| Titre : | Juvenile Hallux Valgus : Foot Ankle Deformity in the Child (2021) |
| Auteurs : | Susan T. Mahan ; Emily O. Cidambi |
| Type de document : | Article |
| Dans : | Foot and Ankle Clinics (Vol. 26, n° 4, December 2021) |
| Article en page(s) : | p. 807-828 |
| Note générale : | https://doi.org/10.1016/j.fcl.2021.07.008 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Adolescent ; Chirurgie générale ; Hallux valgus ; Imagerie diagnostique ; Oignon ; Osteotomie ; Radiographie |
| Résumé : |
•Etiology and treatment of hallux valgus is different for juvenile hallux valgus (JHV) than in adult-onset hallux valgus.
•Conservative treatment should be exhausted prior to procedural intervention for JHV and treatment should be for pain and not just deformity •Radiographically, the “typical” JHV deformity includes elevated distal metatarsal articular angle (DMAA), elevated intermetatarsal angle (IMA), higher metatarsal cuneiform angle (MCA) and an oblique medial cuneiform; variability from foot to foot is common. Incongruent metatarsophalangeal joint (MTPJ) is more common with increased severity of JHV. •Surgical treatment is highly variable, and many options exist with generally inconsistent results. Recurrence is likely. Lateral release should be considered when MTPJ incongruity is present. •Minimally invasive surgical options are tempting but unproven. •Treatment algorithm for JHV is presented. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S1083751521000887 |
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