BY

GAYATHRI G.V
BPT 2ND YEAR
SRM COLLEGE OF PHYSIOTHERAPY
 Lateral deviation of the great toe and the
medial deviation of the first metatarsal.

Progressive subluxation of the

metatarsophalangeal joint.
 Flexion Range of motion at the
metatarsophalangeal joints can occur to a
limited degree from neutral position.

But has relatively little purpose in the weight

bearing foot other than when the supporting
terrain drops away distal to the metatarsal
heads.

Most metatarsophalangeal flexion occurs as

areturn to neutral position from extension.
 Abuduction and adduction of
metatarsophalngeal joint appear to be
helpful in absorbing some of the force that
should be imposed on the toes by the
metatarsals as they move in pronation or
supination twist.

The first toe normally is adducted on the

firdt metatarsal about 15 to 19

An increase in this normal valgus

angulation of the first metatarsophalangeal
joint is reffered to as hallux valgus
 MR.Benson reported that he has bunion with periodic
pain around his great toe.

By inspection, he has an evident hallux valgus

deformity.

Hallux valgus may be associated with:

Reduction in 1st metatarsophalngeal joint range of

motion.

Gradual lateral subluxation of the toe flexor tendons.

 Reduced weight bearing on the great toe.

Increased weight bearing on the first mertatarsal

head.

These structural changes can lead to pain and

difficulty during walking.

The etiology of hallux valgus deformity is

multifactorial and related to repeptitive forces
applied to the first metatarsophalngeal joint.

The person with flat foot and excessive pronation

like MR.Benson may have instablity and excessive
mobility of the first ray.