Hallux valgus

Question 1

What are some key subjective findings

Answer 1

-Family History
-Painful Bunion which is aggravated by footwear and has been progression

Question 2

What are some significant findings

Answer 2

-Medial prominent bump
-Lateral deviation of toe
-Decreased ROM at 1st MPJ
-Neuritic Bunion Pain (tingling or numbness)
-Widening of Forefoot

Question 3

Common Associated findings with HAV

Answer 3

-Plantar callous
-Central Metatarsalgia
-Ankle equinus
-Pronated foot posture
-Ingrown toenail

Question 4

What are some Radiographic Findings of HAV

Answer 4

-Medial prominence of 1st
-Elevated HA and IM angle
-Lateral displacement of sesamoid

Question 5

What is the initial treatment of HAV

Answer 5

-Footwear accommodate deformity
-Bunion pads
-Taping
-Ice
-Nsaids

Question 6

Long term non operative treatment

Answer 6

-Orthotics
-Show modifications
-Patient education
-NSAID

Question 7

What are some Surgeries for HAV

Answer 7

Stage 1
-Exostectomy
-Osteotomy
Stage 2
-Arthrodesis
Stage 3
-Arthroplasty