Current Concepts Review: Hallux Rigidus. Issue 2 (7th June 2018)

• Record Type: Journal Article
• Authors: Anderson, Michael R.; Ho, Bryant S.; Baumhauer, Judith F.
• Is Part Of: Foot & ankle orthopaedics. Volume 3:Issue 2(2018)
• Publication Date: 2018-06-07
• Subjects: forefoot disorders -- hallux rigidus; Foot -- Surgery -- Periodicals; Ankle -- Surgery -- Periodicals; Orthopedics -- Periodicals; 617.584
• DOI: 10.1177/2473011418764461
• Languages: English
• ISSNs: 2473-0114

Abstract

Arthritis of the first metatarsophalangeal (MTP) joint, hallux rigid, is a common and disabling source of foot pain in the adult population. Hallux rigidus is characterized by diseased cartilage and large, periarticular osteophytes that result in a stiff, painful joint. Activity modification, sensible shoes, orthotics, anti-inflammatory medications and occasional intra-articular steroid injections can be attempted to alleviate the discomfort associated with hallux rigidus. A number of surgical options exist for the treatment of recalcitrant hallux rigidus. Cheilectomy is a useful treatment for dorsal impingement pain seen in mild hallux rigidus. A new polyvinyl alcohol hemi-arthroplasty implant has shown promising early and midterm results in the treatment of advanced hallux rigidus; however, arthrodesis of the first MTP joint remains the gold standard treatment for advanced hallux rigidus because of unpredictable outcomes after early-generation joint replacement implants.