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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.
Patients with a condition called hallux rigidus, or arthritis of the big toe, have pain and stiffness in the big toe. The word cheilectomy comes from the Greek word Cheilos, meaning "lip." A cheilectomy removes the bone spurs, or lip of bone, that forms as a result of arthritis of the joint.
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 ...
Flexible hammer toes are where patients are still able to bend and move the affected toes, but where a noticeable curl has begun to form. Semi-rigid hammer toes are where the affected toes are hard to bend and are noticeably stiff. Rigid hammer toes are frozen in a curled position. These are most likely to require surgery.
The forefoot is the anterior aspect of the foot, composed of the five metatarsal bones, the fourteen phalanges and associated soft tissue structures. [1] [2] It is a common site of pathology in podiatry, and is the anatomic region involved in such conditions as hallux valgus, hallux rigidus, and Morton's neuroma, among others. [3]
Joint stiffness may be either the symptom of pain on moving a joint, the symptom of loss of range of motion or the physical sign of reduced range of motion.. Pain on movement is commonly caused by osteoarthritis, often in quite minor degrees, and other forms of arthritis.
A foot deformity is a disorder of the foot that can be congenital or acquired.. Above is a foot of a black boy who did not wear shoes, and below is another foot of a white boy.
Patients will present with a history of pain of the lateral bunion, plantar callous, and pain that increases with constrictive shoe wear. Studies have shown that tight shoe wear can cause both bunions as well as tailor's bunions. [2]