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Journal of Bone and Joint Surgery - British Volume, Vol 86-B, Issue 5, 669-673.
doi: 10.1302/0301-620X.86B5.14766  
Copyright © 2004 by British Editorial Society of Bone and Joint Surgery
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Hallux valgus and cartilage degeneration in the first metatarsophalangeal joint

P. Bock, MD, Resident1; K.-H. Kristen, MD, Consultant1; A. Kröner, MD, Resident1; and A. Engel, PhD, Head of Department1

1 Department of Orthopaedic Surgery, Donauspital Wien, Langobardenstrasse 122, A-1220 Wien, Austria.

Correspondence should be sent to Dr P. Bock.

This study relates the extent of cartilage lesions within the first metatarsophalangeal joint to hallux valgus.

We prospectively examined 265 first metatarsophalangeal joints of 196 patients with a mean age of 54.2 years at operation for the existence of cartilage lesions.

Grade I lesions were found in 41 feet (15.5%), grade II in 82 (30.9%), grade III in 51 (19.3%), grade IV in 20 (7.5%). Only 71 (26.8%) showed no cartilage lesion. Cartilage lesions were found within the metatarsosesamoid and metatarsophalangeal compartments in 66 feet (34.0%), within the metatarsophalangeal compartment in 26 (13.4%) and within the metatarsosesamoid compartment in 102 (52.6%). A statistically significant correlation was found between the grade of cartilage lesion and the hallux valgus angle, both for the changes within the metatarsophalangeal and the metatarsosesamoid joints.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General