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Bunion (Hallux Valgus)

Jennifer G. Chang, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Lateral deviation of the great toe (Hallux abducto valgus derives from the Latin for “big toe askew.”)

  • Associated with medial deviation of the 1st metatarsal, leading to a medial prom...

DIAGNOSIS

  • Based on clinical exam

  • Radiographs are used for staging.

HISTORY

  • Painful MTP joint (most common symptom in adults)

  • Abnormal position of great toe

  • Enlargement of the MTP joint medially (patients c...

TREATMENT

  • Primary indication for treatment is pain.

  • There are conservative and surgical approaches.

  • Surgical treatment is generally more effective in improving pain but has attendant risks.

GENERAL MEASURES

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

  • Postoperative treatment includes physical therapy, physiotherapy, supportive footwear, continuous passive motion, or manual manipulation.

  • Time until full weight be...

REFERENCES

1 Tehraninasr A, Saeedi H, Forogh B, et al. Effects of insole with toe-separator and night splint on patients with painful hallux valgus: a comparative study. Prosthet Orthot Int.  20...

ADDITIONAL READING

  • Dayton P, Sedberry S, Feilmeier M. Complications of metatarsal suture techniques for bunion correction: a systematic review of the literature. J Foot Ankle Surg.  2015;54(2):23...

CODES

ICD10

  • M20.10 Hallux valgus (acquired), unspecified foot

  • M20.11 Hallux valgus (acquired), right foot

  • M20.12 Hallux valgus (acquired), left foot

ICD9

  • 727.1 Bunion

  • 735.0 Hallux valgus (acquired)

SNOMED

  • 415...

CLINICAL PEARLS

  • Avoid footwear with high heels, pointed toe boxes, or inadequate toe space to reduce development or progression of bunions.

  • Surgery generally results in superior outcomes for pain relie...

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