TY  - JOUR
T1  - The Pathogenesis of Hallux Valgus
AU  - Perera, A.M.
AU  - Mason, Lyndon
AU  - Stephens, M.M.
Y1  - 2011/09/07
N1  - 10.2106/JBJS.H.01630
JO  - The Journal of Bone & Joint Surgery
SP  - 1650
EP  - 1661
VL  - 93
IS  - 17
N2  - The first ray is an inherently unstable axial array that relies on a fine balance between its static (capsule, ligaments, and plantar fascia) and dynamic stabilizers (peroneus longus and small muscles of the foot) to maintain its alignment.In some feet, there is a genetic predisposition for a nonlinear osseous alignment or a laxity of the static stabilizers that disrupts this muscle balance. Poor footwear plays an important role in accelerating the process, but occupation and excessive walking and weight-bearing are unlikely to be notable factors.Many inherent or acquired biomechanical abnormalities are identified in feet with hallux valgus. However, these associations are incomplete and nonlinear.In any patient, a number of factors have come together to cause the hallux valgus. Once this complex pathogenesis is unraveled, a more scientific approach to hallux valgus management will be possible, thereby enabling treatment (conservative or surgical) to be tailored to the individual.
SN  - 0021-9355
M3  - doi: 10.2106/JBJS.H.01630
UR  - http://dx.doi.org/10.2106/JBJS.H.01630
ER  -