This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Roukis, T. S. Search for Related Content PubMed PubMed Citation Articles by Roukis, T. S.

Metatarsus Primus Elevatus in Hallux Rigidus

Fact or Fiction?

^* Reconstructive Foot and Ankle Surgery Service, Weil Foot and Ankle Institute, 1455 E Golf Rd, Ste 110, Des Plaines, IL 60016.

Abstract

Two hundred seventy-five lateral weightbearing radiographs of isolated pathology were reviewed and stratified into hallux rigidus (n = 100), hallux valgus (n = 75), plantar fasciitis (n = 50), and Morton’s neuroma (n = 50) groups. The patient population consisted of healthy individuals with no history of foot trauma or surgery. The first to second metatarsal head elevation, Seiberg index, first to second sagittal intermetatarsal angle, first to fifth metatarsal head distance, and hallux equinus angle were measured in each population. Statistically significant differences were found between the hallux valgus, plantar fasciitis, and Morton’s neuroma populations and the hallux rigidus population, which showed greater elevation of the first metatarsal relative to the second for each radiographic measurement technique. In the hallux rigidus population, there was a statistically significant difference between grade II and grades I and III regarding the first to fifth metatarsal head distance (greater in grade II) and the hallux equinus angle (lower in grade II). A review of the literature and comparison with historical controls reveals that metatarsus primus elevatus exists in hallux rigidus and is greater than that found in hallux valgus, plantar fasciitis, and Morton’s neuroma groups. (J Am Podiatr Med Assoc 95(3): 221–228, 2005)

This article has been cited by other articles:

				P. Radovic, E. Yadav-Shah, and K. Choe Modified Youngswick Procedure for Hallux Limitus J Am Podiatr Med Assoc, September 1, 2007; 97(5): 420 - 423. [Abstract] [Full Text] [PDF]