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Hallux Valgus (Bunions), Sports Medicine

Alan Shahtaji, DO, CAQSM and Sonya S. Ahmed, MD Reviewed 04/2019
 


BASICS

DESCRIPTION

  • Hallux valgus (HV) refers to a subluxation of the 1st metatarsophalangeal (MTP) joint with lateral or valgus deviation of the great toe and medial or varus deviation of the 1st metat...

DIAGNOSIS

HISTORY

  • Pain over the medial MTP eminence aggravated by tight or rigid footwear is the most common complaint.

  • Pain under the 2nd metatarsal head with a plantar keratosis is also common.

  • Blister...

TREATMENT

GENERAL MEASURES

  • Initial treatment consists of footwear modification and patient education.

  • Wider toe box footwear will help decrease pressure and friction on the medial eminence.

  • Shoes with fl...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patients should be referred for surgical consideration when nonoperative treatments, including footwear and activity modification, have not adequately relieved sy...

REFERENCES

1
Nix S, Vicenzino B, Collins N, et al. Characteristics of foot structure and footwear associated with hallux valgus: a systematic review. Osteoarthritis Cartilage.  2012;20(10):1059–10...

ADDITIONAL READING

  • Coughlin MJ, Jones CP. Hallux valgus: demographics, etiology, and radiographic assessment. Foot Ankle Int.  2007;28(7):759–777.

  • Hawke F, Burns J, Radford JA, et al. Custom-made ...

CLINICAL PEARLS

  • HV deformities mostly occur in females with a hereditary predisposition in shod cultures.

  • Activity modification, proper footwear, and selective use of orthotic arch supports may be used...

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