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MEDICINA E CHIRURGIA DELLA CAVIGLIA E DEL PIEDE

A Journal on Physiopathology and Surgery of the Foot


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Chirurgia del Piede 2011 December;35(3):105-10

language: Italian

Hallux valgus

Bardelli M., Bezzenghi M.

I.F.C.A. Casa di Cura “Ulivella e Glicini”, Firenze, Italia


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Hallux valgus is a common affliction that can lead to restrictions of dai1y and recreational activities, difficulty in fashion shoe wear and decreased quality of life. Hallux valgus deformity is accessed both c1inically and radiological1y. Clinical assessment includes global assessment of the foot, pain over the medial exostosis, range of movements at the first metatarsophalangeal joint, callosities and deformity of the first ray. Radiological assessment involves measuring the intermetatarsal angle (IMA), hallux valgus angle (HVA), distal metatarsal articular angle (DMMA) and congruity of the first MTP joint. The literature recommends grading of the severity of deformity and an appropriate surgical procedure according to degree of hallux valgus: mild (HVA inferior to 25°), moderate (HVA between 25-40°), severe (HVA superior to 40°).

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