Surgery vs Orthosis vs Watchful Waiting for Hallux Valgus

Torkki, Markus; Malmivaara, Antti; Seitsalo, Seppo; Hoikka, Veijo; Laippala, Pekka; Paavolainen, Pekka

doi:10.1001/jama.285.19.2474

Cited by 195 publications

(148 citation statements)

References 12 publications

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“…Deformity of the great toe nail, splaying of the forefoot and problems with shoe fitting may also be observed. These problems can lead to considerable pain, gait abnormalities, functional limitations, balance disorders, and increase the risk of falling in the elderly (1,3,4,6,8,(13)(14)(15)(16)(17). Furthermore, some studies have found that people with hallux valgus score poorly on evaluations of health-related quality of life (4).These findings suggest that hallux valgus does not simply cause isolated problems in the feet but can have a broader effect on the individual as a whole (5).…”

Section: Introductionmentioning

confidence: 99%

The Relation of Hallux Valgus Severity With Foot Function and Balance in Older Men

Kavlak

2015

Türk Fizyoterapi Ve Rehabilitasyon Dergisi

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Purpose: The aim of this study was to investigate the relationship between hallux valgus and foot function and balance in older men. Methods: One hundred and six feet of 53 elderly men (mean age: 73.79±7.08 years) were evaluated in this research. Hallux valgus angle was measured using a goniometer. Foot function, dynamic balance and static balance were evaluated by the forefoot subscale of the American Orthopaedic Foot and Ankle Society Scale, Timed Up & Go Test and single leg stance, respectively, and their relations with hallux valgus were analysed. Results: Hallux valgus angle values were 17.32±11.29 degree for right foot and 16.45±10.65° for left foot. No significant relationship was found between hallux valgus angle (right and left) and static and dynamic balance (p>0.05). However, hallux valgus angles of right and left foot were correlated with the scale scores of American Orthopaedic Foot and Ankle Society scale (r=-0. 34, p=0.01; r=-0. 38,p=0.005, respectively). Discussion: According to these results, the severity of hallux valgus itself does not influence balance, although it partially affects the functional ability of the forefoot in older men.

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Section: Introductionmentioning

confidence: 99%

The Relation of Hallux Valgus Severity With Foot Function and Balance in Older Men

Kavlak

2015

Türk Fizyoterapi Ve Rehabilitasyon Dergisi

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“…(45,46) The distal metatarsal osteotomy in our study was a minimally invasive, simple bony procedure without other advanced soft tissue procedures. We did not perform bunion resection, formal capsulorrhaphy, lateral release or capsulotomy.…”

Section: Discussionmentioning

confidence: 98%

Minimally Invasive Distal Metatarsal Osteotomy for Mild-to-Moderate Hallux Valgus

Enan¹

2012

The Role of Osteotomy in the Correction of Congenital and Acquired Disorders of the Skeleton

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“…In advanced phase of HV corrective surgery is mostly indicated [11]. Surgical osteotomy is found to be an effective treatment for painful advanced phase HV, while orthoses provide short-term symptomatic relief [13].…”

Section: Introductionmentioning

confidence: 99%

Range of motion and pain intensity of the first metatarsophalangeal joint in women with hallux valgus deformation after two-month home exercise programme

Arge¹,

Lenzner²,

Gapeyeva³

2012

AKUT

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Hallux Valgus (HV) (also Hallux abducto valgus) is a common deformity of the foot, which causes pain, inflammation and decreased joint mobility in the big toe. There are no universally accepted protocol for treating advanced phase HV, corrective surgery seems to be the most common direction of curing advanced HV deformation. The purpose of this study was to assess the effects of twomonth home exercise programme (HEP) on joint mobility and pain of the first metatarsophalangeal joint (MTP-joint) in women with advanced phase HV deformation. Seven women with mean age 55.6±2.9 years with advanced phase HV deformation (first MTP-joint angle more than 20 degrees) participated in the study. Foot pain in different conditions was assessed with modified Foot Function Index's (FFI) pain subscale before and after HEP. Passive range of motion (PROM) of flexion and extension of the first MTP-joint was measured before and after HEP using a standard mechanical goniometer. A significant increase (p<0.001) in the passive extension of the first MTP-joint was noted after HEP compared with the joint mobility before HEP, also passive flexion increased considerably but no significant difference was noted (p>0.05). Foot pain score decreased significantly (p<0.05) after HEP. In conclusion, in advanced phase HV two-month HEP was an effective therapeutic approach for increasing first MTP-joint mobility and reducing foot pain. Keywords: Hallux valgus, home exercise programme, passive range of motion, foot painRange of motion and pain intensity of the first metatarsophalangeal joint

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Surgery vs Orthosis vs Watchful Waiting for Hallux Valgus

Abstract: Surgical osteotomy is an effective treatment for painful hallux valgus. Orthoses provide short-term symptomatic relief.

Cited by 195 publications

References 12 publications

The Relation of Hallux Valgus Severity With Foot Function and Balance in Older Men

The Relation of Hallux Valgus Severity With Foot Function and Balance in Older Men

Minimally Invasive Distal Metatarsal Osteotomy for Mild-to-Moderate Hallux Valgus

Range of motion and pain intensity of the first metatarsophalangeal joint in women with hallux valgus deformation after two-month home exercise programme

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Surgery vs Orthosis vs Watchful Waiting for Hallux Valgus

Abstract: Surgical osteotomy is an effective treatment for painful hallux valgus. Orthoses provide short-term symptomatic relief.

Cited by 195 publications

References 12 publications

￼The Relation of Hallux Valgus Severity With Foot Function and Balance in Older Men

￼The Relation of Hallux Valgus Severity With Foot Function and Balance in Older Men

Minimally Invasive Distal Metatarsal Osteotomy for Mild-to-Moderate Hallux Valgus

Range of motion and pain intensity of the first metatarsophalangeal joint in women with hallux valgus deformation after two-month home exercise programme

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Product

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The Relation of Hallux Valgus Severity With Foot Function and Balance in Older Men

The Relation of Hallux Valgus Severity With Foot Function and Balance in Older Men