Adductus and/or varus of hallux at the first metatarsophalangeal joint.
Most commonly a complication of HAV surgery (iatrogenic).
Some are congenital (especially if neuromuscular condition or rheumatoid arthritis).
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.
Conservative – strapping, footwear advice
Surgical – soft tissue releases; osteotomies; arthrodesis