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Hallux varus

MedGen UID:
107471
Concept ID:
C0546297
Anatomical Abnormality
Synonym: Hallux Varus
SNOMED CT: Varus deformity of great toe (274147008); Hallux varus (274147008)
 
HPO: HP:0008080

Definition

Medial deviation of the great toe owing to a deformity of the great toe joint causing the hallux to deviate medially. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVHallux varus

Conditions with this feature

Chromosome 9p deletion syndrome
MedGen UID:
167073
Concept ID:
C0795830
Disease or Syndrome
A rare chromosomal anomaly with characteristics of psychomotor developmental delay, facial dysmorphism (trigonocephaly, midface hypoplasia, upslanting palpebral fissures, dysplastic small ears, flat nasal bridge with anteverted nostrils and long philtrum, micrognathia, choanal atresia, short neck), single umbilical artery, omphalocele, inguinal or umbilical hernia, genital abnormalities (hypospadia, cryptorchidism), muscular hypotonia and scoliosis.
Jackson-Weiss syndrome
MedGen UID:
208653
Concept ID:
C0795998
Disease or Syndrome
Jackson-Weiss syndrome (JWS) is an autosomal dominant condition consisting of craniosynostosis characterized by premature fusion of the cranial sutures as well as radiographic anomalies of the feet (summary by Heike et al., 2001).
Hand-foot-genital syndrome
MedGen UID:
331103
Concept ID:
C1841679
Disease or Syndrome
Hand-foot-genital syndrome (HFGS) is characterized by limb malformations and urogenital defects. Mild-to-severe bilateral shortening of the thumbs and great toes, caused primarily by shortening of the distal phalanx and/or the first metacarpal or metatarsal, is the most common limb malformation and results in impaired dexterity or apposition of the thumbs. Urogenital malformations include abnormalities of the ureters and urethra and various degrees of incomplete müllerian fusion in females, and hypospadias of variable severity with or without chordee in males. Vesicoureteral reflux, recurrent urinary tract infections, and chronic pyelonephritis may occur; fertility is normal.
Hallux varus-preaxial polysyndactyly syndrome
MedGen UID:
341088
Concept ID:
C1856197
Disease or Syndrome
A rare genetic congenital limb malformation disorder with characteristics of bilateral medial displacement of the hallux and preaxial polysyndactyly of the first toes. Radiographs show broad, shortened, misshapen first metatarsals and may associate incomplete or complete duplication of proximal phalanges and duplication or triplication of distal phalanges. There have been no further descriptions in the literature since 1980.
Brachydactyly-preaxial hallux varus syndrome
MedGen UID:
349442
Concept ID:
C1862162
Disease or Syndrome
A rare congenital limb malformation characterized the association of hallux varus with short thumbs and first toes (involving the metacarpals, metatarsals, and distal phalanges; the proximal and middle phalanges are of normal length) and abduction of the affected digits. Intellectual deficit was observed in all reported individuals. There have been no further reports since 1994.
Multiple synostoses syndrome 3
MedGen UID:
414116
Concept ID:
C2751826
Disease or Syndrome
Any multiple synostoses syndrome in which the cause of the disease is a mutation in the FGF9 gene.
Osteochondrodysplasia, brachydactyly, and overlapping malformed digits
MedGen UID:
1648332
Concept ID:
C4748496
Disease or Syndrome
Osteochondrodysplasia, brachydactyly, and overlapping malformed digits (OCBMD) is characterized by bilateral symmetric skeletal defects that primarily affect the limbs. Affected individuals have mild short stature due to shortening of the lower leg bones, as well as hand and foot malformations, predominantly brachydactyly and overlapping digits. Other skeletal defects include scoliosis, dislocated patellae and fibulae, and pectus excavatum (Shabbir et al., 2018).

Professional guidelines

PubMed

Crawford MD, Patel J, Giza E
Foot Ankle Clin 2014 Sep;19(3):371-84. Epub 2014 Jul 11 doi: 10.1016/j.fcl.2014.06.004. PMID: 25129350
Davies MB, Blundell CM
Foot Ankle Clin 2014 Jun;19(2):275-84. Epub 2014 Mar 11 doi: 10.1016/j.fcl.2014.02.010. PMID: 24878415
Devos Bevernage B, Leemrijse T
Foot Ankle Clin 2009 Mar;14(1):51-65. doi: 10.1016/j.fcl.2008.11.007. PMID: 19232992

Recent clinical studies

Etiology

Piat C, Raboudi T, Cazeau C, Stiglitz Y
Foot Ankle Int 2021 Aug;42(8):976-981. Epub 2021 Apr 19 doi: 10.1177/10711007211001027. PMID: 33870737
Leemrijse T, Devos Bevernage B
Orthop Traumatol Surg Res 2020 Feb;106(1S):S159-S170. Epub 2019 Sep 11 doi: 10.1016/j.otsr.2019.05.018. PMID: 31521558
Akhtar S, Malek S, Hariharan K
Foot (Edinb) 2016 Dec;29:1-5. Epub 2016 Sep 19 doi: 10.1016/j.foot.2016.09.004. PMID: 27888785
Harris E
Clin Podiatr Med Surg 2013 Oct;30(4):531-65. Epub 2013 Jul 31 doi: 10.1016/j.cpm.2013.07.002. PMID: 24075135
Mills JA, Menelaus MB
J Bone Joint Surg Br 1989 May;71(3):437-40. doi: 10.1302/0301-620X.71B3.2722937. PMID: 2722937

Diagnosis

Brucato MP, Lin DY
Clin Podiatr Med Surg 2022 Jan;39(1):73-87. doi: 10.1016/j.cpm.2021.08.002. PMID: 34809796
Leemrijse T, Devos Bevernage B
Orthop Traumatol Surg Res 2020 Feb;106(1S):S159-S170. Epub 2019 Sep 11 doi: 10.1016/j.otsr.2019.05.018. PMID: 31521558
Crawford MD, Patel J, Giza E
Foot Ankle Clin 2014 Sep;19(3):371-84. Epub 2014 Jul 11 doi: 10.1016/j.fcl.2014.06.004. PMID: 25129350
Lee KT, Park YU, Jegal H, Lee TH
Foot Ankle Clin 2014 Sep;19(3):361-70. Epub 2014 Jul 2 doi: 10.1016/j.fcl.2014.06.003. PMID: 25129349
Edelman RD
Clin Podiatr Med Surg 1991 Apr;8(2):367-82. PMID: 2059928

Therapy

Trnka HJ
Foot Ankle Clin 2022 Jun;27(2):271-285. Epub 2022 May 11 doi: 10.1016/j.fcl.2021.11.015. PMID: 35680288
Monteagudo M, Martínez-de-Albornoz P
Foot Ankle Clin 2020 Mar;25(1):151-167. Epub 2019 Nov 29 doi: 10.1016/j.fcl.2019.10.011. PMID: 31997742
Crawford MD, Patel J, Giza E
Foot Ankle Clin 2014 Sep;19(3):371-84. Epub 2014 Jul 11 doi: 10.1016/j.fcl.2014.06.004. PMID: 25129350
Baravarian B, Ben-Ad R
Clin Podiatr Med Surg 2014 Apr;31(2):291-8. doi: 10.1016/j.cpm.2013.12.010. PMID: 24685194
Sferra J, Aronow M, Kilmartin T, Burns A, Schuberth JM
Foot Ankle Spec 2011 Dec;4(6):383-9. Epub 2011 Dec 1 doi: 10.1177/1938640011426273. PMID: 22134435

Prognosis

Geaney LE, Myerson MS
Foot Ankle Int 2015 Apr;36(4):391-4. Epub 2014 Dec 3 doi: 10.1177/1071100714560400. PMID: 25472622
Lee KT, Park YU, Jegal H, Lee TH
Foot Ankle Clin 2014 Sep;19(3):361-70. Epub 2014 Jul 2 doi: 10.1016/j.fcl.2014.06.003. PMID: 25129349
Harris E
Clin Podiatr Med Surg 2013 Oct;30(4):531-65. Epub 2013 Jul 31 doi: 10.1016/j.cpm.2013.07.002. PMID: 24075135
Trnka HJ, Zettl R, Hungerford M, Mühlbauer M, Ritschl P
Foot Ankle Int 1997 Sep;18(9):593-7. doi: 10.1177/107110079701800913. PMID: 9310773
Mills JA, Menelaus MB
J Bone Joint Surg Br 1989 May;71(3):437-40. doi: 10.1302/0301-620X.71B3.2722937. PMID: 2722937

Clinical prediction guides

Piat C, Raboudi T, Cazeau C, Stiglitz Y
Foot Ankle Int 2021 Aug;42(8):976-981. Epub 2021 Apr 19 doi: 10.1177/10711007211001027. PMID: 33870737
Hoveidaei AH, Roshanshad A, Vosoughi AR
Int Orthop 2021 Mar;45(3):711-719. Epub 2020 Sep 14 doi: 10.1007/s00264-020-04807-3. PMID: 32929546
Schwagten K, Vandeputte G, Somville J, Van Hoecke E, Buedts K
Foot Ankle Surg 2020 Oct;26(7):777-783. Epub 2019 Oct 21 doi: 10.1016/j.fas.2019.10.004. PMID: 31704127
Harris E
Clin Podiatr Med Surg 2013 Oct;30(4):531-65. Epub 2013 Jul 31 doi: 10.1016/j.cpm.2013.07.002. PMID: 24075135
Trnka HJ, Zettl R, Hungerford M, Mühlbauer M, Ritschl P
Foot Ankle Int 1997 Sep;18(9):593-7. doi: 10.1177/107110079701800913. PMID: 9310773

Recent systematic reviews

Sieloff MR, Tokarski AR, Elliott AD, Jacobs PM, Borgert AJ
J Foot Ankle Surg 2023 Jul-Aug;62(4):610-617. Epub 2022 Nov 28 doi: 10.1053/j.jfas.2022.11.017. PMID: 37097272
Beijk I, Burgerhof J, de Vries AJ, van Raaij TM
Foot Ankle Surg 2022 Dec;28(8):1139-1149. Epub 2022 Jun 12 doi: 10.1016/j.fas.2022.06.002. PMID: 35738984
Shimozono Y, Hurley ET, Brown AJ, Kennedy JG
J Foot Ankle Surg 2018 Nov-Dec;57(6):1186-1190. Epub 2018 Aug 31 doi: 10.1053/j.jfas.2018.03.044. PMID: 30177453
Dayton P, Sedberry S, Feilmeier M
J Foot Ankle Surg 2015 Mar-Apr;54(2):230-2. Epub 2015 Jan 21 doi: 10.1053/j.jfas.2014.12.012. PMID: 25618809
Plovanich EJ, Donnenwerth MP, Abicht BP, Borkosky SL, Jacobs PM, Roukis TS
J Foot Ankle Surg 2012 Mar-Apr;51(2):195-7. Epub 2011 Dec 23 doi: 10.1053/j.jfas.2011.11.006. PMID: 22197283

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