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The Association of Gastrocnemius Tightness, Genu Valgum, and Hallux Valgus: A Prospective Case-Control Study

 

Authors: M O' Reilly, K Merghani, J McKenna, T Bayer

Published in: The Journal of Foot and Ankle Surgery

Abstract

The etiology and pathogenesis of hallux valgus are multifactorial, with gastrocnemius tightness and genu valgum being significant intrinsic factors. This study explores their association through a prospective case-control design.

Introduction

Hallux valgus, a common forefoot disorder, shows a higher incidence in women and involves lateral deviation of the hallux. The deformity's multifactorial etiology includes both intrinsic and extrinsic factors, with gastrocnemius tightness playing a crucial role.

Patients and Methods

A total of 25 adult patients with symptomatic hallux valgus were compared to a control group without the condition. This study assessed the association between hallux valgus, gastrocnemius tightness, and genu valgum.

Results

The study found a significant association between genu valgum and hallux valgus, and between the Silfverskiöld test outcomes and the presence of these conditions.

Discussion

This study highlights the importance of recognizing gastrocnemius tightness and genu valgum in patients with hallux valgus. Addressing these factors can aid in better management and treatment strategies.

Conclusion

This research underscores the multifactorial etiology of hallux valgus, particularly the role of gastrocnemius tightness and genu valgum, paving the way for further studies.

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