The etiology and treatment of the hallux valgus deformity has long been a subject of controversy. Early reports focused on increased first metatarsocuneiform joint mobility as the primary cause of the deformity. While this theory was widely accepted, little evidence was offered in its support. Recent reports have provided objective evidence calling into question the notion of hypermobility. While flexibility in the first metatarsocuneiform joint is necessary for hallux valgus to develop, increased mobility is the result rather than the cause of the deformity.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.fas.2008.05.006 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
First cuneo-metatarsal arthrodesis (Modified Lapidus) with plantar plate for the treatment of hallux valgus: clinical and radiological outcomes at one year follow-up.
Orthop Traumatol Surg Res
December 2024
Service de Chirurgie Orthopédique et Traumatologique, Hôpital Trousseau, CHRU de Tours, Avenue de la République, 37170 Chambray-lès-Tours, France; Centre de la Cheville et du Pied, Clinique Saint Léonard, 49800 Trélazé, France.
Article Synopsis
- - The modified Lapidus arthrodesis is an effective surgical technique for treating moderate to severe hallux valgus deformities, focusing on first tarsometatarsal joint hypermobility and enabling immediate weight-bearing post-surgery.
- - A study involving 66 patients found a 98.75% success rate for bone union after the procedure, with some minor complications such as one non-union case and two wound issues.
- - Significant improvements in foot alignment were noted, with reductions in hallux valgus angle and intermetatarsal angle, indicating that this surgical method, when performed with a plantar plate and compression screw, is both reliable and beneficial for patients.
Immediate Weightbearing after Modified Lapidus Arthrodesis Using a Medial Plate: A Retrospective Descriptive Cohort Study.
J Foot Ankle Surg
October 2024
Department of Podiatric Surgery, Doncaster & Bassetlaw Hospitals NHS Foundation Trust, Mexborough, South Yorkshire, United Kingdom; Coriel Orthopaedic Group, Doncaster, United Kingdom.
The modified Lapidus procedure has emerged as a versatile solution for various pedal pathologies, particularly hallux abducto valgus. There have been numerous modifications over time regarding fixation techniques, joint preparation methods, graft utilization, and weightbearing protocols. However, concerns persist regarding prolonged nonweightbearing postoperatively, prompting the need for alternative approaches.
View Article and Find Full Text PDFMinimally Invasive Chevron Akin Osteotomy: Preoperative Planning Using the Radiographic First-Ray Squeeze Test.
Foot Ankle Orthop
January 2024
Institut de Chirurgie du Pied (ICP), Clinique Blomet, Paris, France.
Background: Recognizing preoperative first-ray hypermobility is important to planning hallux valgus (HV) surgery. A recent study showed the minimally invasive chevron Akin (MICA) osteotomy increased varus displacement of the proximal fragment of the first metatarsal osteotomy. The present study aims to evaluate the ability of the radiographic first-ray squeeze test to predict the varus displacement of the proximal fragment of the first metatarsal osteotomy when performing the MICA procedure.
View Article and Find Full Text PDFOpen vs Minimally Invasive Resection of the First Metatarsocuneiform Joint: An Anatomical Study.
Foot Ankle Int
December 2023
Department of Orthopedic and Trauma Surgery, Martin-Luther-University Halle-Wittenberg, Halle, Germany.
Background: The modified Lapidus arthrodesis is a standard procedure to correct middle to severe hallux valgus (HV) deformities. Recently, minimally invasive techniques of first metatarsocuneiform joint (MCJ) resection using a Shannon burr were described. The primary goal of this study is to compare the anatomical efficacy and safety of first MCJ resection using a straight 2 × 13-mm Shannon burr and minimally invasive technique (MIS) vs an open technique using an oscillating saw.
View Article and Find Full Text PDFA three-dimensional analysis of the tibialis anterior tendon: emphasizing tendon insertion patterns for effective repair and understanding hallux valgus development.
Surg Radiol Anat
October 2023
Department of Anatomy, School of Medicine, Konkuk University, Chungju, 27478, Republic of Korea.
Article Synopsis
- The study focused on the three-dimensional evaluation of the tibialis anterior tendon insertion sites on the medial cuneiform and the first metatarsal bone using 70 dissected lower limbs.
- Three insertion patterns were identified, with the most common being a single tendon splitting into two equal bands, and the area of insertion was larger on the plantar aspect compared to the medial side.
- The findings enhance the understanding of the tendon’s anatomy, which can aid in surgical reconstructions and provide insights into conditions like hallux valgus.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!