Is there radiographic remodeling of the metatarsals in hallux valgus and pes planus?


  • Rajesh Botchu Royal Orthopedic Hospital, Birmingham, UK
  • Amer Iqbal Royal orthopedic Hospital, Birmingham
  • Emer McLoughlin Royal Orthopedic Hospital, Birmingham,
  • Shekhar Kalia Royal Orthopedic Hospital, Birmingham,
  • Steven James Royal orthopedic Hospital, Birmingham



bone remodeling, metatarsal, hallux valgus, pes planus


Foot conditions such as hallux valgus and pes planus cause altered load across the metatarsals. We performed a retrospective review of 98 patients who had foot radiographs performed at our institution for forefoot pain. The patients were divided into two groups based on their age and whether they had normal or altered foot alignment. We found that there is a mild increase in the intramedullary thickness of the third metatarsal in patients with hallux valgus (HV) and HV with pes planus (PP), which we postulate to be due to altered biomechanics and relative decrease in load on the third metatarsal.


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How to Cite

Botchu R, Iqbal A, McLoughlin E, Kalia S, James S. Is there radiographic remodeling of the metatarsals in hallux valgus and pes planus?. J Int Foot Ankle [Internet]. 2023 Jan. 1 [cited 2023 Oct. 2];2(1). Available from:

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