Root M, Orien W, Weed J: “Forefoot Deformity Caused by Abnormal Subtalar Joint Pronation,” in Normal and Abnormal Function of the Foot, Vol 2, p 349, Clinical Biomechanics Corp, Los Angeles. ,1977. .
Grady JF, Axe TM, Zager EJ, et al: A retrospective analysis of 772 patients with hallux limitus. .JAPMA 92::102. ,2002. .
Saxena A: The Valenti procedure for hallux limitus/ rigidus. .J Foot Ankle Surg 34::485. ,1995. .
Evans RDL, Averett R, Sanders S: The association of hallux limitus with the accessory navicular. .JAPMA 92::359. ,2002. .
Camasta CA: Hallux limitus and hallux rigidus: clinical examination, radiographic findings, natural history. .Clin Podiatr Med Surg 13::423. ,1996. .
Meyer JO, Nishon LR, Weiss L, et al: Metatarsus primus elevatus and etiology of hallux rigidus. .J Foot Surg 26::237. ,1987. .
Roukis TS, Scherer PR, Anderson CF: Position of the first ray and motion of the first metatarsophalangeal joint. .JAPMA 86::538. ,1996. .
Roukis TS: Metatarsus primus elevatus in hallux rigidus: fact or fiction?. JAPMA 95::221. ,2005. .
Drago JL, Oloff L, Jacobs AM: A comprehensive review of hallux limitus. .J Foot Surg 23::213. ,1984. .
Gerbert J: “Hallux Limitus/Hallux Rigidus,” in Textbook of Bunion Surgery, 3rd Ed, ed by J Gerbert, p 371, WB Saunders, Philadelphia. ,2001. .
Gerbert J, Moadab A, Rupley KF: Youngswick-Austin procedure: the effect of plantar arm orientation on metatarsal head displacement. .J Foot Ankle Surg 40::8. ,2001. .
Kilmartin TE: Phalangeal osteotomy versus first metatarsal decompression osteotomy for the surgical treatment of hallux rigidus: a prospective study of age-matched and condition-matched patients. .J Foot Ankle Surg 44::2. ,2005. .
Roukis TS, Jacobs M, Dawson DM: A prospective comparison of clinical, radiographic, and intraoperative features of hallux rigidus: short-term follow-up and analysis. .J Foot Ankle Surg 41::158. ,2002. .
Multiple surgical procedures have been described for the correction of hallux limitus deformity. We describe a new modification of the Youngswick procedure for the surgical treatment of hallux limitus. Other procedures for hallux limitus correction are also discussed. This modified Youngswick procedure will provide a new approach to treating hallux limitus secondary to metatarsus primus elevatus when shortening of the first metatarsal is not indicated. (J Am Podiatr Med Assoc 97(5): 420–423, 2007)