• 1

    Mann RA, Coughlin MJ: Hallux valgus: etiology, anatomy, treatment, and surgical considerations. .Clin Orthop 157::31. ,1981. .

  • 2

    Alvarez R, Haddad RJ, Gould N, et al: The simple bunion: anatomy at the metatarsophalangeal joint of the great toe. .Foot Ankle 4::229. ,1984. .

  • 3

    Hardy RH, Clapham JCR: Observations on hallux valgus based on a controlled series. .J Bone Joint Surg Br 33::376. ,1951. .

  • 4

    Piggott H: The natural history of hallux valgus in adolescence and early adult life. .J Bone Joint Surg Br 42::749. ,1960. .

  • 5

    Simmonds FA, Menelaus MB: Hallux valgus in adolescents. .J Bone Joint Surg Br 42::761. ,1960. .

  • 6

    Scranton PE: Principles in bunion surgery. .J Bone Joint Surg Am 65::1026. ,1983. .

  • 7

    LaPorta DM, Melillo TV, Hetherington VJ: “Preoperative Assessment in Hallux Valgus,” in Hallux Valgus and Forefoot Surgery, ed by VJ Hetherington, p 107, Churchill Livingstone, New York, 1994..

    • PubMed
    • Export Citation
  • 8

    Kenzora JE: A rationale for the surgical treatment of bunions. .Orthopedics 11::777. ,1988. .

  • 9

    Clough JG, Marshall HJ: The etiology of hallux abducto valgus: a review of the literature. .JAPMA 75::238. ,1985. .

  • 10

    Schoenhaus HD, Cohen RS: Etiology of the bunion. .J Foot Surg 31::25. ,1992. .

  • 11

    Root ML, Orien WP, Weed JH: Normal and Abnormal Function of the Foot, Clinical Biomechanics Corp, Los Angeles, 1977..

    • PubMed
    • Export Citation
  • 12

    Blomgren M, Turan I, Agadir M: Gait analysis in hallux valgus. .J Foot Surg 30::70. ,1991. .

  • 13

    Stokes IA, Hutton WC, Stott JR: Forces under the hallux valgus foot before and after surgery. .Clin Orthop 142::64. ,1979. .

  • 14

    Stokes IA, Hutton WC, Evans MJ: The effects of hallux valgus and Keller’s operation on the load-bearing function of the foot during walking. .Acta Orthop Belg 41::695. ,1975. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15

    Hutton WC, Dhanendran M: The mechanics of normal and hallux valgus feet: a quantitative study. .Clin Orthop 157::7. ,1981. .

  • 16

    Grieve DW, Rashdi T: Pressures under normal feet in standing and walking as measured by foil pedobarography. .Ann Rheum Dis 43::816. ,1984. .

  • 17

    Mitskewitch V: The pressure distribution in hallux valgus feet before and after surgery. .Eur J Phys Med Rehabil 2::4. ,1992. .

  • 18

    Henry AP, Waugh W, Wood H: The use of footprints in assessing the results of operations for hallux valgus: a comparison of Keller’s operation and arthrodesis. .J Bone Joint Surg Br 57::478. ,1975. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 19

    Shereff MJ: Pathophysiology, anatomy, and biomechanics of hallux valgus. .Orthopedics 13::939. ,1990. .

  • 20

    Mann RA: The great toe. .Orthop Clin North Am 20::519. ,1989. .

  • 21

    Norkin CC, White JD: Measurement of Joint Motion: A Guide to Goniometry, p 90, FA Davis, Philadelphia, 1985..

    • PubMed
    • Export Citation
  • 22

    McPoil TG, Cornwall MW: The relationship between static lower extremity measurements and rearfoot motion in walking. .J Orthop Sports Phys Ther 24::309. ,1996. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 23

    Meyers-Rice B, Sugars L, McPoil TG, et al: The evaluation of the one step versus two-step methods in comparison to full gait plantar pressure data collection. .EMED Newsletter 3::15. ,1992. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 24

    Bryant A, Tinley P, Singer K: Comparison of the reliability of plantar pressure measurements using the two-step and midgait methods of data collection. .Foot Ankle Int 20::646. ,1999. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 25

    Hennig EM, Rosenbaum D: Pressure distribution patterns under the feet of children in comparison with adults. .Foot Ankle 11::306. ,1991. .

  • 26

    Hennig EM, Staats A, Rosenbaum D: Plantar pressure distribution patterns of young children in comparison to adults. .Foot Ankle Int 15::35. ,1994. .

  • 27

    Hughes J, Clark P, Linge K, et al: A comparison of two studies of the pressure distribution under the feet of normal subjects using different equipment. .Foot Ankle 14::514. ,1993. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 28

    Kernozek TW, LaMott EE: Comparisons of plantar pressures between the elderly and young adults. .Gait Posture 3::14. ,1995. .

  • 29

    Yamamoto H, Muneta T, Asahina S, et al: Forefoot pressures during walking in feet afflicted with hallux valgus. .Clin Orthop 323::247. ,1996. .

  • 30

    Soames RW: Foot pressure patterns during gait. .J Biomed Eng 7::120. ,1985. .

Clinical and Biomechanical Risk Factors of Patients Diagnosed with Hallux Valgus

Thomas W. Kernozek Physical Therapy Department, Health Science Center, University of Wisconsin–La Crosse; Gundersen Lutheran Sports Medicine, La Crosse, WI.

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Abdulaziz Elfessi Mathematics Department, University of Wisconsin–La Crosse.

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Steven Sterriker Private practice, Waco, TX.

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The purpose of this study was to identify the clinical and plantar loading variables related to hallux valgus. Fifty-one healthy control subjects and 40 subjects with a diagnosis of moderate hallux valgus deformity of similar age and body weight were recruited for this study. Clinical measurements of pain, first metatarsophalangeal joint range of motion, and single-leg resting calcaneal stance position were obtained. Biomechanical measurements were obtained using a capacitive pressure platform. Plantar loading variables were calculated for seven regions of the plantar surface. A univariate analysis followed by a stepwise logistic regression was used to analyze the data. The results indicated that high values for pain, single-leg resting calcaneal stance position, hallux region peak pressure and force–time integral, and central forefoot region force–time integral increased the likelihood of hallux valgus. (J Am Podiatr Med Assoc 93(2): 97-103, 2003)

Corresponding author: Thomas W. Kernozek, PhD, Physical Therapy Department, Health Science Center, University of Wisconsin–La Crosse, 1300 Badger St, La Crosse, WI 54601.
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