Skip to main content
OrthoVellum
Knowledge Hub

Study

  • Topics
  • MCQs
  • ISAWE
  • Operative Surgery
  • Flashcards

Company

  • About Us
  • Editorial Policy
  • Contact
  • FAQ
  • Blog

Legal

  • Terms of Service
  • Privacy Policy
  • Cookie Policy
  • Medical Disclaimer
  • Copyright & DMCA
  • Refund Policy

Support

  • Help Center
  • Accessibility
  • Report an Issue
OrthoVellum

© 2026 OrthoVellum. For educational purposes only.

Not affiliated with the Royal Australasian College of Surgeons.

Foot & Ankle
intermediate
X-Type

First MTP Arthrodesis - Hallux Rigidus and Fusion Principles

Hallux Rigidus

A 58-year-old woman presents with progressive pain and stiffness of her right great toe. She reports difficulty walking and cannot wear heels. Examination reveals limited dorsiflexion (15 degrees) with crepitus and palpable dorsal osteophytes. Radiographs demonstrate Coughlin grade III hallux rigidus. Regarding first MTP arthrodesis for hallux rigidus:

Mark each as TRUE or FALSE

A

First MTP arthrodesis is the gold standard surgical treatment for end-stage hallux rigidus (Coughlin...

B

The Coughlin-Shurnas classification grades hallux rigidus from 0 to IV based on dorsiflexion range, ...

C

First MTP fusion is absolutely contraindicated in patients with diabetes, peripheral vascular diseas...

D

Other indications for first MTP arthrodesis include: failed hallux valgus correction, severe rheumat...

E

Relative contraindications include: significant IP joint arthritis (creates stiff hallux column), in...

Answer the questions to see explanations

Click T (True) or F (False) for each option