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J Bone Joint Surg Am. 2011 Sep 7;93(17):1650-61. doi: 10.2106/JBJS.H.01630.

The pathogenesis of hallux valgus.

Author information

1
University Hospital of Wales, Cardiff, CF14 4XB, UK. footandanklesurgery@gmail.com

Abstract

The first ray is an inherently unstable axial array that relies on a fine balance between its static (capsule, ligaments, and plantar fascia) and dynamic stabilizers (peroneus longus and small muscles of the foot) to maintain its alignment. In some feet, there is a genetic predisposition for a nonlinear osseous alignment or a laxity of the static stabilizers that disrupts this muscle balance. Poor footwear plays an important role in accelerating the process, but occupation and excessive walking and weight-bearing are unlikely to be notable factors. Many inherent or acquired biomechanical abnormalities are identified in feet with hallux valgus. However, these associations are incomplete and nonlinear. In any patient, a number of factors have come together to cause the hallux valgus. Once this complex pathogenesis is unraveled, a more scientific approach to hallux valgus management will be possible, thereby enabling treatment (conservative or surgical) to be tailored to the individual.

PMID:
21915581
DOI:
10.2106/JBJS.H.01630
[Indexed for MEDLINE]

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