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Foot & Ankle
intermediate
X-Type

Hallux Valgus - Assessment and Surgical Correction

Forefoot Surgery

A 55-year-old woman presents with painful bunion deformity of her right foot that has failed conservative treatment with wider shoes and toe spacers. Radiographs show a hallux valgus angle (HVA) of 35 degrees, intermetatarsal angle (IMA) of 14 degrees, and congruent MTP joint. The surgeon discusses procedure selection based on the deformity severity and radiographic parameters. Regarding hallux valgus assessment and surgical correction:

Mark each as TRUE or FALSE

A

Hallux valgus is defined by HVA greater than 15 degrees (lateral great toe deviation) and IMA greate...

B

Procedure selection is based on deformity severity: mild (HVA less than 30°, IMA less than 13°) = ch...

C

Hallux valgus is diagnosed when HVA exceeds 10 degrees; the chevron osteotomy is best for severe def...

D

The chevron is a V-shaped distal osteotomy with lateral translation for mild deformity; the scarf is...

E

Lateral soft tissue release (adductor hallucis, lateral capsule) is performed with most osteotomies;...

Answer the questions to see explanations

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