Hallux Varus

Hallux Varus

Adductus and/or varus of hallux at the first metatarsophalangeal joint.

Aetiology:
Most commonly a complication of HAV surgery (iatrogenic).
Some are congenital (especially if neuromuscular condition or rheumatoid arthritis).
Trauma

Clinical features:
Varus/abducted position of hallux
Difficulty with wearing shoes  painful.
May have spasm of abductor hallucis muscle  pain in medial arch area
Most common complaint is cosmetic, shoe fit problems and a feeling of instability or weakness.

Treatment:
Conservative – strapping, footwear advice
Surgical – soft tissue releases; osteotomies; arthrodesis

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