Hallux Valgus Flashcards
1
Q
What imaging would you do for a patient with hallux valgus
A
Plain weightbearing X-rays
2
Q
What would you assess on X-ray of a patient with hallux valgus
A
Degree of valgus deformity First/second intermetatarsal angle and distal metatarsal articular angle Presence of osteoarthritis in the first MTPJ
3
Q
What is the cause of hallux valgus
A
Unknown aetiology
Strong familial trait
Increased incidence in those who wear enclosed footwear
Associated with RA
4
Q
What are the treatment options for hallux valgus
A
Non-surgical:-
- Appropriate footwear
- Physiotherapy
Surgical:-
- Bunionectomy
- First metatarsal realignment osteotomy
- Excision arthroplasty - essentially a proximal hemiphalangectomy
- Fusion - for degenerative joint disease
5
Q
What is this?
A
Hallux valgus
