Hallux Rigidus: Update on Conservative Management.

Acker, Antoine S; Mendes de Carvalho, Kepler Alencar; Hanselman, Andrew E · Foot Ankle Clin · 2024

review · Level V

Where this comes from

Abstract

Hallux rigidus is a degenerative arthritic condition affecting the first metatarsophalangeal joint. Prevalence in patients aged 50 years and above is estimated at 20% to 30%, with a portion being symptomatic. Conservative treatment's efficacy is linked to initial pain levels; though shoe modifications and insoles are commonly recommended, their true effectiveness lacks strong evidence. Injection therapy, including corticosteroids and hyaluronic acid, demonstrates varied outcomes, with about 50% of patients undergoing surgery within 1 to 2 years. The condition's etiology remains elusive, but recent biomechanical hypotheses hold promise.

Medical subject headings

Anatomy