Results of Operative Treatment" (2003;85:2072-88), by Coughlin and Shurnas, others bring up questions.

The authors indicated that metatarsus primus elevatus was not present in the majority of the patients in their study. However, their method of measuring the distance between the dorsal cortices of the first and second metatarsals to evaluate metatarsus primus elevatus is susceptible to error. A study by Camasta et al.1 illustrated that differences in the x-ray tube head angle can cause distortion of the radiographic image. We believe, therefore, that the authors' conclusion that metatarsus primus elevatus is not a factor in the etiology of hallux rigidus should be reconsidered.

Seiberg et al.2 described a reproducible radiographic method of evaluating metatarsus primus elevatus that measures the difference between the . . . [Full Text of this Article]

Michael J. Coughlin, MD and Paul S. Shurnas, MD

Corresponding author: Michael J. Coughlin, MD
901 North Curtis Road
Suite 503
Boise, ID 83706
footmd@aol.com


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Related articles in JBJS:

Hallux Rigidus. Grading and Long-Term Results of Operative Treatment
Michael J. Coughlin and Paul S. Shurnas
JBJS 2003 85: 2072-2088. [Abstract] [Full Text]