Treatment of adolescent hallux valgus with first metatarsal double osteotomy is well described in the literature. Unfortunately, first metatarsal phalangeal joint stiffness and deformity recurrence have been reported at relatively high rates. The authors revisit a technique aimed at preventing these complications.

VOL 76-B, No. 2, MARCH 1994 333 We welcome letters to the Editor concerning articles which have recently been published. Such letters will be subject to the usual stages of selection and editing; where appropriate the authors of the original article will be offered the opportunity to reply. Letters should normally be under 500 words in length, double-spaced throughout, signed by all authors and...

OBJECTIVES To conduct the first systematic review from an epidemiological perspective regarding the association between high-heeled shoe wear and hallux valgus, musculoskeletal pain, osteoarthritis (OA) and both first-party and second-party injury in human participants without prior musculoskeletal conditions. SETTING A systematic review of international peer-reviewed scientific literature ac...

BACKGROUND Wearing shoes of insufficient length during childhood has often been cited as leading to deformities of the foot, particularly to the development of hallux valgus disorders. Until now, these assumptions have not been confirmed through scientific research. This study aims to investigate whether this association can be statistically proven, and if children who wear shoes of insufficien...

We hypothesized an association between foot type, foot deformity, and foot ulceration and conducted an analysis of a well-characterized, high-risk diabetic population of 398 subjects. The average age was 62 years of age and 74% of the study population were males. Foot-type distributions were 19.5% pes cavus (high arch), 51.5% neutrally aligned (normal arch), and 29.0% pes planus (low arch). We ...

BACKGROUND Proximal metatarsal osteotomy combined with a distal soft-tissue procedure is a common treatment for moderate to severe hallux valgus. Secure stabilisation of the metatarsal osteotomy is necessary to avoid complications such as delayed union, nonunion or malunion as well as loss of correction. The aim of this study was to report our results using a single screw for stabilisation of t...

Abduction of the first metatarsal to correct metatarsus primus varus and hallux valgus was first described by Albrecht in 1911. Lapidus in 1934 advocated fusion of the first and second metatarsals with the first cuneiform. Overall uses of the procedure since its initiation have been dedicated to hallux valgus with a relatively high intermetatarsal angle. Clark, Veith, Sangeorzan, and Hansen hav...

An intra-articular ligament of the first metatarsophalangeal joint (MTPJ) has been observed by the authors during dissection for hallux valgus and hallux rigidus corrective surgery over a number of years. The enigmatic incidence and role of this structure prompted further investigation. A literature review was conducted across several scientific databases using the search terms “first metatarso...