The Effect of Gastrocnemius Tightness on the Pathogenesis of Juvenile Hallux Valgus

This article describes an oblique windlass mechanism that can be a causative or a contributory factor in the pathogenesis of juvenile hallux valgus. This article presents a study of 108 patients who underwent a proximal gastrocnemius release and hallux valgus correction using a scarf osteotomy. We believe that assessment of gastrocnemius tightness in juvenile hallux valgus is important and that gastrocnemius lengthening should be routinely considered as part of the operative strategy.

Source: Foot and Ankle Clinics - October 1, 2014 Category: Orthopaedics Authors: Louis Samuel Barouk Source Type: research