Abstract
Hallux valgus is a common disorder characterized by a medial deviation of the 1st
metatarsal, eventually leading to subluxation and pain of the 1st metatarsophalangeal
joint. This can inhibit sports activity. Despite being a common forefoot pathology,
debate exists regarding the appropriate surgical approach in the athletic population.
Paucity in literature exists with reporting of outcomes of 1st metatarsal procedures
leading to best outcomes. This review was able to identify 5 studies of surgical correction
of hallux valgus in athletes published to date. The aim is to guide the physician
in treating athletes with hallux valgus deformity. Currently, the literature supports
distal 1st metatarsal osteotomy (Chevron) with a return to activity of approximately
3 months for mild to moderate deformity, and the Ludloff osteotomy for moderate to
severe deformity at a slightly slower time frame of return to sports. At best, the
Lapidus procedure allows approximately 80% of patients to return to activity. Studies
need to document activity level and return to sport in order to help guide treatment.
Level of Clinical Evidence
Keywords
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References
- McGlamary's Comprehensive Textbook of Foot and Ankle Surgery.3rd ed. Lippincott Williams & Wilkins, 2001: 481-491
Baxter DE. Orthop Clin North Am 1994;25(1):33–39.
Mann R. Bunion deformity in the elite athlete. In: Porter DA, Schon LC, eds. Baxter's The Foot and Ankle in Sports. 2nd ed, Mosby Elsevier Wilkins, Philadelphia, PA, 1994:435–443.
- Return to athletic activities after foot and ankle surgery: a preliminary report on select procedures.J Foot Ankle Surg. 2000; 39: 114-119
- Bunionectomies and related surgery in the elite female middle-distance and marathon runner.Am J Sports Med. 1985; 14: 491-493
- Modified Chevron osteotomy for hallux valgus deformity in female athletes. A 2-year follow-up study.J Foot Ankle Surg. 2016; 22: 181-185
- Return to sports after the modified Lapidus procedure for hallux valgus in young patients.Foot Ankle Int. 2016; 37: 378-385
- Critical evaluation of the modified Lapidus procedure.J Foot Ankle Surg. 2001; 40: 71-90
- The Ludloff osteotomy: a critical analysis.J Foot Ankle Surg. 1997; 36: 100-105
- Medial locking plate versus screw fixation of the Ludloff osteotomy.J Foot Ankle Surg. 2013; 52: 153-157
Article info
Publication history
Published online: November 15, 2018
Received:
September 28,
2017
Footnotes
Financial Disclosure: None reported.
Conflict of Interest: None reported.
Identification
Copyright
© 2018 by the American College of Foot and Ankle Surgeons. All rights reserved.
