Hallux Rigidus: Arthroplasty or Not?

Abstract

Hallux rigidus (HR) is characterized by restriction of motion at fi rst metatarsophalangeal joint (MPTJ) [1]. The gradual onset of pain and limitation of dorsi-flexion at the MPTJ is characteristic of the disease process, although often there may be a normal range of plantar-flexion [2]. The great toe is either fi xed in plantar-flexion or limited in dorsi-flexion because of the proliferation of bone around the articular surface of the head of the fi rst metatarsal, particularly on the dorsal aspect. The severity of the degenerative changes is markedly dependent on the duration of symptomatology [2].