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Hypermobility of the first ray: the cinderella of the measurements conventionally assessed for correction of hallux valgus

BACKGROUND AND AIM OF THE WORK: hypermobility of the first ray (FRH) began to be considered as a pathological entity from Morton’s studies and was associated as a primary cause of hallux valgus (HV). Currently, this relationship is in discussion, and various authors consider FRH as a consequence of...

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Autores principales: Biz, Carlo, Maso, Giacomo, Malgarini, Enrico, Tagliapietra, Jacopo, Ruggieri, Pietro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mattioli 1885 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7944838/
https://www.ncbi.nlm.nih.gov/pubmed/32555076
http://dx.doi.org/10.23750/abm.v91i4-S.9769
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author Biz, Carlo
Maso, Giacomo
Malgarini, Enrico
Tagliapietra, Jacopo
Ruggieri, Pietro
author_facet Biz, Carlo
Maso, Giacomo
Malgarini, Enrico
Tagliapietra, Jacopo
Ruggieri, Pietro
author_sort Biz, Carlo
collection PubMed
description BACKGROUND AND AIM OF THE WORK: hypermobility of the first ray (FRH) began to be considered as a pathological entity from Morton’s studies and was associated as a primary cause of hallux valgus (HV). Currently, this relationship is in discussion, and various authors consider FRH as a consequence of the deformity. The purpose of this narrative review is to summarise the most influential publications relating to First Ray Mobility (FRM) to increase knowledge and promote its conventional assessment during clinical practice. METHODS: papers of the last century were selected to obtain a homogeneous and up-to-date overview of I-MTCJ mobility and HV, as well as their relationship and management. RESULTS: in recent years, FRH was studied from a biomechanical and pathophysiologic point of view. There is still not enough data regarding the aetiology of FRM. The higher rate of instability found in HV lacks an explanation of which is the cause and which is the effect. However, the Lapidus arthrodesis is still a valid method in cases of FRH and HV, even if is not rigorously indicated to treat both. When approaching FRH, radiographic or clinical findings are mandatory for the right diagnosis. CONCLUSIONS: FRM is an important factor that must be considered in routine clinical practice and prior and post HV surgery, as much as the conventional parameters assessed. Surgeons should consider performing I-MTCJ arthrodesis only if strictly necessary, also paying attention to soft tissue balancing. Improving the measurement of FRH could be useful to determine if it is a cause or effect of the HV deformity. (www.actabiomedica.it)
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spelling pubmed-79448382021-03-11 Hypermobility of the first ray: the cinderella of the measurements conventionally assessed for correction of hallux valgus Biz, Carlo Maso, Giacomo Malgarini, Enrico Tagliapietra, Jacopo Ruggieri, Pietro Acta Biomed Review BACKGROUND AND AIM OF THE WORK: hypermobility of the first ray (FRH) began to be considered as a pathological entity from Morton’s studies and was associated as a primary cause of hallux valgus (HV). Currently, this relationship is in discussion, and various authors consider FRH as a consequence of the deformity. The purpose of this narrative review is to summarise the most influential publications relating to First Ray Mobility (FRM) to increase knowledge and promote its conventional assessment during clinical practice. METHODS: papers of the last century were selected to obtain a homogeneous and up-to-date overview of I-MTCJ mobility and HV, as well as their relationship and management. RESULTS: in recent years, FRH was studied from a biomechanical and pathophysiologic point of view. There is still not enough data regarding the aetiology of FRM. The higher rate of instability found in HV lacks an explanation of which is the cause and which is the effect. However, the Lapidus arthrodesis is still a valid method in cases of FRH and HV, even if is not rigorously indicated to treat both. When approaching FRH, radiographic or clinical findings are mandatory for the right diagnosis. CONCLUSIONS: FRM is an important factor that must be considered in routine clinical practice and prior and post HV surgery, as much as the conventional parameters assessed. Surgeons should consider performing I-MTCJ arthrodesis only if strictly necessary, also paying attention to soft tissue balancing. Improving the measurement of FRH could be useful to determine if it is a cause or effect of the HV deformity. (www.actabiomedica.it) Mattioli 1885 2020 2020-05-30 /pmc/articles/PMC7944838/ /pubmed/32555076 http://dx.doi.org/10.23750/abm.v91i4-S.9769 Text en Copyright: © 2020 ACTA BIO MEDICA SOCIETY OF MEDICINE AND NATURAL SCIENCES OF PARMA http://creativecommons.org/licenses/by-nc-sa/4.0 This work is licensed under a Creative Commons Attribution 4.0 International License
spellingShingle Review
Biz, Carlo
Maso, Giacomo
Malgarini, Enrico
Tagliapietra, Jacopo
Ruggieri, Pietro
Hypermobility of the first ray: the cinderella of the measurements conventionally assessed for correction of hallux valgus
title Hypermobility of the first ray: the cinderella of the measurements conventionally assessed for correction of hallux valgus
title_full Hypermobility of the first ray: the cinderella of the measurements conventionally assessed for correction of hallux valgus
title_fullStr Hypermobility of the first ray: the cinderella of the measurements conventionally assessed for correction of hallux valgus
title_full_unstemmed Hypermobility of the first ray: the cinderella of the measurements conventionally assessed for correction of hallux valgus
title_short Hypermobility of the first ray: the cinderella of the measurements conventionally assessed for correction of hallux valgus
title_sort hypermobility of the first ray: the cinderella of the measurements conventionally assessed for correction of hallux valgus
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7944838/
https://www.ncbi.nlm.nih.gov/pubmed/32555076
http://dx.doi.org/10.23750/abm.v91i4-S.9769
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