Related Experiment Video
Updated: Jan 9, 2026
An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery
Published on: February 17, 2018
Risk factors for the progression of hallux valgus angle on radiography in Japanese adults
Akinobu Nishimura1, Yoshiyuki Senga2, Yuki Fujikawa2
1Department of Orthopaedic Surgery, Mie University Graduate School of Medicine, Edobashi 2-174, Tsu-city, Mie 514-8507 Japan; Department of Orthopaedic and Sports Medicine, Mie University Graduate School of Medicine, Japan.
Objectives:
Hallux valgus (HV) is common in middle-aged and older adults. However, previous studies that linked HV to factors such as sex, knee osteoarthritis, footwear, and aging were mostly cross-sectional. This longitudinal study aimed to investigate HV risk factors and progression.
Materials And Methods:
Serial radiographs were assessed in Japanese mountain villagers aged ≥50 years who underwent at least two health checkups within an interval of 4 or more years. Demographic data, medical history, and radiographic measurements were collected.
Results:
We included 271 participants (542 feet; mean age: 69.6 years); the mean follow-up period was 6.7 years. The average annual change in the HV angle (HVA) was 0.19°. In 16.1 % of the feet, the HVA increased by ≥ 1°/year. Lateral tibial sesamoid bone positioning was a significant risk factor for HV.
Conclusions:
HVA progression was less likely in adults aged ≥50 years without tibial sesamoid bone malposition.
