eMedicine Specialties > Orthopedic Surgery > Foot & Ankle

Hallux Rigidus: Multimedia

Author: Minoo Hadjari Hollis, MD, Consulting Surgeon, Department of Surgery, Gulf Breeze Hospital
Contributor Information and Disclosures

Updated: Sep 14, 2007

Multimedia

A patient who presented with a tender, palpable d...Media file 1: A patient who presented with a tender, palpable dorsal osteophyte at the first metatarsophalangeal joint on physical exam.
A patient who presented with a tender, palpable d...

A patient who presented with a tender, palpable dorsal osteophyte at the first metatarsophalangeal joint on physical exam.

Same patient as Image 1.Media file 2: Same patient as Image 1.
Same patient as Image 1.

Same patient as Image 1.

More on Hallux Rigidus

Overview: Hallux Rigidus
Workup: Hallux Rigidus
Treatment: Hallux Rigidus
Follow-up: Hallux Rigidus
Multimedia: Hallux Rigidus
References

References

  1. Davies-Colley. Contraction of the metatarso-phalangeal joint of the great toe. BMJ. 1887;1:728.

  2. Cotterill J. Condition of stiff great toe in adolescents. Edinb Med J. 1887;33:459-62.

  3. Cotterill JM. Stiffness of the great toe in adolescents. BMJ. 1988;1:158.

  4. Coughlin MJ, Shurnas PS. Hallux rigidus: demographics, etiology, and radiographic assessment. Foot Ankle Int. Oct 2003;24(10):731-43. [Medline].

  5. Goodfellow J. Aetiology of hallux rigidus. Proc R Soc Med. Sep 1966;59(9):821-4. [Medline][Full Text].

  6. McMaster MJ. The pathogenesis of hallux rigidus. J Bone Joint Surg Br. Feb 1978;60(1):82-7. [Medline][Full Text].

  7. Lambrinudi C. Metatarsus primus elevatus. Proc R Soc Med. 1938;31:1273.

  8. Jack EA. The aetiology of hallux rigidus. Br J Surg. 1940;27:492-7.

  9. Bingold AC, Collins DH. Hallux rigidus. J Bone Joint Surg Br. May 1950;32-B(2):214-22. [Medline][Full Text].

  10. Vilaseca RR, Ribes ER. The growth of the first metatarsal bone. Foot Ankle. Sep 1980;1(2):117-22. [Medline].

  11. Nilsonne H. Hallux rigidus and its treatment. Acta Orthop Scand. 1930;1:295-302.

  12. Ahn TK, Kitaoka HB, Luo ZP, et al. Kinematics and contact characteristics of the first metatarsophalangeal joint. Foot Ankle Int. Mar 1997;18(3):170-4. [Medline].

  13. Solan MC, Calder JD, Bendall SP. Manipulation and injection for hallux rigidus. Is it worthwhile?. J Bone Joint Surg Br. Jul 2001;83(5):706-8. [Medline].

  14. Mann RA, Coughlin MJ, DuVries HL. Hallux rigidus: a review of the literature and a method of treatment. Clin Orthop. Jul-Aug 1979;(142):57-63. [Medline].

  15. Mann RA, Clanton TO. Hallux rigidus: treatment by cheilectomy. J Bone Joint Surg Am. Mar 1988;70(3):400-6. [Medline].

  16. Easley ME, Davis WH, Anderson RB. Intermediate to long-term follow-up of medial-approach dorsal cheilectomy for hallux rigidus. Foot Ankle Int. Mar 1999;20(3):147-52. [Medline].

  17. Mulier T, Steenwerckx A, Thienpont E, et al. Results after cheilectomy in athletes with hallux rigidus. Foot Ankle Int. Apr 1999;20(4):232-7. [Medline].

  18. Mackay DC, Blyth M, Rymaszewski LA. The role of cheilectomy in the treatment of hallux rigidus. J Foot Ankle Surg. Sep-Oct 1997;36(5):337-40. [Medline].

  19. Bonney G, Macnab I. Hallux valgus and hallux rigidus; a critical survey of operative results. J Bone Joint Surg Br. Aug 1952;34-B(3):366-85. [Medline][Full Text].

  20. Kessel L, Bonney G. Hallux rigidus in the adolescent. J Bone Joint Surg Br. Nov 1958;40-B(4):669-73. [Medline].

  21. Moberg E. A simple operation for hallux rigidus. Clin Orthop. Jul-Aug 1979;(142):55-6. [Medline].

  22. Thomas PJ, Smith RW. Proximal phalanx osteotomy for the surgical treatment of hallux rigidus. Foot Ankle Int. Jan 1999;20(1):3-12. [Medline].

  23. Citron N, Neil M. Dorsal wedge osteotomy of the proximal phalanx for hallux rigidus. Long-term results. J Bone Joint Surg Br. Nov 1987;69(5):835-7. [Medline][Full Text].

  24. Conti SF, Dhawan S. Arthrodesis of the first metatarsophalangeal and interphalangeal joints of the foot. Foot Ankle Clin. 1996;1:33-53.

  25. Harper MC. Positioning of the hallux for first metatarsophalangeal joint arthrodesis. Foot Ankle Int. Dec 1997;18(12):827. [Medline].

  26. Coughlin MJ, Abdo RV. Arthrodesis of the first metatarsophalangeal joint with Vitallium plate fixation. Foot Ankle Int. Jan 1994;15(1):18-28. [Medline].

  27. Curtis MJ, Myerson M, Jinnah RH. Arthrodesis of the first metatarsophalangeal joint: a biomechanical study of internal fixation techniques. Foot Ankle. Sep 1993;14(7):395-9. [Medline].

  28. Coughlin MJ, Mann RA. Arthrodesis of the first metatarsophalangeal joint as salvage for the failed Keller procedure. J Bone Joint Surg Am. Jan 1987;69(1):68-75. [Medline].

  29. Smith RW, Joanis TL, Maxwell PD. Great toe metatarsophalangeal joint arthrodesis: a user-friendly technique. Foot Ankle. Sep 1992;13(7):367-77. [Medline].

  30. Hamilton WG, O'Malley MJ, Thompson FM, et al. Roger Mann Award 1995. Capsular interposition arthroplasty for severe hallux rigidus. Foot Ankle Int. Feb 1997;18(2):68-70. [Medline].

  31. Kennedy MP, Coughlin MJ. Peg-in-socket arthrodesis of the first metatarsophalangeal joint. Foot Ankle Int. Apr 2002;23(4):352-4. [Medline].

  32. DeFrino PF, Brodsky JW, Pollo FE, et al. First metatarsophalangeal arthrodesis: a clinical, pedobarographic and gait analysis study. Foot Ankle Int. Jun 2002;23(6):496-502. [Medline].

  33. Lau JT, Daniels TR. Outcomes following cheilectomy and interpositional arthroplasty in hallux rigidus. Foot Ankle Int. Jun 2001;22(6):462-70. [Medline].

  34. Cracchiolo A 3rd, Weltmer JB Jr, Lian G. Arthroplasty of the first metatarsophalangeal joint with a double-stem silicone implant. Results in patients who have degenerative joint disease failure of previous operations, or rheumatoid arthritis. J Bone Joint Surg Am. Apr 1992;74(4):552-63. [Medline].

  35. Shereff MJ, Jahss MH. Complications of silastic implant arthroplasty in the hallux. Foot Ankle. Sep 1980;1(2):95-101. [Medline].

  36. Shiel WC Jr, Jason M. Granulomatous inguinal lymphadenopathy after bilateral metatarsophalangeal joint silicone arthroplasty. Foot Ankle. Apr 1986;6(5):216-8. [Medline].

  37. Verhaar J, Vermeulen A, Bulstra S. Bone reaction to silicone metatarsophalangeal joint-1 hemiprosthesis. Clin Orthop. Aug 1989;(245):228-32. [Medline].

  38. Rahman H, Fagg PS. Silicone granulomatous reactions after first metatarsophalangeal hemiarthroplasty. J Bone Joint Surg Br. Jul 1993;75(4):637-9. [Medline][Full Text].

  39. Shankar NS. Silastic single-stem implants in the treatment of hallux rigidus. Foot Ankle Int. Aug 1995;16(8):487-91. [Medline].

  40. Townley CO, Taranow WS. A metallic hemiarthroplasty resurfacing prosthesis for the hallux metatarsophalangeal joint. Foot Ankle Int. Nov 1994;15(11):575-80. [Medline].

  41. Johnson KA, Buck PG. Total replacement arthroplasty of the first metatarsophalangeal joint. Foot Ankle. May 1981;1(6):307-14. [Medline].

  42. Lu HS, Kou BL, Yuan YL. [Follow-up result of 14 cases of the first metatarsophalangeal joint arthroplasty with titanium total joint prostheses]. Zhonghua Wai Ke Za Zhi. Sep 1994;32(9):542-4. [Medline].

  43. Barca F. Tendon arthroplasty of the first metatarsophalangeal joint in hallux rigidus: preliminary communication. Foot Ankle Int. Apr 1997;18(4):222-8. [Medline].

  44. Brodsky JW, Baum BS, Pollo FE, et al. Prospective gait analysis in patients with first metatarsophalangeal joint arthrodesis for hallux rigidus. Foot Ankle Int. Feb 2007;28(2):162-5. [Medline].

  45. Cavolo DJ, Cavallaro DC, Arrington LE. The Watermann osteotomy for hallux limitus. J Am Podiatry Assoc. Jan 1979;69(1):52-7. [Medline].

  46. Coughlin M. Arthritides. In: Coughlin M, Mann R, eds. Surgery of the Foot & Ankle. 7th ed. St Louis, Mo: Mosby; 1999:605-50.

  47. Deheer PA. The case against first metatarsal phalangeal joint implant arthroplasty. Clin Podiatr Med Surg. Oct 2006;23(4):709-23, vi. [Medline].

  48. Feltham GT, Hanks SE, Marcus RE. Age-based outcomes of cheilectomy for the treatment of hallux rigidus. Foot Ankle Int. Mar 2001;22(3):192-7. [Medline].

  49. Ghalambor N, Cho DR, Goldring SR, et al. Microscopic metallic wear and tissue response in failed titanium hallux metatarsophalangeal implants: two cases. Foot Ankle Int. Feb 2002;23(2):158-62. [Medline].

  50. Hamilton WG, Hubbard CE. Hallux rigidus. Excisional arthroplasty. Foot Ankle Clin. Sep 2000;5(3):663-71. [Medline].

  51. Horton GA, Park YW, Myerson MS. Role of metatarsus primus elevatus in the pathogenesis of hallux rigidus. Foot Ankle Int. Dec 1999;20(12):777-80. [Medline].

  52. Iqbal MJ, Chana GS. Arthroscopic cheilectomy for hallux rigidus. Arthroscopy. Apr 1998;14(3):307-10. [Medline].

  53. Sammarco GJ, Tabatowski K. Silicone lymphadenopathy associated with failed prosthesis of the hallux: a case report and literature review. Foot Ankle. Jun 1992;13(5):273-6. [Medline].

  54. Sebold EJ, Cracchiolo A 3rd. Use of titanium grommets in silicone implant arthroplasty of the hallux metatarsophalangeal joint. Foot Ankle Int. Mar 1996;17(3):145-51. [Medline].

  55. Trnka HJ. Arthrodesis procedures for salvage of the hallux metatarsophalangeal joint. Foot Ankle Clin. Sep 2000;5(3):673-86, ix. [Medline].

  56. van Dijk CN, Veenstra KM, Nuesch BC. Arthroscopic surgery of the metatarsophalangeal first joint. Arthroscopy. Nov-Dec 1998;14(8):851-5. [Medline].

Further Reading

Keywords

hallux flexus, hallux limitus, dorsal bunion, metatarsus primus elevatus, hallux dolorosus, winkle-picker's disease, dorsal bunion, stiff big toe, stiff great toe

Contributor Information and Disclosures

Author

Minoo Hadjari Hollis, MD, Consulting Surgeon, Department of Surgery, Gulf Breeze Hospital
Minoo Hadjari Hollis, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Orthopaedic Foot and Ankle Society, and Florida Orthopaedic Society
Disclosure: Nothing to disclose.

Medical Editor

John S Early, MD, Clinical Professor of Orthopedic Surgery, Department of Orthopedics, University of Texas Southwestern Medical School
John S Early, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Orthopaedic Foot and Ankle Society, Orthopaedic Trauma Association, and Texas Medical Association
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Shepard R Hurwitz, MD, Director of Clinical Services, Department of Orthopedic Surgery, University of Virginia School of Medicine; Director, Division of Foot and Ankle Surgery, Department of Orthopedic Surgery, University of Virginia Health System
Shepard R Hurwitz, MD is a member of the following medical societies: American College of Surgeons, American Orthopaedic Association, American Orthopaedic Foot and Ankle Society, and Orthopaedic Trauma Association
Disclosure: Nothing to disclose.

CME Editor

Dinesh Patel, MD, FACS, Associate Clinical Professor of Orthopedic Surgery, Harvard Medical School; Chief of Arthroscopic Surgery, Department of Orthopedic Surgery, Massachusetts General Hospital
Dinesh Patel, MD, FACS is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Association of Physicians of Indian Origin, American College of International Physicians, and American College of Surgeons
Disclosure: Nothing to disclose.

Chief Editor

Jason H Calhoun, MD, FAAOS, Chairman, J Vernon Luck Distinguished Professor, Department of Orthopedic Surgery, University of Missouri
Jason H Calhoun, MD, FAAOS is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American College of Surgeons, and American Orthopaedic Foot and Ankle Society
Disclosure: Nothing to disclose.

 
 
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