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Lateral Intermetatarsal Angle: A Useful Measurement of Metatarsus Primus Elevatus?

Alan Bryant Private practice, 36 Outram St, West Perth, Western Australia 6005, Australia.

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 BSc(Pod), MSc(Pod)
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Belinda Mahoney Submitted during final year, Department of Podiatry, School of Physiotherapy, Curtin University of Technology, Shenton Park, Western Australia, Australia.

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Paul Tinley Head, Department of Podiatry, School of Physiotherapy, Curtin University of Technology, Shenton Park, Australia.

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 BSc(Hons), PhD

The lateral intermetatarsal angle, a measurement of the sagittal plane angular divergence between the dorsal cortices of the first and second metatarsals of lateral weightbearing foot radiographs, was compared in 30 normal and 30 hallux limitus feet. The results suggest that the angle may be measured reliably and that although the measured angles are relatively small, a significant difference exists between the normal and hallux limitus subjects studied. Accordingly, the lateral intermetatarsal angle may prove to be a useful radiographic measurement to assist the podiatric physician in the clinical assessment of hallux limitus. (J Am Podiatr Med Assoc 91(5): 251-254, 2001)

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