Clinical Presentation and Management of Hallux Rigidus

Hallux rigidus is the most commonly occurring arthritic condition of the foot and is marked by pain, limited motion in the sagittal plane of the first metatarsophalangeal joint and varying degrees of functional impairment. In conjunction with clinical findings, radiographic grading helps guide thera...

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Bibliographic Details
Published inFoot and ankle clinics Vol. 20; no. 3; p. 391
Main Authors Hamid, Kamran S, Parekh, Selene G
Format Journal Article
LanguageEnglish
Published United States 01.09.2015
Subjects
Administration, Oral
Adrenal Cortex Hormones - administration & dosage
Aged
Arthroplasty - methods
Disease Management
Female
Hallux Rigidus - diagnostic imaging
Hallux Rigidus - therapy
Humans
Injections, Intra-Articular
Male
Middle Aged
Orthotic Devices
Pain Measurement
Prognosis
Radiography
Range of Motion, Articular - physiology
Risk Assessment
Severity of Illness Index
Treatment Outcome
Hallux rigidus
Metatarsophalangeal joint
Arthritis
Degenerative joint disease
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Summary:Hallux rigidus is the most commonly occurring arthritic condition of the foot and is marked by pain, limited motion in the sagittal plane of the first metatarsophalangeal joint and varying degrees of functional impairment. In conjunction with clinical findings, radiographic grading helps guide therapeutic choices. Nonsurgical management with anti-inflammatory medications, corticosteroid injections, or shoewear and activity modifications can be successful in appropriately selected patients. Patients with more severe disease or refractory to conservative management may benefit from surgical intervention. Operative options range from joint-preserving procedures (eg, cheilectomy with or without associated osteotomies) to joint-altering procedures (eg, arthroplasty or arthrodesis).
ISSN:1558-1934
DOI:10.1016/j.fcl.2015.04.002