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Hallux rigidus: a cross-sectional study to evaluate clinical parameters
1Division of Podiatry, School of Health, The University of Northampton, Park Campus, Boughton Green Road, Northampton, United Kingdom. paul.beeson@northampton.ac.uk
Foot (Edinburgh, Scotland)
|March 24, 2010
Summary
Hallux rigidus (HR) is linked to female gender, older age, and foot deformities like flat feet and abnormal toe alignment. This common condition is not associated with tight Achilles tendons or specific footwear.
Area of Science:
- Orthopedics
- Podiatry
- Biomechanics
Background:
- Hallux rigidus (HR) is a prevalent degenerative condition affecting the first metatarsophalangeal joint (1st MTPJ).
- Clinical evaluation, including history and physical examination, is crucial for assessing HR pathology, grading severity, and guiding treatment decisions.
Purpose of the Study:
- To investigate the demographic characteristics of individuals with Hallux rigidus.
- To identify and evaluate clinical parameters associated with Hallux rigidus.
- To measure the impact of Hallux rigidus on health-related quality of life.
Main Methods:
- A cross-sectional study involving 110 subjects (180 feet) aged 18-70 years.
- Standardized history and physical examinations were performed.
- The Foot Health Status Questionnaire (FHSQ) was utilized to assess quality of life.
Main Results:
- Hallux rigidus commonly affects females (66%), is often bilateral (64%), and typically manifests around age 44.
- Key associations include pes planus (flat foot), increased hallux abductus interphalangeus angle (HAI), and second toe length similar to the hallux.
- Pain in Hallux rigidus correlates with pes planus, HAI, hallucal interphalangeal joint hyperextension, and lesser metatarsophalangeal joint pain.
Conclusions:
- Hallux rigidus is associated with female gender, older age, bilateral presentation, and specific foot morphologies such as flat feet and abnormal toe alignment.
- The study found no correlation between Hallux rigidus and Achilles tendon tightness or footwear.
- Further research is needed to establish the content validity of clinical parameters for HR classification.
