Lateral deviation of the great toe and medial deviation of the first metatarsal with Progressive incongruency of the first metatarsophalangeal (MTP) joint.
No single etiological factor can be implicated
- Heredity: Maternal transmission with variable penetrance
- Other causes include
- Hypermobility of the first metatarso cuneiform (TMT) joint
- Generalized joint laxity
- Neuromuscular disorders (including cerebral palsy and stroke
- The primary symptom of hallux valgus is PAIN over the medial eminence.
- Pressure from footwear is the most frequent cause of this discomfort.
- Bursal inflammation
- Irritation of the skin
- Breakdown of the skin may be noted
- Doesn’t always correlate with extent of deformity.
- Widen toe box
- decrease lateral deviation of great toe
- decrease inflammation and pain
- Decrease heel height
- prevent forward slide of the foot
Indications for surgery
- Persistent symptoms
- Progression of deformity
- Failure of non-operative treatment
Pre op and Post op
Osteotomies for Bunion Correction
Sometimes an arthrodesis is necessary