hallux limitus

Summary

Summary: A bony proliferation and articular degeneration of the first METATARSOPHALANGEAL JOINT that is characterized by pain and a progressive decrease in the dorsiflexion range of motion.

Webpages

  1. arc :: rheumatic diseases: common foot disorders
    www.arc.org.uk/arthinfo/medpubs/6530/6530.asp
  2. physical therapy corner: common foot problems associated with dancing — portal
    www.nismat.org/ptcor/dance/index.html
  3. mrc publications
    www.latrobe.edu.au/mrc/publications.html
  4. stiff big toe joint
    www.footdoc.ca/www.FootDoc.ca/Website%20Stiff%20Big%20Toe%20 ...
  5. ngc - browse - guideline index
    ngc.gov/browse/guideline_index.aspx
  6. ngc - browse - guideline index
    www.guidelines.gov/browse/guideline_index.aspx
  7. podiatry department, school of physiotherapy, curtin university
    podiatry.curtin.edu.au/encyclopedia/halluxlimitus/index.html

Research Grants

  1. Development of a Geometric Forefoot Model: A tool for Clinical Decision Making
    Howard J Hillstrom; Fiscal Year: 2007

Publications

  1. Finite element modeling of the first ray of the foot: a tool for the design of interventions
    Sachin P Budhabhatti
    Department of Biomedical Engineering, Cleveland Clinic, Cleveland, Ohio 44195, USA
    J Biomech Eng 129:750-6
  2. Effects of hallux limitus on plantar foot pressure and foot kinematics during walking
    Bart Van Gheluwe
    Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Pleinlaan 2, Brussels 1050, Belgium
    J Am Podiatr Med Assoc 96:428-36
  3. Effect of functional foot orthoses on first metatarsophalangeal joint dorsiflexion in stance and gait
    Paul R Scherer
    Department of Applied Biomechanics, California School of Podiatric Medicine at Samuel Merritt College, 825 Van Ness Avenue, San Francisco, CA 94109, USA
    J Am Podiatr Med Assoc 96:474-81
  4. The relationship between hallux dorsiflexion and ankle joint complex frontal plane kinematics: a preliminary study
    Jill Halstead
    Academic Unit of Musculoskeletal Disease, School of Medicine, University of Leeds, 36 Clarendon Road, Leeds LS2 9NZ, UK
    Clin Biomech (Bristol, Avon) 20:526-31
  5. Sagittal plane compensations for artificially induced limitation of the first metatarsophalangeal joint: a preliminary study
    Christine Hall
    Centre for Rehabilitation and Human Performance Research, School of Health Care Professions, University of Salford, Salford, England
    J Am Podiatr Med Assoc 94:269-74
  6. Plantar pressure and joint motion after the Youngswick procedure for hallux limitus
    Alan R Bryant
    Private Practice, Subiaco, Western Australia, Australia
    J Am Podiatr Med Assoc 94:22-30
  7. Length of the sesamoids and their distance from the metatarsophalangeal joint space in feet with incipient hallux limitus
    Pedro V Munuera
    Department of Podiatrics, University of Seville, Seville, Spain
    J Am Podiatr Med Assoc 98:123-9
  8. Functional hallux limitus and lesser-metatarsal overload
    James G Clough
    Foot and Ankle Clinic of Montana, 926 13th Ave S, Great Falls, MT 59405, USA
    J Am Podiatr Med Assoc 95:593-601
  9. Associations between static and functional measures of joint function in the foot and ankle
    James S Wrobel
    Surgical Service, Veterans Affairs Medical and Regional Office Center, Surgical Service 122E, White River Junction, VT 05009, USA
    J Am Podiatr Med Assoc 94:535-41
  10. Revisional hallux abducto valgus surgery using tricorrectional bunionectomy
    Allen J Selner
    Department of Podiatric Education, Encino Tarzana Regional Medical Center, Tarzana, CA, USA
    J Am Podiatr Med Assoc 94:341-6

Scientific Experts

  • Jill Halstead
  • Joseph A Shrader
  • Pedro V Munuera
  • Troy J Boffeli
  • Howard J Hillstrom
  • Alan R Bryant
  • Philip Radovic
  • Julie Taranto
  • Sachin P Budhabhatti
  • Bart Van Gheluwe
  • Paul R Scherer
  • William R Ledoux
  • James G Clough
  • Stephen C Robinson
  • Leonard M Talarico
  • Christine Hall
  • Allen J Selner
  • Jennifer Shamus
  • James S Wrobel
  • Craig Payne
  • Jason B Dickerson
  • John F Grady
  • R D Lee Evans
  • Peter R Cavanagh
  • Ahmet Erdemir
  • Brian Donley
  • Ki Choe
  • Michael J Taranto
  • James Sferra
  • Ekta Yadav-Shah
  • Kevin P Singer
  • Marc Petre
  • Ekta Yadav Shah
  • Friso Hagman
  • Howard J Dananberg
  • Jennifer Sanders
  • Denten E Eldredge
  • Susan J Duffy
  • Ryan Y Lee
  • Kerstin Vanstaen
  • Mathieu Assal
  • Gayle E Reiber
  • Katrina Sullivan
  • Jane B Shofer
  • Larry Goldstein
  • George R Vito
  • Ryan P Frank
  • Adam D Perler
  • Shane G Hayes
  • Douglas G Smith
  • Cindy Skaruppa
  • Marc D Selner
  • Christopher J Nester
  • Michael L Beach
  • John E Connolly
  • Paul Tinley
  • Eric Shamus
  • Joan H Cole
  • Rita Nacken Gugel
  • Robert P Cyr
  • Bernard S Brucker
  • Wanlop Noiwangmuang
  • Kathryn Miller
  • Stephanie Sanders
  • Timothy M Axe
  • Emil J Zager
  • Richard Green
  • Ryan Averett
  • Vivienne Chuter
  • Donald R Green
  • Lori A Sheldon

Detail Information

Webpages8

  1. arc :: rheumatic diseases: common foot disorders
    www.arc.org.uk/arthinfo/medpubs/6530/6530.asp
  2. physical therapy corner: common foot problems associated with dancing — portal
    www.nismat.org/ptcor/dance/index.html
  3. mrc publications
    www.latrobe.edu.au/mrc/publications.html
  4. stiff big toe joint
    www.footdoc.ca/www.FootDoc.ca/Website%20Stiff%20Big%20Toe%20 ...
  5. ngc - browse - guideline index
    ngc.gov/browse/guideline_index.aspx
  6. ngc - browse - guideline index
    www.guidelines.gov/browse/guideline_index.aspx
  7. podiatry department, school of physiotherapy, curtin university
    podiatry.curtin.edu.au/encyclopedia/halluxlimitus/index.html

Research Grants1

  1. Development of a Geometric Forefoot Model: A tool for Clinical Decision Making
    Howard J Hillstrom; Fiscal Year: 2007
    ..Improved understanding of the pathomechanics that afflict pes planus (e.g. HAV, Hallux limitus, osteoarthritis, tendonitis, plantar fasciitis, neuroma, posterior tibial dysfunction, chronic keratomata, ..

Publications23

  1. Finite element modeling of the first ray of the foot: a tool for the design of interventions
    Sachin P Budhabhatti
    Department of Biomedical Engineering, Cleveland Clinic, Cleveland, Ohio 44195, USA
    J Biomech Eng 129:750-6
    ..the first ray was obtained for each posture to illustrate changes under three case studies representing hallux limitus, surgical arthrodesis of the first ray, and a footwear intervention...
  2. Effects of hallux limitus on plantar foot pressure and foot kinematics during walking
    Bart Van Gheluwe
    Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Pleinlaan 2, Brussels 1050, Belgium
    J Am Podiatr Med Assoc 96:428-36
    The effects of hallux limitus on plantar foot pressure and foot kinematics have received limited attention in the literature...
  3. Effect of functional foot orthoses on first metatarsophalangeal joint dorsiflexion in stance and gait
    Paul R Scherer
    Department of Applied Biomechanics, California School of Podiatric Medicine at Samuel Merritt College, 825 Van Ness Avenue, San Francisco, CA 94109, USA
    J Am Podiatr Med Assoc 96:474-81
    ..and a 4-mm medial skive could increase the maximum degree of dorsiflexion in patients with functional hallux limitus in stance and gait...
  4. The relationship between hallux dorsiflexion and ankle joint complex frontal plane kinematics: a preliminary study
    Jill Halstead
    Academic Unit of Musculoskeletal Disease, School of Medicine, University of Leeds, 36 Clarendon Road, Leeds LS2 9NZ, UK
    Clin Biomech (Bristol, Avon) 20:526-31
    ..These results do not support the assumption that ankle joint complex eversion influences first metatarsophalangeal joint motion substantially...
  5. Sagittal plane compensations for artificially induced limitation of the first metatarsophalangeal joint: a preliminary study
    Christine Hall
    Centre for Rehabilitation and Human Performance Research, School of Health Care Professions, University of Salford, Salford, England
    J Am Podiatr Med Assoc 94:269-74
    ..first metatarsophalangeal joint and the kinematics of the proximal joints demonstrates the potential for the clinical entities of hallux rigidus and hallux limitus to influence gait and justifies more detailed study of this relationship.
  6. Plantar pressure and joint motion after the Youngswick procedure for hallux limitus
    Alan R Bryant
    Private Practice, Subiaco, Western Australia, Australia
    J Am Podiatr Med Assoc 94:22-30
    ..peak pressure distribution in the forefoot are presented for 17 patients (23 feet) with mild-to-moderate hallux limitus deformity and 23 control subjects (23 feet)...
  7. Length of the sesamoids and their distance from the metatarsophalangeal joint space in feet with incipient hallux limitus
    Pedro V Munuera
    Department of Podiatrics, University of Seville, Seville, Spain
    J Am Podiatr Med Assoc 98:123-9
    ..to verify whether the sesamoids of the first metatarsal head are longer than normal in feet with incipient hallux limitus, and whether feet with incipient hallux limitus are in a more proximal than normal sesamoid position...
  8. Functional hallux limitus and lesser-metatarsal overload
    James G Clough
    Foot and Ankle Clinic of Montana, 926 13th Ave S, Great Falls, MT 59405, USA
    J Am Podiatr Med Assoc 95:593-601
    The implications of functional hallux limitus for lesser-metatarsal overload are discussed...
  9. Associations between static and functional measures of joint function in the foot and ankle
    James S Wrobel
    Surgical Service, Veterans Affairs Medical and Regional Office Center, Surgical Service 122E, White River Junction, VT 05009, USA
    J Am Podiatr Med Assoc 94:535-41
    ..b>Hallux limitus and equinus patients demonstrated six and three statistically significant associations, respectively...
  10. Revisional hallux abducto valgus surgery using tricorrectional bunionectomy
    Allen J Selner
    Department of Podiatric Education, Encino Tarzana Regional Medical Center, Tarzana, CA, USA
    J Am Podiatr Med Assoc 94:341-6
    ..Patients were categorized by type of postoperative complication: hallux varus, hallux limitus, or recurrent hallux abducto valgus deformities...
  11. Nonoperative management of functional hallux limitus in a patient with rheumatoid arthritis
    Joseph A Shrader
    Physical Therapy Section, Department of Rehabilitation Medicine, Warren Grant Magnuson Clinical Center, National Institutes of Health, Department of Health and Human Services, 10 Center Dr, Bethesda, MD 20892 1604, USA
    Phys Ther 83:831-43
    BACKGROUND AND PURPOSE: Functional hallux limitus (FHL) is a condition that affects motion at the first metatarsophalangeal joint and may lead to abnormal forefoot plantar pressures, pain, and difficulty with ambulation...
  12. Analysis of dynamic angle of gait and radiographic features in subjects with hallux abducto valgus and hallux limitus
    Julie Taranto
    Centre for Musculoskeletal Studies, University of Western Australia, and Department of Surgery and Pathology, Royal Perth Hospital, Perth, Western Australia, Australia
    J Am Podiatr Med Assoc 97:175-88
    BACKGROUND: Hallux abducto valgus and hallux limitus are two commonly encountered foot deformities causing altered structure and function of the first metatarsophalangeal joint and subsequent compensatory mechanisms...
  13. The effect of sesamoid mobilization, flexor hallucis strengthening, and gait training on reducing pain and restoring function in individuals with hallux limitus: a clinical trial
    Jennifer Shamus
    HealthSouth Sports Medicine and Rehabilitation Center, Pembroke Pines, FL, USA
    J Orthop Sports Phys Ther 34:368-76
    ..OBJECTIVE: To determine the effect of 2 conservative intervention approaches for functional hallux limitus. BACKGROUND: Metatarsophalangeal joint (MPJ) sprains are common and can result in long-term sequelae such as ..
  14. Long-term follow-up of the Green-Watermann osteotomy for hallux limitus
    Jason B Dickerson
    Scripps Mercy Hospital and Medical Center, San Diego, CA, USA
    J Am Podiatr Med Assoc 92:543-54
    ..retrospective analysis of the long-term efficacy of the Green-Watermann procedure for the treatment of painful hallux limitus or rigidus...
  15. Long arm decompression osteotomy for hallux limitus
    Stephen C Robinson
    4240 Blue Ridge Boulevard, Raytown, MO 64133, USA
    Clin Podiatr Med Surg 22:301-7, vii
    This article presents a new osteotomy for stage I or II hallux limitus. The long arm decompression osteotomy can be used to shorten and plantarflex the first metatarsal...
  16. Management of hallux limitus with distraction of the first metatarsophalangeal joint
    Leonard M Talarico
    Atlanta Leg Lengthening and Deformity Correction Center, Macon, GA 31210, USA
    J Am Podiatr Med Assoc 95:121-9
    This article describes a joint-preserving and joint-restoring procedure for the management of hallux limitus and hallux rigidus...
  17. A retrospective analysis of 772 patients with hallux limitus
    John F Grady
    Podiatric Residency, Veterans Affairs Chicago Health Care System, West Side Division, Chicago, IL, USA
    J Am Podiatr Med Assoc 92:102-8
    In this retrospective analysis of 772 patients with symptomatic hallux limitus, 428 patients (55%) were successfully treated with conservative care alone; of these 428 patients, 362 (84%) were treated with orthoses...
  18. Sensitivity and specificity of the functional hallux limitus test to predict foot function
    Craig Payne
    Department of Podiatry, School of Human Biosciences, La Trobe University, Bundoora, Victoria 3083, Australia
    J Am Podiatr Med Assoc 92:269-71
    Functional hallux limitus is an underrecognized entity that generally does not produce symptoms but can result in a variety of compensatory mechanisms that can produce symptoms...
  19. Radiographic study of the size of the first metatarso-digital segment in feet with incipient hallux limitus
    Pedro V Munuera
    Department of Podiatrics, Centro Docente de Fisioterapia y Podologia, University of Seville, C Avicena S n, Seville, Spain
    J Am Podiatr Med Assoc 97:460-8
    ..the absolute and relative lengths of the first metatarso-digital segment is greater than normal in incipient hallux limitus deformity...
  20. Modified Youngswick procedure for hallux limitus
    Philip Radovic
    SouthWestern Residency Program Aestheticare Mission Hospital, PM and S 36, San Juan Capistrano, CA 92675, USA
    J Am Podiatr Med Assoc 97:420-3
    Multiple surgical procedures have been described for the correction of hallux limitus deformity. We describe a new modification of the Youngswick procedure for the surgical treatment of hallux limitus...
  21. Biomechanical abnormalities and ulcers of the great toe in patients with diabetes
    Troy J Boffeli
    Department of Surgery, Regions Hospital, 640 Jackson St, St Paul, MN 55101, USA
    J Foot Ankle Surg 41:359-64
    ..Twenty-eight of 29 had structural hallux limitus. Twenty-four had hallux interphalangeal abductus...
  22. Relationship between foot type, foot deformity, and ulcer occurrence in the high-risk diabetic foot
    William R Ledoux
    Department of Veterans Affairs VA, Rehabilitation Research and Development Center of Excellence for Limb Loss Prevention and Prosthetic Engineering, VA Puget Sound Health Care System, Seattle, WA 98108, USA wrledoux u washington edu
    J Rehabil Res Dev 42:665-72
    ..0% pes planus (low arch). We quantified the presence of hallux valgus (23.9%), hammer/claw toes (46.7%), and hallux limitus (24.4%). A significant association was found between foot type and hallux valgus (p = 0...
  23. The association of hallux limitus with the accessory navicular
    R D Lee Evans
    American College of Foot and Ankle Surgeons
    J Am Podiatr Med Assoc 92:359-65
    b>Hallux limitus is one of the most prevalent, debilitating disorders of the first metatarsophalangeal joint, and it has many proposed etiologies. This article reviews these etiologies, focusing primarily on the pes planus foot...