Relationship Between Lower Extremity Alignment and Hallux Valgus in Women

Abstract

Level III, comparative case series.

The Association between Hallux Valgus and Proximal Joint Alignment in Young Female Dancers

“…Similarly, adult females with hallux valgus manifested significantly higher hip internal rotation ROM and significantly higher ankle plantarflexion ROM compared to adult women without hallux valgus [43]. The authors of the current study believe that exaggerated dance movements involving muscles that fail to use normal bio mechanical forces throughout the skeleton may entail a greater risk of hallux valgus.…”

“…The same mechanism that causes the deformity in the spine and limbs may initiate the development of deformity in the MP joints, such as in hallux valgus [8,9,18,39,40]. Findings among adult women with hallux valgus provide fur ther support that hallux valgus is associated primarily with other spinal and lower extremity joint malalignment [43], Stein berg et al [43] found that adult women with hallux valgus man ifested a higher prevalence of knee valgus, calcaneal valgus and pes planus compared to adult women without hallux valgus [43]. Ilahi and Kohl [21] found that pes planus is significantly related to other parameters, such as pronated foot, subtalar mobility and hindfoot valgus alignment.…”

An Image-Based Gait Simulation Study of Tarsal Kinematics in Women With Hallux Valgus

“…44 -46 With the use of methods of discriminant function analysis, Steinberg et al 46 identified measurements of hip internal rotation (an indicator of femoral anteversion) and tibio-femoral (Q-angle) alignment to discriminate between women with and without hallux valgus; they also identified the hindfoot angle of eversion as the single best discriminator between bilateral and unilateral hallux valgus deformity. Other authors 44,45 reported finding an association between knee disorders (osteoarthritis and patellofemoral joint pain) and the incidence of hallux valgus.…”

An Imaged-Based Three-Dimensional Study of First Metatarsal Protrusion Distance in Women with and Without Hallux Valgus

“…This advice is also germane for research planning to quantify MPD in patient populations. Additionally, since collapse of the arch is a common predisposition of hallux valgus, 27,30,42 radiographic distortion attributed to arch height may, in part, explain why first metatarsal protrusion has been so consistently recorded on radiographs in the study of hallux valgus. Because this study measured MPD with 3-D methods instead of single-plane radiographs, and recorded the measure in relation to the navicular, which is novel, we cannot know whether these findings are indicative of the cohorts sampled, or a manifestation of the methods.…”