Fabio Mariottini¹*, Lara Mariottini² and Silvia Capici³*

¹Medical Doctor, University of Foggia, Italy
²Medical Student, University of Rome “Sapienza”, Italy
³Medical Doctor, Terapia Fisica e Riabilitazione S.R.L. Rome, Italy

*Corresponding Author: Fabio Mariottini, Medical Doctor, University of Foggia, Italy.

Received: October 18, 2023; Published:November 13, 2023

Abstract

Post-traumatic Hallux Varus is a rarely described event, this deformity mostly derives from complications of corrective surgery of the forefoot. However, when a patient comes to clinical observation with a forefoot trauma, it is necessary, for an adequate diagnosis and a correct therapeutic path, to consider all anatomical and biomechanical aspects. In these patients, the varus deformity of the first metatarsophalangeal joint (1st MTP) is typically linked to the lesion of the lateral capsuloligamentous complex: nevertheless, sometimes it can associate a dynamic reduction or even an inversion of the Inter-Metatarsal angle (IMA) during foot load, which occurs in case of instability of the 1st metatarsal-cuneiform joint (CMJ). This event can represent an insidious noxa that, if underestimated, can make distal surgical reconstruction vain, even when correctly executed. The author suggest performing routinely an intraoperative forefoot squeeze test under fluoroscopy, to recreate the forces over the first metatarsus on monopodial stance, thus demonstrating a dynamic 1st CMJ instability and the eventual need for a 1st CMJ fusion.

Keywords: Forefoot; Hallux Varus; Lapidus; Trauma; Joint Instability; Cuneiform Metatarsal Joint

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Citation

Citation: Fabio Mariottini., et al. “Post-traumatic Hallux Varus: The Importance of Intraoperative Fluoroscopy Squeeze Test to Assess a Dynamic Instability of the First Metatarsal-Cuneiform Joint". Acta Scientific Clinical Case Reports 4.12 (2023): 24-29.

Copyright

Copyright: © 2023 Fabio Mariottini., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.