Abstract
Acquired hallux varus most commonly occurs after hallux valgus surgery. Sagittal plane, coronal plane, and varus deformities are present at the metatarsophalangeal joint. Evaluation of both the metatarsophalangeal and interphalangeal joints for mobility is necessary in surgical decision making. Not all patients require surgery. The anatomy, incidence, pathogenesis, evaluation, classification, and treatment of acquired hallux varus are discussed in this review.
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References
1.
.
Banks
A.S.
Ruch
J.A.
Kalish
S.R.
: Surgical repair of hallux varus.
J. Am. Podiatr. Med. Assoc. , 78 : 339 –347 , 1988
2.
.
Coughlin
M.J.
: Proximal first metatarsal osteotomy.
In
Johnson
K.A.
(ed.), The Foot and Ankle . New York , Raven Press , 1994
3.
.
Davies
M.S.
Parker
B.C.
: Idiopathic hallux varus.
Foot Ankle Int. , 16 : 210 –211 , 1995
4.
.
Day
M.H.
Wickens
E.H.
: Laetoli Pliocene hominid footprints and bipedalism.
Nature , 286 : 385 –387 , 1980
5.
.
Easley
M.E.
Kiebzak
G.M.
Davis
W.H.
Anderson
R.B.
: Prospective, randomized comparison of proximal crescentic and proximal chevron osteotomies for correction of hallux varus deformity.
Foot Ankle Int. , 17 : 1 –10 , 1996
6.
.
Edelman
R.D.
: Iatrogenically induced hallux varus.
Clin. Podiatr. Med. Surg. , 8 : 367 –382 , 1991
7.
.
Granberry
W.M.
Hickey
C.H.
: Idiopathic adult hallux varus.
Foot Ankle Int. , 15 : 197 –205 , 1994
8.
.
Hansen
C.E.
: Hallux valgus treated by the McBride operation.
Acta Orthop. Scand. , 45 : 778 –792 , 1974
9.
.
Hawkins
F.B.
: Acquired hallux varus: cause, prevention and correction.
Clin. Orthop. , 76 : 169 –176 , 1971
10.
.
Horwitz
M.T.
: Unusual hallux-varus deformity and it surgical correction.
J. Bone Joint Surg. , 19 : 828 –829 , 1937
11.
.
Jahss
M.H.
(ed.): Disorders of the Foot and Ankle: Medical and Surgical Management . Philadelphia , W.B. Saunders , 1991
12.
.
Jahss
M.H.
: Spontaneous hallux varus: relation to poliomyelitis and congenital absence of the fibular sesamoid.
Foot Ankle , 3 : 224 –226 , 1983
13.
.
Johnson
K.A.
Saltzman
C.L.
Frisca
D.A.
: Hallux varus.
In
Gould
J.S.
(ed.), Operative Foot Surgery . Philadelphia , W.B. Saunders , 1994 , pp. 28 –35
14.
.
Johnson
K.A.
Spiegl
P.V.
: Extensor hallucis longus transfer for hallux varus deformity.
J. Bone Joint Surg. , 66A : 681 –686 , 1984
15.
.
Joseph
B.
Chacko
V.
Abraham
T.
Jacob
M.
: Pathomechanics of congenital and acquired hallux varus: a clinical and anatomical study.
Foot Ankle , 8 : 137 –143 , 1987
16.
.
Joseph
B.
Jacob
T.
Chacko
V.
: Hallux varus: a study of thirty cases.
J. Foot Surg. , 23 : 392 –397 , 1984
17.
.
Juliano
P.J.
Myerson
M.S.
Cunningham
B.W.
: Biomechanical assessment of a new tenodesis for correction of hallux varus.
Foot Ankle Int. , 17 : 17 –20 , 1996
18.
.
Mann
R.A.
Coughlin
M.J.
(eds.): Adult hallux valgus.
In
Surgery of the Foot and Ankle . St. Louis , Mosby-Year Book , 1993
19.
.
Mann
R.A.
Rudicel
S.
Graves
S.C.
: Repair of hallux valgus with a distal soft tissue procedure and proximal metatarsal osteotomy.
J. Bone Joint Surg. , 74A : 124 –129 , 1992
20.
.
McBride
E.D.
: The conservative operation for “bunions.” End results and refinements of technique.
J. Am. Med. Assoc. , 105 : 1164 –1168 , 1935
21.
.
McElvenny
R.T.
: Hallux varus.
Q. Bull. Northwest Univ. Med. Sch. , 15 : 277 –280 , 1941
22.
.
Miller
J.W.
: Acquired hallux varus: a preventable and correctable disorder.
J. Bone Joint Surg. , 57A : 183 –188 , 1975
23.
.
Mullis
D.L.
Miller
W.E.
: A disabling sports injury of the great toe.
Foot Ankle , 1 : 22 –25 , 1980
24.
.
Myerson
M.S.
Komenda
G.A.
: Results of hallux varus correction using an extensor hallucis brevis tenodesis.
Foot Ankle Int. , 17 : 21 –27 , 1996
25.
.
Peterson
D.A.
Zilberfarb
J.L.
Greene
M.A.
Colgrove
R.C.
: Avascular necrosis of the first metatarsal head: incidence in distal osteotomy combined with lateral soft tissue release.
Foot Ankle Int. , 15 : 59 –63 , 1994
26.
.
Pochatko
D.J.
Schlehr
F.J.
Murphey
M.D.
Hamilton
J.J.
: Distal chevron osteotomy with lateral release for treatment of hallux valgus deformity.
Foot Ankle Int. , 15 : 457 –461 , 1994
27.
.
Poehling
G.G.
DeTorre
J.
: Hallux varus and hammertoe deformity.
Orthop. Trans. , 6 : 186 , 1982
28.
.
Richardson
E.G.
: Disorders of the hallux.
In
Crenshaw
A.H.
(ed.), Campbell's Operative Orthopaedics , 8th ed.
St. Louis , Mosby-Year Book , 1992 , p. 2632 –2640
29.
.
Skalley
T.C.
Myerson
M.S.
: The operative treatment of acquired hallux varus.
Clin. Orthop. , 306 : 183 –191 , 1994
30.
.
Thordarson
D.B.
Leventen
E.O.
: Hallux valgus correction with proximal metatarsal osteotomy: two-year follow-up.
Foot Ankle , 13 : 321 –326 , 1992
31.
.
Tourné
Y.
Saragaglia
D.
Picard
F.
De Sousa
B.
Montbarbon
E.
Charbel
A.
: Iatrogenic hallux varus surgical procedure: a study of 14 cases.
Foot Ankle Int. , 16 : 457 –463 , 1995
32.
.
Turner
R.S.
: Dynamic post-surgical hallux varus after lateral sesamoidectomy: treatment and prevention.
Orthopedics , 9 : 963 –969 , 1986