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Review Question - QID 213941

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QID 213941 (Type "213941" in App Search)
What component of a hallux valgus deformity is most difficult to correct with a distal first metatarsal Chevron osteotomy

Hallux valgus angle = 25°

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First metatarsal pronation = 15°

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Intermetatarsal angle = 12°

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Distal metatarsal articular angle = 10°

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Mann reviewed disorders of the first metatarsophalangeal joint. The author stated as arthrosis progresses in hallux rigidus, a dorsal osteophyte forms on the metatarsal head that leads to impingement of the proximal phalanx with dorsiflexion. The author recommended dorsal osteophyte excision in early stages and arthrodesis in advanced stages.

Wagner and Wagner reviewed the importance of rotational deformity correction in hallux valgus correction. The authors emphasized the importance of recognizing the presence of rotational deformity of the 1st ray during hallux valgus correction surgery. The authors stated proximal metatarsal osteotomies and Lapidus procedures can reliably correct rotational deformity in hallux valgus surgery.

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