Metatarsus Primus Varus and Hallux Valgus DONALD C. DURMAN, M.D., Saginaw, Mich. In about 1934, several patients operated on for hallux valgus in the preceding few years began to appear with recurrence of deformity. The obvious common finding in all these patients was metatarsus primus varus. Other patients operated on during the same period and by the same method had satisfactory results ... Hallux valgus deformity correction also correlated with metatarsus primus varus deformity correction. Three second metatarsal stress fractures occurred, and all recovered uneventfully. This paper presents a new name—metatarsus primus varus—for a well known foot deformity; the name indicates the situation of the primary focus of that deformity at the proximal end of the first metatarsal bone; it notes the constant varus position of that bone and the lateral bone wedging at its proximal joint, and considers this an anatomic variation and not the result of inflammation or ... Analysis of radiographs from patients with hallux valgus showed that following surgical correction there were statistically significant reductions in the hallux valgus, intermetatarsal, and metatarsus primus varus angles. Normal values for these angles were established from a control group of asympt … Metatarsus primus varus prior to clinical onset or aggravation. There is controversy as to whether metatarsus primus varus is the cause or result of hallux valgus. Metatarsus primus varus is the medial deviation of the 1 st metatarsal. This results in a widening of the gap between the first and second metatarsals. Metatarsus primus varus must be addressed during correction of moderate to severe hallux valgus deformity. As an alternative to proximal osteotomy or first tarsometatarsal fusion for hallux valgus correction, this study presents a series of patients treated using the Arthrex Mini TightRope. A hallux valgus (plural: halluces valgi) is a fixed abduction of the first metatarsophalangeal joint of the great toe.It is usually due to metatarsus primus varus which is a medial deviation or adduction of the first metatarsal with an increased first-second metatarsal angle.. Radiographic features Plain radiograph. A normal first metatarsophalangeal angle is ≤15° on an AP weight-bearing ... The results of the metatarsus primus varus and the hallux valgus obtained by the Cedell procedure in this study were good when compared with those of various other procedures.2,5,11,14 The final ... They do not, however, correct the metatarsus primus varus or hallux valgus problems. Initial treatments can include hanging shoes: Because bunions are aggravated by shoes and shoes are considered a contributor to the underlying deformities, changing to a shoe with a wider toe box and avoiding high heels and other pointed-toe shoes can help relieve the problem.
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