Daw SW: An unusual type of hallux valgus (two cases). Br Med J 2: 580, 1935.
Sorto LA Jr, Balding MG, Weil LS, et al: Hallux abductus interphalangeus: etiology, X-ray evaluation and treatment. JAPMA 82: 85, 1992.
Fitzgerald JAW: A review of long-term results of arthrodesis of the first metatarsophalangeal joint. J Bone Joint Surg 51B: 488, 1969.
Shimizu A, Watanabe S, Kamada K, et al: Hallux valgus interphalangeus following osteochondral fracture of the proximal phalanx: a case report. Foot Ankle Int 26: 994, 2005.
Parker L, Mangwani J, Wakeling E, et al: Hallux valgus interphalangeus and a novel mutation in HOXA13. Part of the broadening spectrum of Hand-Foot-Genital syndrome. Foot Ankle Surg 17: e28, 2011.
Boffeli TJ, Bean JK, Natwick JR: Biomechanical abnormalities and ulcers of the great toe in patients with diabetes. J Foot Ankle Surg 41: 359, 2002.
Montagne J, Chevrot A, Galmiche JM : Atlas de Radiología del Pie. Barcelona, Masson, 1984.
Palladino, SJ: “Preoperative Evaluation of the Bunion Patient: Etiology, Biomechanics, Clinical and Radiographic Assessment,” in Textbook of Bunion Surgery, 2nd Ed, edited by J Gerbert, p 1, Futura Publishing Company, New York, 1991.
Valero J: Biomecánica y Patomecánica del Primer Radio (Apuntes I). Rev Esp Podol 3: 155, 1992.
Bryant A, Tinley P, Singer K: A comparison of radiographic measurements in normal, hallux valgus, and hallux limitus feet. J Foot Ankle Surg 39: 39, 2000.
Coughlin MJ, Shurnas PS: Hallux rigidus: demographics, etiology, and radiographic assessment. Foot Ankle Int 24: 731, 2003.
Duke H, Newman LM, Bruskoff BL, et al: Hallux abductus interphalangeus and its relationship to hallux abducto valgus. JAPMA 72: 625, 1982.
Heden RI, Sorto LA: The Buckle Point and the Metatarsal Protrusion's Relatioship to Hallux Valgus. JAPMA 71: 200, 1981.
Menz HB, Munteanu SE: Radiographic validation of the manchester scale for the classification of hallux valgus deformity. Rheumatol 44: 1061, 2005.
Lelièvre J, Lelièvre JF : Patología del Pie, 4th Ed, Toray-Masson, Barcelona, Masson, 1982.
Soames RW: “Sistema Esquelético,” in Anatomía de Gray, 38th Ed, Vol I, edited by PL Williams, LH Bannister, MM Berry, et al, p 425, Ediciones Harcourt, Madrid, 1998.
Tachdjian MO: The Child's Foot, WB Saunders Company, Philadelphia, 1985.
Coughlin MJ, Saltzman CL, Nunley JA: Angular measurements in the evaluation of hallux valgus deformities: A report on the Ad Hoc Committee of the American Orthopaedic Foot and Ankle Society on Angular Measurements. Foot Ankle Int 23: 68, 2002.
Kelikian H: Hallux Valgus, Allied Deformities of the Forefoot and Metatarsalgia, Philadelphia, WB Saunders, 1965.
Munuera PV, Domínguez G, Castillo JM: Radiographic study about the size of the first metatarso-digital segment in feet with incipient hallux limitus. JAPMA 97: 460, 2007.
Munuera PV, Domínguez G, Lafuente G: Length of the sesamoids and their distance from the metatarsophalangeal joint space in feet with incipient hallux limitus. JAPMA 98: 123, 2008.
Munuera PV, Domínguez G, Polo J, et al: The medial deviation of the first metatarsal in the incipient hallux valgus deformity. Foot Ankle Int 27: 1030, 2006.
Piqué C, Maled I, Arabi J, et al: Radiographic angles in hallux valgus: differences between measurements made manually and with a computerized program. Foot Ankle Int 27: 175, 2006.
Buell T, Green DR, Risser J: Measurement of the first metatarsophalangeal joint range of motion. JAPMA 78: 439, 1988.
Barnett CH: The normal orientation of the human hallux and the effect of footwear. J Anat Lond 96: 489, 1962.
Barnett CH: Valgus deviation of the distal phalanx of the great toe. J Anat 96: 171, 1962.
Munuera PV, Polo J, Rebollo J: Length of the first metatarsal and hallux in hallux valgus in initial stage. Int Orthop 32: 489, 2008.
Brahm SM: Shape of the first metatarsal head in hallux rigidus and hallux valgus. JAPMA 78: 300, 1988.
Munuera PV, Domínguez G, Castillo JM, et al: La forma de la cabeza del primer metatarsiano en el hallux limitus y el hallux abductus valgus. Rev Esp Podol 18: 65, 2007.
Excessive deviation of the distal phalanx in abduction frequently occurs in advanced stages of hallux rigidus but not in hallux valgus. Therefore, theoretically there should be no significant differences in the hallux interphalangeal angle (HIPA) between individuals with normal feet, those with hallux valgus, and those with mild hallux limitus. The objective of the present study was thus to determine if significant differences in HIPA exist in the early stages of hallux valgus or hallux limitus deformities.
The hallux interphalangeal angle was measured in three groups of participants: a control group with normal feet (45 participants), a hallux valgus group (49 participants), and a hallux limitus group (48 participants). Both of the pathologies were at an early stage. A dorsoplantar radiograph under weightbearing conditions was taken for each individual, and measurements (HIPA and hallux abductus angle [HAA]) were taken using AutoCAD (Autodesk Inc, San Rafael, California) software. Intergroup comparisons of HIPA, and correlations between HIPA, HAA, and hallux dorsiflexion were calculated.
The comparisons revealed no significant differences in the values of HIPA between any of the groups (15.2 ± 5.9 degrees in the control group, 15.5 ± 3.9 degrees in the hallux valgus group, and 16.15 ± 4.3 in the hallux limitus group; P = 0.634). The Pearson correlation coefficients in particular showed no correlation between hallux dorsiflexion, HAA, and HIPA.
For the study participants, there were similar deviations of the distal phalanx of the hallux with respect to the proximal phalanx in normal feet and in feet with the early stages of the hallux limitus and hallux valgus deformities.