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Review Question - QID 552

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QID 552 (Type "552" in App Search)
A 55-year-old female attorney complains of progressive pain and deformity of the great toe. The pain is localized to a prominence of the medial metatarsal head. A clinical image is provided in figure A. Which of the following best describes the hallux deformity?
  • A

Valgus and supination

11%

383/3563

Valgus and pronation

84%

3001/3563

Valgus and hyperextension

3%

109/3563

Varus and supination

0%

16/3563

Varus and pronation

1%

40/3563

  • A

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Bunions are a common deformity of the great toe that is most prevalent in the aging female cohort. The etiology is multi-factorial including genetic predisposition and chronic exposure to narrow toe box shoes. The static soft tissue constraints attenuate medially and contract laterally, and the plantar dynamic flexors deviate laterally pulling the great toe into valgus and pronation. Illustration A is an example of this deformity. Coughlin summarizes the evaluation, diagnosis, and treatment of hallux valgus.

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