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©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. May 18, 2017; 8(5): 364-371
Published online May 18, 2017. doi: 10.5312/wjo.v8.i5.364
Published online May 18, 2017. doi: 10.5312/wjo.v8.i5.364
Hallux rigidus: How do I approach it?
Aaron Lam, Albert Einstein College of Medicine, Bronx, NY 10461, United States
Jimmy J Chan, Ettore Vulcano, Leni and Peter W. May Department of Orthopaedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY 10019, United States
Michele F Surace, Department of Orthopedics, University of Insubria, 21100 Varese, Italy
Author contributions: All authors equally contributed to this paper with conception and design of the study, literature review and analysis, drafting and critical revision and editing, and final approval of the final version.
Conflict-of-interest statement: No potential conflicts of interest. No financial support.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Ettore Vulcano, MD, Head of Foot and Ankle Surgery at Mount Sinai West, Assistant Professor of Orthopedics, Leni and Peter W. May Department of Orthopaedic Surgery, Icahn School of Medicine at Mount Sinai, 1000 10th Avenue, Suite 3A-35, New York, NY 10019, United States. ettorevulcano@hotmail.com
Telephone: +1-212-5237342 Fax: +1-212-6363102
Received: January 19, 2017
Peer-review started: January 19, 2017
First decision: March 8, 2017
Revised: March 20, 2017
Accepted: April 6, 2017
Article in press: April 10, 2017
Published online: May 18, 2017
Peer-review started: January 19, 2017
First decision: March 8, 2017
Revised: March 20, 2017
Accepted: April 6, 2017
Article in press: April 10, 2017
Published online: May 18, 2017
Core Tip
Core tip: Hallux rigidus is the leading form of arthritis of the foot. Patients experience increasing pain and decreasing motion of the first metatarsalphalangeal joint as the disease progress, leading to significant morbidity and lower quality of life. Multiple treatment options, from cheilectomy to arthrodesis, have been utilized in treating hallux rigidus. Advances in interpositional arthroplasty and implants have introduced new opportunities in giving a more functional outcome. This review will discuss how to approach hallux rigidus in a clinical setting and examine recent evidence in the available treatment options.