the hallux is in valgus

the hallux is in valgus
medial deviation
of the 1st metatarsal with big toe lateral deviation
Etiology: 1- positive family history in 60%
2- wearing high-heel pointed tight shoe
3- metatarsus
primus varus;
4- old age with low muscle tone;
5- RA
Pathology:
1- wide forefoot
2- big toe tendons shift laterally
3- bunion
(MPJ subluxation, bursa or ST thickening)
(nail faces medially)
4-late: OA of the 1st MPJ
CF: woman 50-70 yr or adolescent girl complaining of:
Deformity &
pain due to:
1- shoe pressure on a bunion
2- pain under met. heads
3- lesser toes crowding
4- OA of 1st MPJ
O/E: the hallux is in valgus & rotated; wide forefoot
swollen & inflamed bunion; hammer toe
medial deviation
of the 1st metatarsal with big toe lateral deviation
Etiology: 1- positive family history in 60%
2- wearing high-heel pointed tight shoe
3- metatarsus
primus varus;
4- old age with low muscle tone;
5- RA
Pathology:
1- wide forefoot
2- big toe tendons shift laterally
3- bunion
(MPJ subluxation, bursa or ST thickening)
(nail faces medially)
4-late: OA of the 1st MPJ
CF: woman 50-70 yr or adolescent girl complaining of:
Deformity &
pain due to:
1- shoe pressure on a bunion
2- pain under met. heads
3- lesser toes crowding
4- OA of 1st MPJ
O/E: the hallux is in valgus & rotated; wide forefoot
swollen & inflamed bunion; hammer toe
medial deviation
of the 1st metatarsal with big toe lateral deviation
Etiology: 1- positive family history in 60%
2- wearing high-heel pointed tight shoe
3- metatarsus
primus varus;
4- old age with low muscle tone;
5- RA
Pathology:
1- wide forefoot
2- big toe tendons shift laterally
3- bunion
(MPJ subluxation, bursa or ST thickening)
(nail faces medially)
4-late: OA of the 1st MPJ
CF: woman 50-70 yr or adolescent girl complaining of:
Deformity &
pain due to:
1- shoe pressure on a bunion
2- pain under met. heads
3- lesser toes crowding
4- OA of 1st MPJ
O/E: the hallux is in valgus & rotated; wide forefoot
swollen & inflamed bunion; hammer toe