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Current Concepts Review   |    
Current Concepts Review - Hallux Rigidus and Osteoarthrosis of the First Metatarsophalangeal Joint*
MICHAEL J. SHEREFF, M.D.†, MILWAUKEE, WISCONSIN; JUDITH F. BAUMHAUER, M.D.‡, ROCHESTER, NEW YORK
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*No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article. No funds were received in support of this study.
J Bone Joint Surg Am, 1998 Jun 01;80(6):898-908
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Extract

Hallux rigidus is characterized by restriction of motion at the first metatarsophalangeal joint8,11. It is a common disorder that has been reported to affect one in forty-five individuals who are more than fifty years of age19. There is a generalized decrease in motion with particular limitation of dorsiflexion8,27,35,51. Hallux rigidus is often associated with a mechanical block to dorsiflexion caused by periarticular osteophytes, with an impingement exostosis of the first metatarsal head against an osteophyte at the base of the proximal phalanx13,15,16,37,41. The natural course of this disorder is typical of degenerative processes, with progression of the osteoarthrotic changes leading to limitation of motion and interference with function of the metatarsophalangeal joint3,13,27,41.
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