2/3/2024 0 Comments Helix valgusFurthermore, HV deformity is more commonly seen in connective tissue disorders such as Marfan syndrome and Ehlers-Danlos syndrome, as well as in Down syndrome. HV deformity is most likely a result of multiple contributing factors, including genetics, short first metatarsal, dorsiflexed first metatarsal, flexible or rigid forefoot varus, rigid or flexible pes planovalgus, gastrocnemius equinus, abnormal foot mechanics, and joint hypermobility. Interestingly, certain arthritic conditions such as gouty arthritis, psoriatic arthritis, and research show that rheumatoid arthritis predisposes patients to HV deformity. The precise etiology is not fully understood but are many proposed theories. Patients tolerate the surgery well, with bony union usually occurring around 6 to 7 weeks postoperatively. If conservative treatment proves ineffective, surgical management is the next recommended course of action. Treatment centers upon first trialing non-surgical approaches such as wider shoes, use of orthotics, and night splinting. Hallux valgus deformity is typically diagnosable through a physical exam, and imaging is important as it can evaluate whether there is damage to the first metatarsophalangeal (MTP) joint. HV tends to occur more commonly in women than in men, with a ratio as high as 15:1 in one study, and occurs more in those who wear tight shoes or heels. However, the precise etiology is not fully understood. HV manifests with the proximal phalanx deviating laterally and the first metatarsal head deviating medially and due to the adduction of the first metatarsus, called metatarsus primus varus. Hallux valgus (HV), also known as a bunion, is one of the most common forefoot deformities.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |