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Hallux Rigidus


  • Stiff and painful first MTP joint associated with degenerate changes


  • Most common condition affecting 1st MTP joint (Duvries 1959, Moberg 1979)
  • Affects 1 in 40 patients > 50 years old (Gould 1978)
  • May affect adolescents, possibly due to Osteochondritis dissecans of1st Metatarsal head – if so leads to more severe symptoms later
  • Females > males – debatable
  •  Positive Family history in 50%


  • Not known
  • osteochondral defect / osteochondritis dissecans definitely lead to hallux rigidus
  • Possible predisposing factors include : trauma / repetitive microtrauma /  abnormal shape of metatarsal head / long or short 1st metatarsals / tight intrinsics / pes planus

Clinical assessment

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Accessory Bones
Adult Hallux Valgus
Amputations of the Foot & Ankle
Anatomy of the Foot & Ankle
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Arthritis in Children
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BOFSS Syllabus for FRCS (Tr & Orth)
Calcaneal Fractures
Compartment Syndrome
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Foot & Ankle Hyperbook
Foot & Heel Pain
Freiberg's disease
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Hyperkeratotic Pathology of the Pla...
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