What are Treatments for Hallux Valgus
Discussion Hallux valgus (HV) is commonly called a bunion. The word bunion comes from Greek meaning “turnip.” The great toe is seen to be pronated with a prominent first metatarsal head which can be swollen and painful, which can look like a turnip. They are also called metatarsus primus varus, or metatarsus primus adductus. Angulation can occur in other joints such as at the 5th metatarsal head and is sometimes called “bunionette” or tailor’s bunion. The cause “…for the pathological deformity is considered to be metatarsus primus varus… but there often are other anatomic abnormalities present.” These include distal metatarsal articular angulation, oblique metatarsal-cuneiform articulation, flexible pes planus, long first ray, ligamentous laxity, and metatarsus adductus. Shoe wear and pressure may not be the cause of the deformity but may be the cause of the symptoms such as pain with high heel wearing. Increased or decreased muscle tone may be the cause of the deformity in patients with neurological conditions. HV in children is relatively uncommon, but more common in the adolescent population. However “[i]t is estimated that 40% to 50% of adult bunions actually have their onset in childhood.” Females are more common (up to 80%). On physical examination it is important to assess if the HV is rigid or flexible. As with many pediatric orthopaedic conditions, rigid deformities are causes for concern. Other abnorm...
Source: PediatricEducation.org - Category: Pediatrics Authors: Pediatric Education Tags: Uncategorized Source Type: news
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