Buscar en
Revista Española de Cirugía Ortopédica y Traumatología (English Edition)
Toda la web
Inicio Revista Española de Cirugía Ortopédica y Traumatología (English Edition) Hallux rigidus: aetiology, diagnosis, classification and treatment
Journal Information
Vol. 54. Issue 5.
Pages 321-328 (September - October 2010)
Download PDF
More article options
Vol. 54. Issue 5.
Pages 321-328 (September - October 2010)
Review article
Full text access
Hallux rigidus: aetiology, diagnosis, classification and treatment
Hallux rígidus: etiología, diagnóstico, clasificación y tratamiento
J. Asunción Márqueza,
Corresponding author

Corresponding author.
, X. Martín Olivab
a Foot and Ankle Unit, Hospital Clínic, Universidad de Barcelona, Spain
b Foot and Ankle Unit, Clínica del Remei, Barcelona, Spain
This item has received
Article information
Download PDF

Hallux rigidus is a degenerative and progressive disease of the metatarsal phalangeal joint of the hallux, with its main symptoms being pain and loss of joint movement. Different aetiological mechanisms are involved in its development, and clinical anamnesis and radiological examinations are essential for an accurate diagnosis and to be able to establish the correct stage of progression, with the aim of giving suitable treatment in each case. Surgical treatment is indicated in most cases and is necessary to know all the surgical techniques to make the right treatment for each patient.

Hallux rigidus

El hallux rígidus es una patología degenerativa y progresiva de la articulación metatarsofalángica del hallux, cuyo principal síntoma es el dolor y la pérdida de la movilidad articular. Existen distintos mecanismos etiológicos que se han involucrado en su desarrollo y la anamnesis clínica y los exámenes radiológicos son indispensables para llegar a su preciso diagnóstico y poder concretar el correcto estadio evolutivo, con la finalidad de efectuar un adecuado tratamiento en cada caso.

El tratamiento quirúrgico está indicado en la mayoría de casos y es indispensable tener un amplio conocimiento de las diversas técnicas quirúrgicas para realizar el tratamiento correcto a cada paciente.

Palabras clave:
Hallux rígidus
Full text is only aviable in PDF
N. Davies-Colley.
Contraction of the metatarsophalangeal joint of the great toe (hallux flexus).
Br Med J, 1 (1887), pp. 728
J.M. Cotterill.
Stiffness of the great toe in adolescents.
Br Med J, 1 (1888), pp. 1158-1162
M.J. Coughlin, P.S. Shurnas.
Hallux Rigidus: Demographics, etiology and radiographic assessment.
Foot Ankle Int, 24 (2003), pp. 731-743
H. Nilsonne.
Hallux rígidus and its treatment.
Acta Orthop Scand, 1 (1930), pp. 295-303
G. Yee, J. Lau.
Current concepts review: Hallux rígidus.
Foot Ankle Int, 29 (2008), pp. 637-646
M.J. Coughlin, R.A. Mann, C.L. Saltzman.
Hallux rígidus.
Surgery of the Foot and Ankle, Mosby-Elsevier, (2007),
C.A. Camasta.
Hallux limitus and hallux rígidus. Clinical examination, radiographic findings, and natural history.
Clin Podiatr Med Surg, 13 (1996), pp. 423-448
C.A. Camasta, T.E. Pitts, S.V. Corey.
Bilateral osteochondritis dissecans of the first metatarsophalangeal joint.
J Am Podiatr Med Assoc, 84 (1994), pp. 297-310
R.A. Mann, M.J. Coughlin, H.L. DuVries, Hallux Rigidus:.
A review of the literature and a method of treatment.
Clin Orthop Relat Res, 142 (1979), pp. 57-63
R. Flavin, T. Halpin, R. O'Sullivan, D. Fitzpatrick, A. Ivankovic, M.M. Stephens.
A finite-element analysi study of the metatarsophalangeal joint of the hallux rígidus.
J Bone Joint Surg Br, 90-B (2008), pp. 1334-1340
P.V. Munuera, G. Domínguez, J.M. Castillo.
Radiographic study of the size of the first metatarso-digital segment in feet with incipient hallux limitus.
J Am Podiatr Med Assoc, 97 (2007), pp. 460-468
J.L. Besse, M. Maestro, E. Berthonnaud.
Radiological features of the forefoot: “normal” versus hallux rígidus versus hallux valgus.
J Bone Joint Surg Br, 86 (2004), pp. 34
M. Núñez-Samper, L.F. Llanos Alcázar.
Biomecánica, medicina y cirugía del pie.
Masson, (1997),
G.A. Horton, Y.W. Park, M.S. Myerson.
Role of metatarsus primus elevatus in the pathogenesis of hallux rígidus.
Foot Ankle Int, 20 (1999), pp. 777-780
J.O. Meyer, L.R. Nishon, L. Weiss, G. Docks.
Metatarsus primus elevatus and the etiology of hallux rígidus.
J Foot Surg, 26 (1987), pp. 237-241
M.N. Durrant, K.K. Siepert.
Role of soft tissue structures as an etiology of hallux limitus.
J Am Podiatr Med Assoc, 83 (1993), pp. 173-180
F.M. Harton, S.A. Weiskopf, R.M. Goecker.
Secctioning the plantar fascia. Effect on first metatarsophalangeal joint motion.
J Am Podiatr Med Assoc, 92 (2002), pp. 532-536
Y.M. Kirane, J.D. Michelson, N.A. Sharkey.
Contribution of the flexor hallucis longus to loading of the first metatarsal and first metatarsophalangeal joint.
Foot Ankle Int, 29 (2008), pp. 367-377
M.J. Shereff, F.J. Bejjani, F.J. Kummer.
Kinematics of the first metatarsophalangeal joint.
J Bone Joint Surg Am, 68-A (1986), pp. 392-398
P.V. Munuera, G. Domínguez, G. Lafuente.
Length of the sesamoids and their distance from the metatarsophalangeal Joint space in feet with incipient hallux limitus.
J Am Podiatr Med Assoc, 98 (2008), pp. 123-129
G.V. Zammit, H.B. Menz, S.E. Munteanu, K.B. Landorf.
Plantar pressure distribution in older people with osteoarthritis of the first metatarsophalangeal joint (hallux limitus/rígidus).
J Orthop Res, 26 (2008), pp. 1665-1669
H.L. DuVries.
Surgery of the foot.
The C.V. Mosby Co, (1965),
R.A. Mann, T.O. Clanton.
Hallux rígidus, Treatment by cheilectomy.
J Bone Joint Surg Am, 70-A (1998), pp. 400-406
D.W. Austin, E.O. Leventer.
A new osteotomy for hallux valgus.
Clin Orthop Relat Res, 57 (1981), pp. 25-30
H. Watermann.
Die arthritis deformans grosszehengruss dgelenkes.
Zeitschr Orthop Chir, 48 (1927), pp. 346-350
L.S. Barouk.
Techniques of osteotomies of the forefoot.
Int Monograp Journees de Bordeaux, (1994), pp. 20-22
E. Moberg.
A simple operation for hallux rígidus.
Clin Orthop Relat Res, 42 (1979), pp. 55-56
W.L. Keller.
The Chirurgical treatment of bunions and hallux valgus.
NY Med J, 80 (1904), pp. 741-742
D.P. O?Doherty, I.G. Lowrie, P.A. Magnussen, P.J. Gregg.
The management of the painful first metatarsophalangeal joint in the older patient.
J Bone Joint Surg Am, 72-A (1990), pp. 839-842
V. Valenti.
Le ortesi del piede.
Verducci, (1977),
M. Nuñez-Samper, L.F. Llanos, R. Viladot.
Técnicas quirúrgicas en cirugía del pie.
Masson, (2003),
M.J. Coughlin, R.A. Mann.
Arthrodesis of the first metatarsophalangeal joint as salvage for the failed Keller procedure.
J Bone J Surg Am, 69-A (1987), pp. 68-75
N. Wulker.
Arthrodesis of the metatarsophalangeal joint of the large toe.
Orthopade, 25 (1996), pp. 187-193
A.B. Swanson, R.M. Lumsden.
Silicon implant arthroplasty of the great toe.
Clin Orthop Relat Res, 142 (1979), pp. 30-43
T.B. Mc Auliffe, B. Helal.
Replacement of the first metatarsophalangeal joint with a silicone elastomer ball-shaped spacer.
Foot Ankle, 10 (1990), pp. 257-262
K.S. David-West, J.S. Moir.
Moje ceramic prosthetic metatarsophalangeal joint replacement.
The Foot, 12 (2002), pp. 43-46
D. Werner.
A ceramic prosthesis for hallux rígidus.
The Foot, 11 (2001), pp. 24-27
G.E. Fadel, S. Sripada.
Ceramic implant arthroplasty of the hallux: Early results.
Foot Ankle Surg, 11 (2005), pp. 149-153
C.O. Townley, W.S. Taranow.
A metallic hemiarthroplasty resurfacing prosthesis for the hallux metatarsophalangeal joint.
Foot Ankle Int, 15 (1994), pp. 575-580
S. Ramnadh, F.R. Pulavarti.
First metatarsophalangeal joint replacement using the Bio-Action great toe implant: Intermediate results.
Foot Ankle Int, 12 (2005), pp. 1033-1037
H.B. Kitaoka, I.J. Alexander, R.S. Adelaar, J.A. Nunley, M.S. Myerson, M. Sanders.
Clinical rating sytems for the ankle, midfoot, hallux and lesser toes.
Foot Ankle, 15 (1994), pp. 349-353
P. Ronconi, P. Monachino, P.M. Beleanu, G. Favilli.
Distal oblique osteotomy of the first metatarsal for the correction of hallux limitus and rígidus deformity.
J Foot Ankle Surg, 39 (2000), pp. 154-160
Rochera R, Lluis L, Viladot R. The importance of plantar muscles in the Hallux Rigidus. Actas del 2nd EFFORT Congress. Julio 1995. Munich, Alemania: EFFORT: 74–5.
Copyright © 2010. Sociedad Española de Cirugía Ortopédica y Traumatología (SECOT). All rights reserved
Article options
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos

Quizás le interese:
No mostrar más