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Related Concept Videos

Ankle Joint01:10

Ankle Joint

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The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
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Updated: Apr 7, 2026

An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery
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Algorithm for Severe Hallux Valgus Associated With Metatarsus Adductus.

Jyoti Sharma1, Umur Aydogan2

  • 1Penn State Hershey Bone and Joint Institute, Penn State Milton S. Hershey Medical Center, Hershey, PA, USA jsharma@hmc.psu.edu.

Foot & Ankle International
|July 11, 2015
PubMed
Summary

This study presents a surgical algorithm for hallux valgus with severe metatarsus adductus, achieving successful outcomes. The comprehensive approach addresses multiple foot deformities, leading to pain relief and improved foot appearance.

Keywords:
distal metatarsal articular anglehallux valgushallux valgus angleintermetatarsal anglemetatarsus adductus

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Area of Science:

  • Orthopedic Surgery
  • Foot and Ankle Surgery
  • Reconstructive Surgery

Background:

  • Hallux valgus (HV) is often assessed using radiographic angles, guiding surgical planning.
  • Treatment of HV with coexisting metatarsus adductus (MA) is less common and presents measurement and surgical challenges.
  • MA reduces intermetatarsal space and necessitates compensation for pronation.

Purpose of the Study:

  • To present a surgical treatment algorithm for patients with hallux valgus and severe metatarsus adductus.
  • To describe the operative management and outcomes in four such cases.
  • To provide a comprehensive approach addressing associated deformities.

Main Methods:

  • A surgical algorithm was implemented for concomitant correction of metatarsus adductus and hallux valgus, including lesser toe and pes planus deformities.
  • Postoperative care involved 6 weeks of non-weight bearing, followed by gradual weight bearing in a protective boot.
  • Physical therapy commenced with weight bearing to facilitate return to daily activities.

Main Results:

  • Patients reported significant pain relief and improved foot aesthetics postoperatively.
  • No recurrence of deformity was observed.
  • Radiographic measurements demonstrated improvement, with one patient requiring medial arch support.

Conclusions:

  • Addressing the second and third metatarsals may be necessary for adequate lateral transposition of the first metatarsal in cases of HV with MA.
  • A comprehensive surgical strategy encompassing hindfoot, midfoot, and forefoot is effective for hallux valgus associated with metatarsus adductus.
  • Successful outcomes were achieved with this integrated treatment approach.