Hallux Valgus

Hallux Valgus: Diagnostic Tests

Obligatory medical device diagnostics. Conventional radiograph of the foot in the dorsoplantar radiographic pathway (from the dorsum of the foot to the sole of the foot), possibly also in the oblique radiographic pathway (with weight bearing on the foot) [measurement of the angle between metatarsals I and II/intermetatarsal angle; assessment of congruency (congruency of joint … Hallux Valgus: Diagnostic Tests

Hallux Valgus: Surgical Therapy

For hallux valgus, there are a variety of surgical procedures that can be used depending on the exact symptoms. The therapeutic goal is pain reduction. Indication Surgery for hallux valgus is indicated only if symptomatic. Contraindication (contraindication) Peripheral arterial occlusive disease (pAVK) The surgical procedures More than 100 surgical procedures are described, and they can … Hallux Valgus: Surgical Therapy

Hallux Valgus: Prevention

To prevent hallux valgus, attention must be paid to reducing risk factors. Behavioral risk factors Overweight (BMI ≥ 25; obesity). Improper footwear such as shoes with a pointed front and high heels promote the development of hallux valgus Prevention measures Barefoot walking to train the muscles of the foot.

Hallux Valgus: Causes

Pathogenesis (development of disease) Hallux valgus is caused by a multidimensional malalignment of the big toe in the metatarsophalangeal joint (often as a result of a splay foot). In its course, there is an ever-increasing imbalance of the foot muscles and ligament structures. Thus, the malalignment continues to increase, resulting in valgus deviation (deviation with … Hallux Valgus: Causes

Hallux Valgus: Therapy

General measures Wearing soft shoes; toe box; possibly roll-off aid. Medical aids Night splints (to rein in the big toe medially/to the center of the body) may be prescribed if the skeleton is not yet fully grown Toe funnels and pads can be used for pain in the small toes For metatarsalgia (pain in the … Hallux Valgus: Therapy

Hallux Valgus: Medical History

Medical history (history of the patient) represents an important component in the diagnosis of hallux valgus. Family history What is the general health of your family members? Are foot deformities such as hallux valgus common in your family? Social history What is your profession? Do you often wear tight, pointy-toed shoes? High heels? Current medical … Hallux Valgus: Medical History

Hallux Valgus: Secondary Diseases

The following are the most important diseases or complications that can be caused by hallux valgus as well: Skin and subcutaneous (L00-L99). Clavi (corns) Musculoskeletal system and connective tissue (M00-M99). Digitus secundus superductus Hammertoes Claw toes Pseudoexostosis (synonyms: ganglion, bone bulge) – in layman’s terms represents a gain in bone substance, yet pseudoexostosis is exclusively … Hallux Valgus: Secondary Diseases

Hallux Valgus: Classification

Hallux valgus can be classified as follows: Grade HV angle (normal < 15°) IM-I-II angle (normal < 9°) MT sesamoid subluxation Slightly < 20° < 12° < 5° moderate 20-40° 12-15° 50-75° heavy > 40° > 15° > 75° HV: hallux valgusIM: intermetatarsal I-II angleMT: metatarsal I

Hallux Valgus: Examination

General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection (viewing). Skin (normal: intact; abrasions/wounds, redness, hematomas (bruises), scars) and mucous membranes [clavi/chicken’s eye]. Gait pattern (fluid, limping). Foot [Hallux valgus may at first glance appear to be an exostosis (benign bony outgrowth on the bone) of the metatarsal/midfoot bone; however, it … Hallux Valgus: Examination