Journal of the American Podiatric Medical Association, Vol 89, Issue 11 551-559, Copyright © 1999 by American Podiatric Medical Association

ARTICLES

The effect of hallux abducto valgus surgery on the sesamoid apparatus position

MS Judge, S LaPointe, GV Yu, JE Shook and RP Taylor
Department of Surgery, PHS Mt Sinai Medical Center, Cleveland, OH, USA.

A new parameter, the tibial sesamoid-second metatarsal distance, was established to determine whether the sesamoids move in relation to the foot in hallux abducto valgus surgery. The reliability of the tibial sesamoid-second metatarsal distance was assessed and shown to be excellent. Seventy-five feet underwent surgical correction of hallux abducto valgus. Four radiographic parameters--the intermetatarsal angle, the hallux abductus angle, the tibial sesamoid position, and the tibial sesamoid-second metatarsal distance--were measured before and after surgery. The hallux abductus angle, intermetatarsal angle, and tibial sesamoid position were all significantly reduced following surgery. The tibial sesamoid-second metatarsal distance was not affected by hallux abducto valgus correction. Thus the correction in sesamoid position gained with hallux abducto valgus correction is a direct result of lateral translocation of the metatarsal head, with no contribution from change in position of the sesamoid apparatus relative to the foot.

This article has been cited by other articles:

				A. J. Selner, M. D. Selner, R. P. Cyr, and W. Noiwangmuang Revisional Hallux Abducto Valgus Surgery Using Tricorrectional Bunionectomy J Am Podiatr Med Assoc, July 1, 2004; 94(4): 341 - 346. [Abstract] [Full Text] [PDF]

				J. S. Boberg and M. S. Judge Follow-up of the Isolated Medial Approach to Hallux Abducto Valgus Correction Without Interspace Release J Am Podiatr Med Assoc, November 1, 2002; 92(10): 555 - 562. [Abstract] [Full Text] [PDF]