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Hallux rigidus or stiff big toe is degenerative arthritis and stiffness due to bone spurs that affects the metatarsophalangeal joints (MTP) at the base of the hallux (big toe). Hallux flexus was initially described by Davies-Colley [ 1 ] in 1887 as a plantar flexed posture of phalanx relative to the metatarsal head.
The hallux valgus angle (HVA) is the angle between the long axes of the proximal phalanx and the first metatarsal bone of the big toe. It is considered abnormal if greater than 15–18°. [11] The following HV angles can also be used to grade the severity of hallux valgus: [12] [unreliable medical source?] Mild: 15–20° Moderate: 21–39 ...
Hallux varus is a clinical condition characterized by medial deviation of the great toe at the metatarsophalangeal joint. [ 2 ] This condition, when acquired by adults, is usually caused by sports injury, surgical overcorrection of hallux valgus , or underlying causes such as arthritides .
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The only movements permitted in the joints of the digits are flexion and extension; these movements are more extensive between the first and second phalanges than between the second and third. The flexor hallucis longus and flexor digitorum longus flex the interphalangeal joint of the big toe and lateral four toes, respectively.
Lateral wedge insoles and neutral insoles do not appear to be useful in osteoarthritis of the knee. [84] [85] [86] Knee braces may help [87] but their usefulness has also been disputed. [86] For pain management, heat can be used to relieve stiffness, and cold can relieve muscle spasms and pain. [88]