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    Hallux Varus, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Hallux Varus, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Hallux Varus, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Ebook91 pages49 minutes

    Hallux Varus, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

    By Kenneth Kee

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    About this ebook

    This book describes Hallux Varus, Diagnosis and Treatment and Related Diseases
    Hallux varus is a medical disorder featured by medial deviation of the big toe at metatarso-phalangeal (MTP) joint.
    Hallux varus is a relatively frequent foot deformity seen in clinics.
    Since there is no good treatment, early diagnosis and changes in shoe wear are important
    Causes
    Infrequently, hallux varus is congenital.
    Flexible hallux varus may be found in newborns and indicates their intrauterine positioning.
    It returns to valgus in early childhood when walking starts
    Congenital hallux varus is categorized into primary and secondary pathologic deformity.
    Primary hallux varus is infrequent and linked to an overactive abductor hallucis.
    Secondary hallux varus is linked to:
    1. Big toe polydactyly,
    2. A delta phalanx longitudinal epiphyseal bracket syndrome, and
    4. Metatarsus adductus.
    Adult acquired hallux varus deformity is often iatrogenic, often resulting from surgery for hallux valgus.
    A patient may have problems in walking and wearing shoes.
    Changing shoe wear is advantageous but many patients have significant deformity that necessitates surgery.
    Mild hallux varus can be treated with stretching exercises and splints.
    If the symptoms become significant and influence daily activities, then surgery should be indicated.
    Surgery improves the overall position of the hallux but not necessarily its movement.
    Salvage procedures may be necessary and corrective iatrogenic hallux varus procedures are 60% to 80% effective.
    More often this deformity forms after a surgical intervention for hallux valgus because of:
    1. Overcorrection,
    2. Excessive lateral release,
    3. Over-resection of medial eminence,
    4. Over-plication of the medial capsule,
    5. Zero-degree or negative inter-metatarsal angle, or immobilization of the toe in excess varus after surgery.
    Other causes are:
    1. Trauma and
    2. Certain systemic inflammatory disorders such as psoriasis and rheumatoid arthritis.
    The mechanism of arthropathies joins the destruction of the articular surfaces by distention of the joint capsule with:
    1. Laxity of the collateral ligaments,
    2. Intrinsic muscular contracture, and
    3. Pannus.
    Traumatic hallux varus happens with sports injuries due to rupture of the lateral collateral ligament and conjoined tendon.
    Symptoms
    Some patients have symptoms of the deformity and have problems in:

    1. Wearing shoes,
    2. Instability,
    3. Decreased the range of movement, and
    4. Weakness with push-off.
    On physical examination, one can recognize varus orientation of the big toe.
    There may be dorsal contraction of the MTP joint with or without IP joint contraction.
    The extensor hallucis longus may be moved medially producing a bowstring deformity.
    Medial sesamoid may be medially shifted.
    The doctor should analyze the degree of extension of the first MTP joint and find out whether weight-bearing and the dynamics of ambulation worsen the deformity.
    Non-operative treatment involves shoe stretching and modification.
    Shoes with wide toe boxes and padding over bony prominences should be advocated.
    For early postoperative varus deformities after hallux valgus correction surgery, the taping or splinting the toes can be successful.
    If there is continual pain or inability to wear shoes, surgery is an indication.
    Surgical treatment is dependent upon whether the deformity is flexible or rigid.
    As a rule, the flexible deformity can be rectified with a soft tissue procedure.
    The lengthening of the medial capsular structures may be adequate if the deformity is not too advanced.
    For advanced but flexible deformities, the treatment is tendon transfers followed by inter-phalangeal osteotomy and arthrodesis.

    TABLE OF CONTENT
    Introduction
    Chapter 1 Hallux Varus
    Chapter 2 Causes
    Cha

    LanguageEnglish
    PublisherKenneth Kee
    Release dateSep 30, 2019
    ISBN9780463603765
    Hallux Varus, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Author

    Kenneth Kee

    Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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      Book preview

      Hallux Varus, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee

      Hallux Varus,

      A

      Simple

      Guide

      To

      The Condition,

      Diagnosis,

      Treatment

      And

      Related Conditions

      By

      Dr Kenneth Kee

      M.B.,B.S. (Singapore)

      Ph.D (Healthcare Administration)

      Copyright Kenneth Kee 2019 Smashwords Edition

      Published by Kenneth Kee at Smashwords.com

      Dedication

      This book is dedicated

      To my wife Dorothy

      And my children

      Carolyn, Grace

      And Kelvin

      This book describes Hallux Varus, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

      (What You Need to Treat Hallux Varus)

      This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

      If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

      Thank you for respecting the hard work of this author.

      Introduction

      I have been writing medical articles for my blog: http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.

      My purpose in writing these simple guides was for the health education of my patients.

      Health Education was also my dissertation for my Ph.D (Healthcare Administration).

      I then wrote an autobiography account of my journey as a medical student to family doctor on my other blog: http://afamilydoctorstale.blogspot.com.

      This autobiography account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Disorders into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

      From which many free articles from the blog was taken and put together into 800 eBooks.

      Some people have complained that the simple guides are too simple.

      For their information they are made simple in order to educate the patients.

      The later books go into more details of medical disorders.

      The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

      Since 2013, I have tried to improve my spelling and writing.

      As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

      Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

      I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

      I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

      I apologize if these repetitions are irritating to some readers.

      Chapter 1

      Hallux varus

      What is Hallux varus?

      Hallux varus is a medical disorder featured by medial deviation of the big toe at metatarso-phalangeal (MTP) joint.

      Hallux varus is a relatively frequent foot deformity seen in clinics.

      Since there is no good treatment, early diagnosis and changes in shoe wear are important.

      This disorder may present with differing degrees of severity, causes, and symptoms.

      Adult acquired hallux varus deformity is often iatrogenic, often resulting from surgery for hallux valgus.

      A patient may have problems in walking and wearing shoes.

      Changing shoe wear is advantageous but many patients have significant deformity that necessitates surgery.

      Mild hallux varus can be treated with stretching exercises and splints.

      If the symptoms become significant and influence daily activities, then surgery should be indicated.

      Surgery improves the overall position of the hallux but not necessarily its movement.

      Salvage procedures may be necessary and corrective iatrogenic hallux

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