Hallux

HALLUX VALGUS
Hallux valgus (lat. valgus = bent, crooked) describes the inwardly inclined position of the big toe in the base joint. This often results in painful inflammations on the inner edge of the foot, caused by pressure from the upper part of the shoe. In addition, the pressure that the big toe applies to the smaller toes often results in these developing hammer or claw toe positionings.

There are different theories as to why this happens. In most cases there is a genetic disposition combined with a splay foot deformity, with a dominance of the female gender. Inflammatory illnesses or the proportionate lengths of the first ray are also frequently the cause of the Hallux valgus deformity. As a result of our “modern” shoes, an existing Hallux valgus deformity can equally become symptomatic.

Treatment
The entire range of conservative options should be exploited initially. Above all, wearing comfortable and broad shoes can reduce inflammation. For “stone bruise” (metatarsalgia), inserts help in the early stages. If complaints are ongoing or getting worse, the only thing that helps is an surgical correction. An asymptomatic Hallux valgus does not need to be treated. The prophylactic correction of a Hallux valgus deformity is often discussed but is not necessary if there are no complaints.

Operations
Over a hundred different surgical techniques have been described in specialist literature. In the past years, bone correction with retention of the joint has increasingly found acceptance. The toe is usually straightened by cutting it (osteotomy) and realigning the metatarsal. A standardised X-ray diagnosis whereby the foot is under strain can be used to decide which procedure is suitable for the patient on an individual basis. After-care generally involves a special shoe that needs to be worn until the bone has healed (approx. 6 weeks).