Medial Deviation of the First Metatarsal in Incipient Hallux Valgus Deformity

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Medial deviation of the first metatarsal in incipient hallux valgus deformity.

BACKGROUND The aim of this study was to determine whether excessive medial deviation of the first metatarsal (excessive intermetatarsal angle) is present in the initial phase of hallux valgus. METHODS The intermetatarsal angle between the first and second metatarsals (1-2 IMA) was radiographically studied in 49 normal feet and in 49 feet with mild hallux valgus deformity. RESULTS The result...

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Chevron osteotomy of the first metatarsal for hallux valgus.

A retrospective study of 50 chevron osteotomies evaluated subjective and objective functional and cosmetic results, which were in keeping with other reported studies--i.e. satisfactory subjective cosmesis in 98%; excellent or good pain relief in 84%; and satisfactory objective cosmesis in 84%. The correction of the 1st intermetatarsal angle averaged 3.3 degrees, and that of the metatarsophalang...

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Biomechanical consequences of first metatarsal osteotomy in treating hallux valgus.

BACKGROUND Among the numerous osteotomies for correction of hallux valgus, the modified chevron is known for its good intrinsic stability and the scarf for its large corrective potential. An intermediate design, the reversed-L osteotomy, has been developed to combine these competing biomechanical objectives. The purpose of this in vitro study was to compare the structural and local biomechanica...

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Treatment of hallux valgus deformity

Hallux valgus deformity is a very common pathological condition which commonly produces painful disability. It is characterised as a combined deformity with a malpositioning of the first metatarsophalangeal joint caused by a lateral deviation of the great toe and a medial deviation of the first metatarsal bone.Taking the patient's history and a thorough physical examination are important steps....

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Basal metatarsal osteotomy for hallux valgus.

We performed basal chevron metatarsal osteotomy on 32 feet (31 patients) for painful hallux valgus associated with an increased intermetatarsal 1/2 angle (> 12 degrees). Pedobarographic and radiological examinations were done preoperatively and at a minimum of six months postoperatively. The average hallux valgus angle was improved from 40.9 degrees to 19.2 degrees and the intermetatarsal 1/2 a...

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ژورنال

عنوان ژورنال: Foot & Ankle International

سال: 2006

ISSN: 1071-1007,1944-7876

DOI: 10.1177/107110070602701206