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Foot & Ankle
intermediate
X-Type

Hallux Valgus Management

Forefoot Disorders

A 55-year-old woman presents with progressive medial bump over her right first MTP joint, difficulty with shoe wear, and transfer metatarsalgia. Weight-bearing radiographs show a hallux valgus angle (HVA) of 32 degrees and an intermetatarsal angle (IMA) of 14 degrees. The first TMT joint appears hypermobile on examination. There is no significant arthritis at the MTP joint. Regarding hallux valgus:

Mark each as TRUE or FALSE

A

Hallux valgus is characterized by lateral deviation of the great toe and medial deviation of the fir...

B

Radiographic assessment includes hallux valgus angle (HVA, normal less than 15 degrees, moderate 20-...

C

Hallux valgus is more common in men; narrow footwear is not a risk factor; the normal HVA is 25 degr...

D

Surgical options include: distal metatarsal osteotomies (chevron, Mitchell - for mild/moderate HVA l...

E

Complications include recurrence (insufficient correction, progression), hallux varus (overcorrectio...

Answer the questions to see explanations

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