Hallux Valgus

Question 1

What is hallux valgus?

Answer 1

Medial deviation of 1st metatarsal -Lateral deviation of the toe itself

Question 2

Hallux valgus AKA?

Answer 2

Bunion

Question 3

Aetiology of hallux valgus?

Answer 3

Female> male -Familial tendency -Increase with age -Footwear -RA & other inflammatory arthropathies -Neuromuscular disease, MS, Cerebral palsy

Question 4

Signs/symptoms of hallux valgus?

Answer 4

-Pain due to joint incongruence & widened foot: inflamed burse over medial 1st Metatarsal= bunion -Great toe & second toe rub -Severe cases: hallux may override 2nd toe

Question 5

Conservative treatment of bunions?

Answer 5

-Wearing wider & deeper shoes to prevent painful bunions -Spacer in first web space to stop rubbing

Question 6

Surgical treatment of hallux valgus?

Answer 6

-Osteotomies to realign bone -Soft tissue procedures to tighten slack tissues & release tight tissues -NOT FOR COSMETICS