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Hallux valgus • Also known as a bunion • One of the most common forefoot deformities • Lateral deviation of the great toe and medial deviation of the the first metatarsal • Progressive subluxation of the first metatarsophalangeal (MTP) joint • Static deformity

Hallux valgus PATHOPHYSIOLOGY Intrinsic Extrinsic • genetic predisposition • 70% of patients with hallux valgus have family history • ligamentous laxity (1st tarsometatarsal joint instability) • convex metatarsal head • 2nd toe deformity/amputation • pes planus • rheumatoid arthritis • cerebral palsy • shoes with high heel and narrow toe box

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