Fibrodysplasia (Myositis) ossificans progressiva is rare herditary connective tissue characterized by widespread soft tissue ossification and bilateral hypoplastic HALLUX VALGUS (short big toe). Onset is typically in childhood and progressive involvement of the spine and proximal extermities leades to immobility and articular dysfunction. No effective treatment is known but it is important to avoid exacerbating factors such as biopsy, operations and intramuscular injection. We present here 16 years old man with severe restriction in pripheral and axial articular movement, bilatral HALLUX VALGUS, foci of ectopic ossification in the different site of body and conductive hearing loss in right ear.

Background: Mitchell osteotomy is one of first metatarsal distal corrective osteotomies for HALLUX VALGUS deformity. The purpose of this study was to evaluate the outcome of Mitchellosteotomy. Methods: Eighteen patients underwent Mitchell corrective osteotomy using screw fixation for HALLUX VALGUS deformities from 2011 to 2015 were included. Clinical outcome was assessed using American Orthopedic Foot and Ankle Score, HALLUX metatarsophalangeal-interphalangeal scale, (AOFAS HALLUX), visual analogue score, and changes in HALLUX VALGUS and intermetatarsal angles based on standard weight-bearing radiographs, at least one year after surgery. Results: About 95 % of patients were completely satisfied. Mean of AOFAS score was 86. 7 at final follow-up. The mean of changes in intermetatarsal and HALLUX VALGUS angles were 5. 6 ± 3. 1 and 17. 0 ± 5. 2 respectively. Pain of the cases based on visual analogue score decreased from 5. 8 ± 0. 8 preoperatively to 1. 3 ± 1. 2 postoperatively. There were no deep infections, non: : union: : or osteonecrosis of first metatarsal head. Conclusion: Mitchell corrective osteotomy with screw fixation could bea simple and effective procedure to correct HALLUX VALGUS deformity with high levels of patient satisfaction.

Introduction: HALLUX VALGUS is a common foot deformity causing lateral deviation of the first toe and progressive subluxation of the first metatarsophalangeal joint. The purpose of this study was to investigate the effect of kinesiotype and ankle strengthening exercises with a bosu ball on pain, balance and big toe angle in women with HALLUX VALGUS. Methods: This clinical trial study used a pre-test and post-test design. First, forty-five women with HALLUX VALGUS and flat feet were selected via convenience sampling and randomly assigned to three groups: a kinesiotape group (four weeks, three sessions/week, 24-hour tape application per session), a kinesiotape with Bosu ball ankle strengthening exercises (four weeks, three sessions/week, 30 minutes of exercises and 24-hour tape application per session), and a control group (no intervention). Pain, balance, and HALLUX VALGUS angle were measured using the Visual Analogue Scale (VAS), stork test, and goniometer, respectively. Data were analyzed using one-way ANOVA at a significance level (P ≥ 0. 05). Results: After performing the exercises, comparing the data between the two groups before and after 4 weeks revealed a significant difference in pain, balance, and HALLUX VALGUS angle in the two groups of kinesiotape and kinesiotape along with the strengthening exercises of Boussou bathop compared to The control group showed (P = 0. 001). Conclusions: A combined program of kinesiotape and Bosu ball ankle strengthening exercises may improve pain, balance, and HALLUX VALGUS alignment in women.

Background: HALLUX VALGUS is one of the most prevalent deformities which causes changes in the center of pressure (COP) and standing balance. This paper looks at the mechanical changes of spacer pads used for such a deformity.Methods: In this quasi experimental study, 24 people suffering from HALLUX VALGUS were reffered to a trainig hospital in Tehran, Iran. A Bertec force plate was used to collect data related to COP parameters. The balance tests of TUG and FR were used to evaluate the changes in balance. The tests were done without and with toe spacers in a 15 second period of time and the COP displacement in anteroposterior and mediolateral directions and also the path length of COP displacement, velocity of COP displacement and confidence ellipse of the COP were measured. The data were analyzed using statistical tests.Results: Using the toe spacers did not cause a significant change in displacement of COP in anteroposterior and mediolateral directions, confidence ellipse, velocity of COP displacement and the path length of COP displacement (p≥.05). But the change in the results of FR and TUG tests was significant (p<.05).Conclusions: Using the toe spacers in HALLUX VALGUS causes no significant changes in COP displacement, path length, velocity and confidence ellipse, but shows improvement in results of balance tests in elderly suffering from HALLUX VALGUS deformity.

Introduction & Objective: Accurate diagnosis of bone structure and disease severity in patients with HALLUX VALGUS is crucial. Therefore, this study aims to investigate the correlation between the HALLUX VALGUS angle and other radiological angles and indices in patients with HALLUX VALGUS deformity. Materials & Methods: This cross-sectional analytical study was conducted from 2021 to 2022. The study population consisted of patients with HALLUX VALGUS deformity. First, basic demographic information of participants was documented, then, a standing dorsoplantar foot radiograph was performed for all patients. Radiological information of the patients, including HALLUX VALGUS angle, the first-second intermetatarsal angle, the first-fifth metatarsal angle, the first metatarsal length, the ratio of the length of the first metatarsal to the second, and the horizontal distance between the distal of the first and fifth metatarsals were measured. In addition, to evaluate the clinical severity of HALLUX VALGUS, macroscopic photographs were taken from the patients in the same position using a digital camera. Four expert physicians evaluated the photographs separately and blindly based on the visual analogue scale (VAS) index. The VAS score ranged from 0 to 10, with 0 representing the minimum disease severity and 10 representing the maximum deformity in HALLUX VALGUS. The relationship between variables was investigated using Pearson's correlation coefficient and a linear regression model. Results: In this study, 110 patients (94 females and 16 males) were enrolled, of which 80 patients (72. 8%) had a moderate HALLUX VALGUS, and 30 patients (27. 3%) had severe HALLUX VALGUS based on the clinical severity of HALLUX VALGUS (VAS). The results of the Pearson correlation and linear regression model showed that the HALLUX VALGUS angle had the highest positive correlation with the first-fifth metatarsal angle (correlation coefficient of 0. 55 and P < 0. 001), the first-second intermetatarsal angle (correlation coefficient of 0. 52 and P < 0. 001), and the ratio of the length of the first metatarsal to the second (correlation coefficient of 0. 24 and P = 0. 01). Conclusions: The results of this study revealed that some radiological indices correlate with the HALLUX VALGUS angle and, consequently, the disease severity. These findings highlight the importance of considering these factors in patients' radiographs and during corrective surgeries.

Background & Objectives: HALLUX VALGUS is a common disorder, leading to the external deflection of the first bone of the foot and internal thumb displacement with its external rotation, which highlights the first the metatarsophalangeal joints (MTP joint). This abnormality is more common in women and causes the formation of a HALLUX VALGUS to interfere with the first MTP joint and muscle imbalance between the adductor and the abdomen of the thumb. The main reasons for the development of the HALLUX VALGUS can divide into two categories; A) The underlying causes include: flat foot, which can be effective in creating a HALLUX VALGUS; and foot pronation introduced as the main agent; B) Outer causes that include: wearing inappropriate footwear, which is one of the main factors in the creation of a HALLUX VALGUS; in the case of muscle weakness its destructive effects will be greater; inheritance; other factors including fracture, discontinuation of the second finger, gout, rheumatism, and infection. Studies on the effect of protective methods on the crooked thumb are scant and at the same time, contradictory. Therefore, the aim of this study was the effect of a combined exercise– bandage protocol on the HALLUX VALGUS angle in women with HALLUX VALGUS deformity. Methods: The research was semi– experimental and the research design was a pretest– posttest with the experimental and control group. The statistical population of the study consisted of women aged 18 to 45 years old who referred to the Baneh city (Kurdistan province, Iran) school of rehabilitation. In this study, 30 women with mild and moderate toes (15 to 30 degrees) with a mean and standard deviation of age: 30. 83± 8. 26, 161. 63± 4. 41, 61. 77± 5. 47, the target group was selected and randomly divided into two groups: training– bandages and control group. First, the angle of the shoulder was determined using radiographs. The training group– bonding for 8 weeks and 24 hours with Kinesio tape and daily two repetitive exercises of the thumb. The control group did not receive intervention. After 8 weeks, radiography was performed using the angle of HALLUX VALGUS. The training group – Bondage used a Kinesio tape for 8 weeks and 24 hours, and twice– daily exercises were performed on the HALLUX VALGUS, while the control group did not receive the intervention. The exercises include seven exercises, which should be performed for 8 weeks and twice daily. Between each repetition, 5 seconds rest and each move are restrained for 20 seconds. Experimental group exercises included mobility, stretching, tensile strength, strength, tensile strength, strength, strength, strength in each session. When exercising, the subjects were asked to use the muscles of the shoulder and to prevent the creation and production of force by the muscles of the wrists or legs. The angle of HALLUX VALGUS was measured in both groups at the beginning and end of the eighth week by radiography. Independent t– test (intra– group comparison) and independent t– test (inter– group comparison) were used to compare the results at 95% significance level and the alpha value smaller or equal to 0. 05. Data were analyzed using SPSS version 22 software. Results: The results showed that there was a significant difference between the pre– test and post– test scales angle in the training group (p<0. 001). However, there was no difference between the scores of pre– test and post– test of angle of thumb in the control group. In addition, the difference in post– test scores between test– band and control group was significant (p<0. 001). In other words, the combined exercise– bandage program can reduce the angle of the thumb. Conclusion: It seems that in order to correct HALLUX VALGUS in women, we can use the training program– bandage program. Results showed that practicing lumbar spine could have a positive effect on the improvement of angles and in women with HALLUX VALGUS.

Objective: HALLUX VALGUS is one of the most foot deformities which increases plantar pressure beneath big toe and first metatarsal. The aim of this study was to assess the effect of foot orthosis on plantar pressure distribution in subjects with mild and moderate HALLUX VALGUS.Materials & Methods: in this quasi-experimental study, females 16 with HALLUX VALGUS were recruited. Plantar pressure in eight areas of foot was measured by Pedar-X insole when wearing standard shoe only; shoe with foot orthosis and shoe with foot orthosis after one month of using orthosis. Data were analyzed by repeated measure analysis of variance test.Results: using foot orthosis for a month leaded to decrease pressure in the big toe (p<0.019); first metatarsal and 3-5 metatarsals (p<0.001) and also increased pressure in medial mid foot (p<0.001).Conclusion: Foot orthosis decreased peak pressure in fore-foot and increased it in medial mid-foot. Therefore redistribute plantar pressure to the more normal pattern in HALLUX VALGUS subjects. So it could be one of the effective methods to prevent the progression of this deformity in its initial steps of formation.

Background & Aims: HALLUX VALGUS is one of the most common foot deformities, with a reported prevalence of about 23% in the age group of 16 to 65 years. This deformity causes external deviation of the first toe and progressive subluxation of the first metatarsophalangeal joint. This condition can be associated with osteoarthritis of the joint and causes impairment in physical function, decreased general health, and decreased quality of life. The aim of the present study was to systematically investigate the effect of non-surgical techniques focusing on kinesiotape and corrective exercises in the management of HALLUX VALGUS. Materials & Methods: Using domestic and foreign databases including Scopus, Google Scholar, PubMed, ISC, SID, Magiran, and Irandoc, articles published between January 2020 and January 2025 were searched with the keywords Rehabilitation, HALLUX VALGUS Kinesiotype, HALLUX VALGUS Corrective Exercises, HALLUX VALGUS, kinesiotype, and corrective exercises. After searching and screening articles according to the inclusion criteria, including access to the full text of the article, articles in Persian and English, and articles that were randomized clinical trials, were selected. The quality of the included articles was assessed using the PEDro scale. Results: A total of 11 articles met the inclusion criteria. These studies mainly investigated the effect of kinesiology tape and corrective exercises on the big toe angle, pain, and balance. Studies that investigated combined interventions showed more significant improvements in the above indicators. Conclusion: Evidence shows that the use of combined interventions, compared to the use of an intervention alone, has a greater effect on correcting the deformity, reducing pain, and improving balance in patients with HALLUX VALGUS. .

HALLUX VALGUS or the lateral deviation of the great toe is a complex disease. If it is not treated, it will cause the deviation of other toes. HALLUX VALGUS is three times more common in females and may cause uncomfortable deformity of the foot, problems in putting on unsuitable and narrow toe box shoes, and pain on the medial side of the first metatarsophalangeal joint; therefore, patients seek medical services. Untreated HALLUX VALGUS may cause the hammer toe deformity of the second toe. In this cohort study, 30 patients referring to the Orthopedic Clinic of Shohada Ashayer Hospital of Khorramabad, Iran, with a complaint of HALLUX VALGUS were randomly divided into two groups.The splints designed by the researches (slippers splints) were given to the case group, and the splints on the market including night splints and interdigital pads were given to the control group. The patients were followed every three months for a year and every time the weight bearing anteroposterior radiography of both feet were taken and HALLUX VALGUS and intermetatarsal angles were measured. The data was analyzed by the SPSS software using repeated measure tests.In the case group that used the designed splints regularly, HALLUX VALGUS angles decreased more dramatically than in the control group (P<0.001). This study showed that, despite controversies over the nonoperative treatment of HALLUX VALGUS, if HALLUX VALGUS angle in patient is mild to moderate, the splint can be used as a nonoperative treatment.