Hallux Valgus/Medial Column Instability and Their Relationship with Posterior Tibial Tendon Dysfunction

Steven Blackwood; Leland Gossett

doi:10.1016/j.fcl.2018.02.003

Hallux Valgus/Medial Column Instability and Their Relationship with Posterior Tibial Tendon Dysfunction

Foot Ankle Clin. 2018 Jun;23(2):297-313. doi: 10.1016/j.fcl.2018.02.003.

Authors

Steven Blackwood¹, Leland Gossett²

Affiliations

¹ Orthopaedic Associates of Michigan, 1111 Leffingwell Avenue NE, Grand Rapids, MI 49525, USA. Electronic address: [email protected].
² Spectrum Health - Michigan State University, 221 Michigan Street NE, Suite 402, Grand Rapids, MI 49503, USA.

PMID: 29729803
DOI: 10.1016/j.fcl.2018.02.003

Abstract

Historically, bunions have focused on the coronal plane; however, there is tension and compression failure in the sagittal plane of the midfoot during arch collapse. Correction of all 3 planes of deformity, coronal, sagittal, and rotational, can be achieved in several ways. Taking a big picture of global foot mechanics by recognizing the common types of conditions associated with arch collapse, including hallux valgus deformities, can serve as a useful roadmap for navigating more complicated deformities where hallux valgus exists.

Keywords: Adult acquired flatfoot deformity; Bunions; Flat foot deformity; Hallux valgus; Medial column instability; Posterior tibial tendon dysfunction.

Publication types

Review

MeSH terms

Biomechanical Phenomena
Flatfoot / physiopathology
Flatfoot / surgery*
Hallux Valgus / physiopathology
Hallux Valgus / surgery*
Humans
Joint Instability / physiopathology
Joint Instability / surgery*
Posterior Tibial Tendon Dysfunction / physiopathology
Posterior Tibial Tendon Dysfunction / surgery*