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Hallux Rigidus

Definition

  • Stiff and painful first MTP joint associated with degenerate changes

Epidemiology

  • 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%

Aetiology

  • 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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