Position of the first metatarsophalangeal joint and the effect on hallux abductovalgus deformity progression and reversal

Authors

  • James Clough, DPM, FACFAS Saint Luke Healthcare, Polson, MT, USA

DOI:

https://doi.org/10.55067/jifaf.v1i2.5

Keywords:

functional hallux limitus, etiology of hallux abducto valgus

Abstract

There has not been any literature describing changes in intermetatarsal (IM) angle 1,2 of the foot related to position of the first metatarsophalangeal joint (MTPJ).  This study looks at the effect on the IM angle with loading of the foot and attempted dorsiflexion of the 1st MTPJ  in 14 consecutive feet with bunion deformity. We also examine the effect of maximal dorsiflexion of the first MTPJ on the IM angle 1,2. This is a radiographic study. The pathogenesis of hallux abductovalgus is a subject of much discussion. Conclusive evidence has not been obtained as to the etiology of this common condition, and many theories have been advanced. This study shows that there is an effect on the IM angle under different angular conditions of the first MTPJ. The author concludes that there is a significant decrease in the IM angle between mets 1,2 with dorsiflexion of the first MTPJ and a change of the deformity with dorsiflexion attempted with weight bearing (WB) in all subjects. It is suggested that restoration of motion of the first MTPJ decreases the deformity. This leads the author to believe that conservative care and restoration of motion of the first MTPJ may reduce the deformity of hallux abductovalgus as assessed by IM angle 1,2.

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Published

2022-02-17

How to Cite

1.
Clough J. Position of the first metatarsophalangeal joint and the effect on hallux abductovalgus deformity progression and reversal. J Int Foot Ankle [Internet]. 2022 Feb. 17 [cited 2022 May 18];1(2). Available from: https://internationalfootankle.org/journal/index.php/JIFAF/article/view/5