Hallux Rigidus

Question 1

What are some key subjective findings

Answer 1

-Painful 1st MTPJ
-Joint stiffness
-Pain increases with activity
-Arthritis
-Insidious onset or Traumatic event

Question 2

List some of the potential causes of HR

Answer 2

-Trauma (Osteochondral)
-Anatomic (Long 1st Metatarsal)
-Metabolic ( Arthritic conditions)
-Biomechanical (Hypermobile 1st ray, excessive pronation)
-Neuromuscular (muscle Imbalance)

Question 3

What are some significant findings

Answer 3

-Dorsal bump
-Metatarsus primus elevatus
-IPJ hyperextension
-Hallux Equinus
-Decreased ROM

Question 4

Initial Treatment for HR

Answer 4

-NSAIDs
-Corticosteroid Injections
-Orthoses
-Shoe modifications
-Operative Treatment

Question 5

What are some Surgeries for HR

Answer 5

Salvageable joints
-Cheilectomy
-Osteotomy
-Arthroplasty/Chondroplasty
Non salvageable
-Arthrodesis
-Total Joint replacement