{"id":3365,"date":"2014-03-07T08:49:56","date_gmt":"2014-03-07T08:49:56","guid":{"rendered":"http:\/\/old.institutcataladelpeu.com\/en\/?p=3365"},"modified":"2016-10-24T07:29:04","modified_gmt":"2016-10-24T07:29:04","slug":"hallux-valgus-the-most-frequent-structural-alteration-of-the-first-radius","status":"publish","type":"post","link":"https:\/\/old.institutcataladelpeu.com\/en\/hallux-valgus-the-most-frequent-structural-alteration-of-the-first-radius\/","title":{"rendered":"Hallux valgus: the most frequent structural alteration of the first radius"},"content":{"rendered":"<div style=\"text-align: justify;\"><img  title=\"Hallux valgus: the most frequent structural alteration of the first radius\" loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-519\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/hallux-valgus-foto-articulo0-185x185.jpg\"  alt=\"Hallux valgus: the most frequent structural alteration of the first radius\"  width=\"185\" height=\"185\" \/><em>Hallux abductus valgus<\/em> is a deformity affecting the metatarsophalangeal joint of the first radius of the foot as well as the sesamoids and first toe. It is characterized by the deviation of the first toe medial axis relative to the body and by rotation of the valgus. This causes a dislocation of the metatarsophalangeal joint, affecting ligaments, joint capsule, sesamoids and muscles. In severe cases there is metatarsal rotation, displacement of the glenosesamoid bun and some tendons. The abductor tendon takes the form of an arch, the extensor moves forming a bowstring and the tendon of the long and short flexor are also redistributed.<\/p>\n<p>We call <em>bunion<\/em> the bony prominence or enlargement of the metatarsophalangeal joint of the first radius (due to inflammation, arthritis, bursitis, etc.). <strong>The causes<\/strong> can be hereditary or acquired. As far as heredity cause is concerned, we think that the morphology of the foot is inherited (the hallux valgus is autosomal dominant). It presents itself as a juvenile or morphological hallux valgus. The juvenile hallux valgus, as the name suggests, appears at an early age while morphological inheritance of bone will favour the appearance of hallux valgus. Bone morphology plays an important role in the length of the first toe, the first cuneiform and the shape of the metatarsal head.<\/p>\n<p>The acquired causes depend on several factors:<\/p>\n<ul>\n<li>Social factors: the use of tight-fitting pointed shoes or high heels.<\/li>\n<li>Biomechanic factores such as forefoot pronation in flat feet, club foot, dynamic abductors or abductors, hypermobile first radio, etc.<\/li>\n<li>Traumatic factors: history of sprains and fractures. Rheumatoid factors: due to inflammatory joints.<\/li>\n<li>Amputations: lack of middle toes can deform the adjacent toes.<\/li>\n<li>Hormonal factors: the increase in relaxin during pregnancy may favour the development of hallux.<\/li>\n<li>Cysts: synovial cysts weaken the joint capsule.<\/li>\n<\/ul>\n<p>There are several causes of <strong>juvenile hallux valgus<\/strong>, some of which are hereditary, biomechanical and others (cerebral palsy, neurological disorders, intrinsic muscle imbalance, etc.). <strong>The treatment<\/strong> of hallux valgus can be conservative or surgical depending entirely on the case. The use of conservative treatment is recommended in patients who do not have frequent pain or pain of a certain intensity except for cases where the hallux valgus is closely associated with severe arthritis, metatarsalgia or biomechanical alterations of the knee and hip. Surgery for esthetic treatment should be avoided. Conservative treatment, with physiotherapy and <a href=\"http:\/\/www.metodopilardominguez.com\/correccionposturalymecanicacorporal\/55\/9\/juanetesysoportesplantares.html \" target=\"blank\">&#8220;orthotic&#8221; stabilisers<\/a>, prevents the increase of hallux valgus.<\/p>\n<p>The use of surgery as a treatment of choice is essential when the discomfort caused by hallux valgus is frequent or incapacitates one from walking. It is very important to have the most appropriate surgical technique for each case. We should note that there are over a hundred hallux valgus surgical techniques, so it is imperative to evaluate such basic parameters as the mobility of the first radius, the biomechanical examination and radiological assessment.<\/p>\n<div id=\"attachment_521\" style=\"width: 1034px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/hallux-valgus-1.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-521\" class=\"size-full wp-image-521 \"  title=\"Hallux valgus: the most frequent structural alteration of the first radius\"  src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/hallux-valgus-1.jpg\"  alt=\"Hallux valgus: the most frequent structural alteration of the first radius\"  width=\"1024\" height=\"768\" \/><\/a><p id=\"caption-attachment-521\" class=\"wp-caption-text\">Hallux valgus. Side view.<\/p><\/div>\n<div id=\"attachment_522\" style=\"width: 1034px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/hallux-valgus-2.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-522\" class=\"size-full wp-image-522 \"  title=\"Hallux valgus: the most frequent structural alteration of the first radius\"  src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/hallux-valgus-2.jpg\"  alt=\"Hallux valgus: the most frequent structural alteration of the first radius\"  width=\"1024\" height=\"1285\" \/><\/a><p id=\"caption-attachment-522\" class=\"wp-caption-text\">Radiological view of hallux valgus.<\/p><\/div>\n<div id=\"attachment_523\" style=\"width: 1034px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/hallux-valgus-3.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-523\" class=\"size-full wp-image-523 \"  title=\"Hallux valgus: the most frequent structural alteration of the first radius\"  src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/hallux-valgus-3.jpg\"  alt=\"Hallux valgus: the most frequent structural alteration of the first radius\"  width=\"1024\" height=\"768\" \/><\/a><p id=\"caption-attachment-523\" class=\"wp-caption-text\">Hallux valgus with rotation of the first toe.<\/p><\/div>\n<div id=\"attachment_524\" style=\"width: 1034px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/hallux-valgus-4.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-524\" class=\"size-full wp-image-524 \"  title=\"Hallux valgus: the most frequent structural alteration of the first radius\"  src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/hallux-valgus-4.jpg\"  alt=\"Hallux valgus: the most frequent structural alteration of the first radius\"  width=\"1024\" height=\"768\" \/><\/a><p id=\"caption-attachment-524\" class=\"wp-caption-text\">Hallux valgus with second toe supraductus.<\/p><\/div>\n<div id=\"attachment_525\" style=\"width: 1034px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/hallux-valgus-5.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-525\" class=\"size-full wp-image-525 \"  title=\"Hallux valgus: the most frequent structural alteration of the first radius\"  src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/hallux-valgus-5.jpg\"  alt=\"Hallux valgus: the most frequent structural alteration of the first radius\"  width=\"1024\" height=\"1365\" \/><\/a><p id=\"caption-attachment-525\" class=\"wp-caption-text\">Hallux valgus with second and third toes supraductus.<\/p><\/div>\n<div id=\"attachment_526\" style=\"width: 1034px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/hallux-valgus-6.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-526\" class=\"size-full wp-image-526 \"  title=\"Hallux valgus: the most frequent structural alteration of the first radius\"  src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/hallux-valgus-6.jpg\"  alt=\"Hallux valgus: the most frequent structural alteration of the first radius\"  width=\"1024\" height=\"768\" \/><\/a><p id=\"caption-attachment-526\" class=\"wp-caption-text\">Hallux valgus with second and third toes supraductus.<\/p><\/div>\n<div id=\"attachment_527\" style=\"width: 1034px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/hallux-valgus-7.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-527\" class=\"size-full wp-image-527 \"  title=\"Hallux valgus: the most frequent structural alteration of the first radius\"  src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/hallux-valgus-7.jpg\"  alt=\"Hallux valgus: the most frequent structural alteration of the first radius\"  width=\"1024\" height=\"1365\" \/><\/a><p id=\"caption-attachment-527\" class=\"wp-caption-text\">Hallux valgus with first toe supraductus. Side view.<\/p><\/div>\n<div id=\"attachment_528\" style=\"width: 1034px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/hallux-valgus-8.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-528\" class=\"size-full wp-image-528 \"  title=\"Hallux valgus: the most frequent structural alteration of the first radius\"  src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/hallux-valgus-8.jpg\"  alt=\"Hallux valgus: the most frequent structural alteration of the first radius\"  width=\"1024\" height=\"1365\" \/><\/a><p id=\"caption-attachment-528\" class=\"wp-caption-text\">Hallux valgus with first toe supraductus. Sole view.<\/p><\/div>\n<div id=\"attachment_529\" style=\"width: 1034px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/hallux-valgus-9.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-529\" class=\"size-full wp-image-529 \"  title=\"Hallux valgus: the most frequent structural alteration of the first radius\"  src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/hallux-valgus-9.jpg\"  alt=\"Hallux valgus: the most frequent structural alteration of the first radius\"  width=\"1024\" height=\"768\" \/><\/a><p id=\"caption-attachment-529\" class=\"wp-caption-text\">Hallux valgus with hammertoes.<\/p><\/div>\n<div id=\"attachment_530\" style=\"width: 1034px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/hallux-valgus-a-planta.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-530\" class=\"size-full wp-image-530 \"  title=\"Hallux valgus: the most frequent structural alteration of the first radius\"  src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/hallux-valgus-a-planta.jpg\"  alt=\"Hallux valgus: the most frequent structural alteration of the first radius\"  width=\"1024\" height=\"1365\" \/><\/a><p id=\"caption-attachment-530\" class=\"wp-caption-text\">Hallux valgus with clinodactyly. Sole view.<\/p><\/div>\n<div id=\"attachment_531\" style=\"width: 1034px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/hallux-valgus-b-juvenil.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-531\" class=\"size-full wp-image-531 \"  title=\"Hallux valgus: the most frequent structural alteration of the first radius\"  src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/hallux-valgus-b-juvenil.jpg\"  alt=\"Hallux valgus: the most frequent structural alteration of the first radius\"  width=\"1024\" height=\"681\" \/><\/a><p id=\"caption-attachment-531\" class=\"wp-caption-text\">Juvenile hallux valgus.<\/p><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Hallux abductus valgus is a deformity affecting the metatarsophalangeal joint of the first radius of the foot as well as the sesamoids and first toe. It is characterized by the deviation of the first toe medial axis relative to the body and by rotation of the valgus. This causes a dislocation of the metatarsophalangeal joint, [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":4160,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[283,304],"tags":[],"class_list":["post-3365","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-articles-2","category-pathology"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Hallux valgus: the most frequent structural alteration of the first radius - Institut Catal\u00e0 del Peu<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Hallux valgus: the most frequent structural alteration of the first radius - Institut Catal\u00e0 del Peu\" \/>\n<meta property=\"og:description\" content=\"Hallux abductus valgus is a deformity affecting the metatarsophalangeal joint of the first radius of the foot as well as the sesamoids and first toe. It is characterized by the deviation of the first toe medial axis relative to the body and by rotation of the valgus. This causes a dislocation of the metatarsophalangeal joint, [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/old.institutcataladelpeu.com\/en\/hallux-valgus-the-most-frequent-structural-alteration-of-the-first-radius\/\" \/>\n<meta property=\"og:site_name\" content=\"Institut Catal\u00e0 del Peu\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/institutcataladelpeu\/\" \/>\n<meta property=\"article:published_time\" content=\"2014-03-07T08:49:56+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2016-10-24T07:29:04+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/hallux-valgus-7.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"810\" \/>\n\t<meta property=\"og:image:height\" content=\"1080\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Miguel \u00c1ngel Ba\u00f1os Bernad\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@ICPeu\" \/>\n<meta name=\"twitter:site\" content=\"@ICPeu\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Miguel \u00c1ngel Ba\u00f1os Bernad\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/hallux-valgus-the-most-frequent-structural-alteration-of-the-first-radius\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/hallux-valgus-the-most-frequent-structural-alteration-of-the-first-radius\\\/\"},\"author\":{\"name\":\"Miguel \u00c1ngel Ba\u00f1os Bernad\",\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/#\\\/schema\\\/person\\\/d2ccc8088f9445f3e2758c2a60caf354\"},\"headline\":\"Hallux valgus: the most frequent structural alteration of the first radius\",\"datePublished\":\"2014-03-07T08:49:56+00:00\",\"dateModified\":\"2016-10-24T07:29:04+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/hallux-valgus-the-most-frequent-structural-alteration-of-the-first-radius\\\/\"},\"wordCount\":627,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/hallux-valgus-the-most-frequent-structural-alteration-of-the-first-radius\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/wp-content\\\/uploads\\\/2014\\\/03\\\/hallux-valgus-7.jpg\",\"articleSection\":[\"Articles\",\"Pathology\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/hallux-valgus-the-most-frequent-structural-alteration-of-the-first-radius\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/hallux-valgus-the-most-frequent-structural-alteration-of-the-first-radius\\\/\",\"url\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/hallux-valgus-the-most-frequent-structural-alteration-of-the-first-radius\\\/\",\"name\":\"Hallux valgus: the most frequent structural alteration of the first radius - 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Posseeix els t\u00edtols de M\u00e0ster i Postgrau en Cirurgia Podol\u00f2gica (UB), Postgrau en Biomec\u00e0nica (UB) i Llicenciatura en Antropologia. Condecorat amb la Gran Creu al M\u00e8rit Acad\u00e8mic atorgada per la AICT el 2011.\",\"url\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/author\\\/icp\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Hallux valgus: the most frequent structural alteration of the first radius - Institut Catal\u00e0 del Peu","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"en_US","og_type":"article","og_title":"Hallux valgus: the most frequent structural alteration of the first radius - Institut Catal\u00e0 del Peu","og_description":"Hallux abductus valgus is a deformity affecting the metatarsophalangeal joint of the first radius of the foot as well as the sesamoids and first toe. It is characterized by the deviation of the first toe medial axis relative to the body and by rotation of the valgus. 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