Durrant, MN and KK Siepert. :Role of soft tissue structures as an etiology of hallux limitus. .JAPMA 83::173. ,1993. .
Munuera, PV, G Domnguez, IC Palomo, et al. :Patomecánica y tratamiento de la insuficiencia del Músculo Peroneo Largo. .Rev Esp Podol 12::248. ,2001. .
Grady, JF, TM Axe, EJ Zager, et al. :A retrospective analysis of 772 patients with hallux limitus. .JAPMA 92::102. ,2002. .
Harradine, PD and LS Bevan. :The effect of rearfoot eversion on maximal hallux dorsiflexion: a preliminary study. .JAPMA 90::390. ,2000. .
Munuera, PV, G Domínguez, and JM Castillo. :Radiographic study about the size of the first metatarso-digital segment in feet with incipient hallux limitus. .JAPMA 97::460. ,2007. .
Camasta, CA . :“Role of the Sesamoid Apparatus in Hallux Limitus/Rigidus,”. inReconstructive Surgery of the Foot and Leg: Update ’95. , ed byCamasta, CA, NS Vickers, and SD Carter. , p196. ,The Podiatry Institute. ,Tucker, GA. ,1995. .
Lafuente, G, R González, and PV Munuera. :“El Hallux Limitus,”. inEl Primer Radio: Biomecánica y Ortopodología. , ed byMunuera, PV. , p193. ,Exa Editores. ,Santander, Spain. ,2009. .
Brahm, SM . :Shape of the first metatarsal head in hallux rigidus and hallux valgus. .JAPMA 78::300. ,1988. .
Coughlin, MJ and PS Shurnas. :Hallux rigidus: demographics, etiology, and radiographic assessment. .Foot Ankle Int 24::731. ,2003. .
Mann, RA, MJ Coughlin, and HL Duvries. :Hallux rigidus: a review of the literature and a method of treatment. .Clin Orthop 142::57. ,1979. .
Bingold, AC and DH Collins. :Hallux rigidus. .J Bone Joint Surg Br 32::214. ,1950. .
Ducroquet, R . :Marcha Normal y Patológica. ,Toray-Masson SA. ,Barcelona. ,1972. .
Giannestras, NJ . :“Hallux Valgus y Hallux Rigidus,”. inTrastornos del Pie. , ed byGiannestras, NJ. , p345. ,Salvat Editores SA. ,Barcelona. ,1979. .
Rzonca, E, S Levitz, and B Lue. :Hallux equinus: the stages of hallux limitus and hallux rigidus. .JAPA 74::390. ,1984. .
Staheli, LT, M Corbett, C Wyss, et al. :Lower-extremity rotational problems in children: normal values to guide management. .J Bone Joint Surg Am 67::39. ,1985. .
Seber, S, B Hazer, N Köse, et al. :Rotational profile of the lower extremity and foot progression angle: computerized tomographic examination of 50 male adults. .Arch Orthop Traum Surg 120::255. ,2000. .
Cibulka, MT . :Determination and significance of femoral neck anteversion. .Phys Ther 84::550. ,2004. .
Gelberman, RH, MS Cohen, BA Shaw, et al. :The association of femoral retroversion with slipped capital femoral epiphysis. .J Bone Joint Surg Am 68::1000. ,1986. .
Ito, K, MA Minka II, M Leunig, et al. :Femoroacetabular impingement and the cam-effect: a MRI-based quantitative anatomical study of the femoral head-neck offset. .J Bone Joint Surg Br 83::171. ,2001. .
Tonnis, D and A Heinecke. :Acetabular and femoral anteversion: relationship with osteoarthritis of the hip. .J Bone Joint Surg Am 81::1747. ,1999. .
Menz, HB and SE Munteanu. :Radiographic validation of the Manchester scale for the classification of hallux valgus deformity. .Rheumatology (Oxford) 44::1061. ,2005. .
Buell, T, DR Green, and J Risser. :Measurement of the first metatarsophalangeal joint range of motion. .JAPMA 78::439. ,1988. .
Dananberg, HJ, AJ Phillips, and HE Blaakman. :“A Rational Approach to the Nonsurgical Treatment of Hallux Limitus,”. inAdvances in Podiatric Medicine and Surgery. , Vol2:, ed byKominsky, SJ, TP Kalla, RM Jay, et al. , p67. ,Mosby-Year Book Inc. ,St Louis. ,1996. .
Lafuente, G, G Domínguez, PV Munuera, et al. :Patró n rotador de la extremidad inferior: concepto, valores normales y relació n con el ángulo de la marcha y con la movilidad del primer dedo. .Rev Esp Podol 16::6. ,2005. .
Lafuente, G . :Patró n rotador de la extremidad inferior: un nuevo parámetro exploratorio: Relació n con el hallux limitus [doctoral thesis]. ,Universidad de Sevilla. ,Sevilla. ,2006. .
Cohen, J . :Statistical Power Analysis for the Behavioural Sciences. ,Lawrence Erlbaum Associates. ,Hillsdale, NJ. ,1988. .
Dananberg, HJ . :Functional hallux limitus and its relationship to gait efficiency. .JAPMA 76::648. ,1986. .
Dananberg, HJ . :Gait style as an etiology to chronic postural pain: part II. Postural compensatory process. .JAPMA 83::615. ,1993. .
Crane, L . :Femoral torsion and its relation to toeing-in and toeing-out. .J Bone Joint Surg Am 41::421. ,1959. .
Matovinovic, D, B Nemec, G Gulan, et al. :Comparison in regression of femoral neck anteversion in children with normal, intoeing and outtoeing gait: prospective study. .Coll Anthropol 22::525. ,1998. .
Staheli, LT . :Medial femoral torsion. .Orthop Clin North Am 11::39. ,1980. .
Camasta, CA . :Hallux limitus and hallux rigidus: clinical examination, radiographic findings, and natural history. .Clin Podiatr Med Surg 13::423. ,1996. .
Jack, EA . :The aetiology of hallux rigidus. .Br J Surg 27::492. ,1940. .
Lambrinudi, C . :Metatarsus primus elevatus. .Proc Roy Soc Med 31::1273. ,1938. .
Lelièvre, J and JF Lelièvre. :Patología del Pie, ,4th Ed. ,Masson. ,Barcelona. ,1982. .
The aims of this study were to determine whether individuals with mild hallux limitus show a diminished capacity of internal rotation of the lower limb compared with those without hallux limitus and whether individuals with mild hallux limitus show an increased foot progression angle.
In 80 study participants (35 with normal feet and 45 with mild hallux limitus), the capacity of internal rotation of the lower limb (internal rotational pattern), hallux dorsiflexion, and the foot progression angle were measured. The values for internal rotational pattern and foot progression angle were compared between the two study groups, and the correlations between these variables were studied.
The capacity of internal rotation of the lower limb was significantly lesser in patients with mild hallux limitus (P < .0001). There was no significant difference in foot progression angle between the two groups (P = .115). The Spearman correlation coefficient was 0.638 (P < .0001) for the relationship between internal rotational pattern and hallux dorsiflexion.
Patients with mild hallux limitus had a lesser capacity of internal rotation of the lower extremity than did individuals in the control group. The more limited the internal rotational pattern of the lower limb, the more limited was hallux dorsiflexion. The foot progression angle was similar in both groups. (J Am Podiatr Med Assoc 101(6): 467–474, 2011)