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METATARSUS PRIMUS VARUS OR HALLUX VALGUS?
WALTER TRUSLOW
J Bone Joint Surg Am, 1925 Jan 01;7(1):98-108
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Abstract

This paper presents a new name—metatarsus primus varus—for a well known foot deformity; the name indicates the situation of the primary focus of that deformity at the proximal end of the first metatarsal bone; it notes the constant varus position of that bone and the lateral bone wedging at its proximal joint, and considers this an anatomic variation and not the result of inflammation or of the use of faulty shoes; it further considers that the hallux valgus deformity is acquired, and that it may be the result of the varus of the first metatarsal, although faulty shoes and chronic arthritis may also be causative factors. The writer presents the thesis that any operative procedure that does not include the correction of the deformity at its proximal focus is unscientific and inadequate; and that simple cuneiform osteotomy at the metatarso-cuneiform joint, with the redressement of certain secondary changes, is adequate and permanent. Other accompanying foot deformities are briefly discussed.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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