Ankle 27
HALLUX VALGUS
FEATURES TO LOOK FOR • Hallux Valgus Angle & Intermetatarsal Angle • 1st Metatarsal rotation (lateralised sesamoid on xray or measure on CT) • Sesamoid subluxation
• Metatarsal adduction • Cartilage damage
HALLUX RIGIDUS
Hallux rigidus is a unique condition and not simply a type of osteoarthritis.
It generally occurs in middle aged runners, or other sports that involve chronic hyperextension.
Most likely it is a chronic overuse injury related to hyperextension. The imaging features are: • an irregular narrowed joint on the frontal radiograph and •
a large dorsal osteophyte visible on the lateral.
Excision of the osteophytes can improve symptoms.