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Contractures of the metatarsophalangeal joint of the hallux

MedGen UID:
869538
•Concept ID:
C4023966
•
Anatomical Abnormality
HPO: HP:0010215

Definition

The joint between the first metatarsal and the proximal phalanx of the first (big) toe cannot be straightened actively or passively. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVContractures of the metatarsophalangeal joint of the hallux

Professional guidelines

PubMed

Treatment of Dynamic Claw Toe Deformity Through Lengthening of the Flexor Tendons of the Hallux and Toes at the Midfoot Level.
Mansur H, Lucas PPA, Maranho DA
Foot Ankle Spec 2024 Feb;17(1_suppl):6S-12S. Epub 2023 Dec 20 doi: 10.1177/19386400231218338. PMID: 38124260
Continuous passive motion as an alternative treatment for iatrogenic hallux limitus.
Connor JC, Berk DM
J Foot Ankle Surg 1994 Mar-Apr;33(2):177-9. PMID: 8019541

Recent clinical studies

Etiology

Minimally invasive Dorsal cheilectomy and Hallux metatarsophalangeal joint arthroscopy for the treatment of Hallux Rigidus.
Gauthier C, Lewis T, O'Keefe J, Bakaes Y, Vignaraja V, Jackson JB 3rd, Franklin S, Kaplan J, Ray R, Gonzalez T
Foot Ankle Surg 2024 Jul;30(5):400-405. Epub 2024 Feb 28 doi: 10.1016/j.fas.2024.02.011. PMID: 38458913
Retro-Malleolar Z-Plasty of Flexor Hallucis Longus Tendon in Post-Traumatic Checkrein Deformity: A Case Series and Literature Review.
Polichetti C, Greco T, Inverso M, Maccauro G, Forconi F, Perisano C
Medicina (Kaunas) 2022 Aug 10;58(8) doi: 10.3390/medicina58081072. PMID: 36013539Free PMC Article
Modified Lindgren-Turan Osteotomy for Hallux Valgus Deformity - a Review of 60 Cases.
Kilinc BE, Oc Y, Erturer RE
Acta Chir Orthop Traumatol Cech 2018;85(5):325-330. PMID: 30383528
Distal soft tissue procedure in hallux valgus surgery: biomechanical background and technique.
Schneider W
Int Orthop 2013 Sep;37(9):1669-75. Epub 2013 Jul 3 doi: 10.1007/s00264-013-1959-5. PMID: 23820756Free PMC Article
Hallux rigidus: demographics, etiology, and radiographic assessment.
Coughlin MJ, Shurnas PS
Foot Ankle Int 2003 Oct;24(10):731-43. doi: 10.1177/107110070302401002. PMID: 14587987

Diagnosis

Retro-Malleolar Z-Plasty of Flexor Hallucis Longus Tendon in Post-Traumatic Checkrein Deformity: A Case Series and Literature Review.
Polichetti C, Greco T, Inverso M, Maccauro G, Forconi F, Perisano C
Medicina (Kaunas) 2022 Aug 10;58(8) doi: 10.3390/medicina58081072. PMID: 36013539Free PMC Article
Lesser Metatarsophalangeal Plantar Plate Repair.
Hyer CF, Consul D, McAlister JE, Cottom JM
Clin Podiatr Med Surg 2022 Apr;39(2):167-185. doi: 10.1016/j.cpm.2021.11.008. PMID: 35365322
Distal soft tissue procedure in hallux valgus surgery: biomechanical background and technique.
Schneider W
Int Orthop 2013 Sep;37(9):1669-75. Epub 2013 Jul 3 doi: 10.1007/s00264-013-1959-5. PMID: 23820756Free PMC Article
Hallux rigidus: demographics, etiology, and radiographic assessment.
Coughlin MJ, Shurnas PS
Foot Ankle Int 2003 Oct;24(10):731-43. doi: 10.1177/107110070302401002. PMID: 14587987
Hallux limitus and hallux rigidus. Clinical examination, radiographic findings, and natural history.
Camasta CA
Clin Podiatr Med Surg 1996 Jul;13(3):423-48. PMID: 8829034

Therapy

Dynamic splinting for postoperative hallux limitus: a randomized, controlled trial.
John MM, Kalish S, Perns SV, Willis FB
J Am Podiatr Med Assoc 2011 Jul-Aug;101(4):285-8. doi: 10.7547/1010285. PMID: 21816996
Continuous passive motion as an alternative treatment for iatrogenic hallux limitus.
Connor JC, Berk DM
J Foot Ankle Surg 1994 Mar-Apr;33(2):177-9. PMID: 8019541

Prognosis

Dynamic splinting for postoperative hallux limitus: a randomized, controlled trial.
John MM, Kalish S, Perns SV, Willis FB
J Am Podiatr Med Assoc 2011 Jul-Aug;101(4):285-8. doi: 10.7547/1010285. PMID: 21816996
Hallux rigidus: demographics, etiology, and radiographic assessment.
Coughlin MJ, Shurnas PS
Foot Ankle Int 2003 Oct;24(10):731-43. doi: 10.1177/107110070302401002. PMID: 14587987
Soft-tissue arthroplasty for hallux rigidus.
Coughlin MJ, Shurnas PJ
Foot Ankle Int 2003 Sep;24(9):661-72. doi: 10.1177/107110070302400902. PMID: 14524514
Function after correction of a clawed great toe by a modified Robert Jones transfer.
Breusch SJ, Wenz W, Döderlein L
J Bone Joint Surg Br 2000 Mar;82(2):250-4. PMID: 10755436
Hallux valgus and hallux flexus associated with cerebral palsy: analysis and treatment.
Goldner JL
Clin Orthop Relat Res 1981 Jun;(157):98-104. PMID: 7249469

Clinical prediction guides

Minimally invasive Dorsal cheilectomy and Hallux metatarsophalangeal joint arthroscopy for the treatment of Hallux Rigidus.
Gauthier C, Lewis T, O'Keefe J, Bakaes Y, Vignaraja V, Jackson JB 3rd, Franklin S, Kaplan J, Ray R, Gonzalez T
Foot Ankle Surg 2024 Jul;30(5):400-405. Epub 2024 Feb 28 doi: 10.1016/j.fas.2024.02.011. PMID: 38458913
Retro-Malleolar Z-Plasty of Flexor Hallucis Longus Tendon in Post-Traumatic Checkrein Deformity: A Case Series and Literature Review.
Polichetti C, Greco T, Inverso M, Maccauro G, Forconi F, Perisano C
Medicina (Kaunas) 2022 Aug 10;58(8) doi: 10.3390/medicina58081072. PMID: 36013539Free PMC Article
Modified Lindgren-Turan Osteotomy for Hallux Valgus Deformity - a Review of 60 Cases.
Kilinc BE, Oc Y, Erturer RE
Acta Chir Orthop Traumatol Cech 2018;85(5):325-330. PMID: 30383528
Z-plasty of the flexor hallucis longus tendon at tarsal tunnel for checkrein deformity.
Lee JH, Kim YJ, Baek JH, Kim DH
J Orthop Surg (Hong Kong) 2016 Dec;24(3):354-357. doi: 10.1177/1602400316. PMID: 28031505
Hallux limitus and hallux rigidus. Clinical examination, radiographic findings, and natural history.
Camasta CA
Clin Podiatr Med Surg 1996 Jul;13(3):423-48. PMID: 8829034

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