Ortho-trauma » Congenital disorders

Hallux Valgus

Hallux valgus is considered to be a medial deviation of the first metatarsal and lateral deviation and/or rotation of the hallux with or without medial soft tissue enlargement of the first metatarsal head. It can lead to painful motion of the joint or difficulty with footwear. Medical therapy can be used to address the aetiology, but it cannot change the deformity, as this is irreversible because of cartilage, bony, and soft tissue adaptation. Therefore, most medical therapies are aimed at assuaging symptoms. Surgical treatment can be offered when conservative therapy is impractical or fails to relieve the patient's symptoms. The classes of surgical procedures include capsulotendon balancing or exostectomy, osteotomy, resectional arthroplasty, resectional arthroplasty with implant, first metatarsophalangeal joint arthrodesis, and first metatarsocuneiform joint arthrodesis.

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