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Hallux varus

Discussion in 'Biomechanics, Sports and Foot orthoses' started by toughspiders, Sep 28, 2012.

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  1. toughspiders

    toughspiders Active Member


    Members do not see these Ads. Sign Up.
    Some info from the worldly wise would be good. I've not seen many of these but we have one at the mo which is a corker!
    My gut feeling is it probably requires surgery but the guy is 86 and doesn't really want it! What are the chances of managing the pain conservatively or will it more likely end up under the knife...
     
  2. Admin2

    Admin2 Administrator Staff Member

  3. efuller

    efuller MVP

    Why does it hurt? DJD or shoes or both?
     
  4. toughspiders

    toughspiders Active Member

    X-ray show some dorsal lipping/spurring from proximal phalanx. Pain worse on toe off. I've asked him to purchase some rocker soles in the interim whilst I do a bit more research
     
  5. Orthican

    Orthican Active Member

    I had a patient with 35 degrees Hallux Varus (I know, rare) but it was from TBI so it was all neurological as opposed to mechanical. I used several modalities to hold her away from the inside of the shoe to no avail. I recommended however that she see a very nice podiatric surgeon who looked after it by surgically fixating it in a neutral position. She had struggled with the pain for a long time. She is quite happy with the outcome. Way to go podiatry surgeons!
     
  6. drsarbes

    drsarbes Well-Known Member

    How long has he had symptoms and what are his symptoms.

    At 86 I would guess that the clinical Hallux Varus is nothing new.

    If his symptoms are recent and associated with possible inflammation of the MTPJ then I would treat it as an acute synovitis, i.e., cortisone injection, off load with an orthotic, check shoes type, etc...

    At 86, surgery would only be indicated if his hallux varus was interfering with his activity level. The procedure of choice for this age group would be a resectional arthroplasty (modified Keller)

    GL
    Steve
     
  7. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Congenital Hallux Varus: A Report Of Four Cases
    J Moolman and A Robertson
    Bone Joint J 2013 vol. 95-B no. SUPP 29 38
     
  8. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Prenatal diagnosis of congenital hallux varus deformity associated with pericentric inversion of chromosome 9
    Sebahat Atar Gürel
    Journal of Obstetrics and Gynaecology Research; Early View
     
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