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The Association of Hallux Limitus with the Accessory Navicular

R. D. Lee Evans Fellow, American College of Foot and Ankle Surgeons; private practice, 6001 Westown Pkwy, West Des Moines, IA 50266.

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Ryan Averett Submitted during third year, College of Podiatric Medicine and Surgery, Des Moines University–Osteopathic Medical Center, Des Moines, IA.

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Stephanie Sanders Submitted during third year, College of Podiatric Medicine and Surgery, Des Moines University–Osteopathic Medical Center, Des Moines, IA.

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Hallux limitus is one of the most prevalent, debilitating disorders of the first metatarsophalangeal joint, and it has many proposed etiologies. This article reviews these etiologies, focusing primarily on the pes planus foot. The pes planus foot type is often associated with symptomatic hallux limitus and the accessory navicular. This article discusses this correlation, although a causal relationship has not been proven. The prevalence and classification of the accessory navicular are also discussed. Clinical cases involving symptomatic hallux limitus occurring concomitantly with an accessory navicular are reviewed, including radiographic findings, symptoms, and surgical treatment. (J Am Podiatr Med Assoc 92(6): 359-365, 2002)