Skeletal Radiology

, Volume 25, Issue 6, pp 519–524

Tendon shift in hallux valgus: observations at MR imaging

  • S. Eustace
  • Daniel Williamson
  • Michael Wilson
  • J. O’Byrne
  • Lisa Bussolari
  • Mark Thomas
  • Michael Stephens
  • John Stack
  • Barbara Weissman
ARTICLE

DOI: 10.1007/s002560050128

Cite this article as:
Eustace, S., Williamson, D., Wilson, M. et al. Skeletal Radiol (1996) 25: 519. doi:10.1007/s002560050128

Abstract

Objective. This study was undertaken to demonstrate a shift in tendon alignment at the first metatarsophalangeal joint in patients with hallux valgus by means of magnetic resonance imaging. Design. Ten normal feet and 20 feet with the hallux valgus deformity conforming to conventional clinical and radiographic criteria were prospectively studied using magnetic resonance imaging. Correlation was made between tendon position at the first metatarsophalangeal joint and the severity of the hallux valgus deformity. Results. There is a significant shift in tendon position at the first metatarsophalangeal joint of patients with hallux valgus. The insertion of the abductor hallucis tendon is markedly plantarward and the flexor and extensor tendons bowstring at the first metatarsophalangeal joint compared with patients without the deformity. The severity of the tendon shift correlates with the hallux valgus angle and clinical severity of the hallux valgus deformity in each case. Conclusion. Patients with hallux valgus have a significant tendon shift at the first metatarsophalangeal joint which appears to contribute to development of the deformity.

Key words Abductor hallucis tendonHallux valgusMagnetic resonance imaging

Copyright information

© International Skeletal Society 1996

Authors and Affiliations

  • S. Eustace
    • 1
  • Daniel Williamson
    • 2
  • Michael Wilson
    • 3
  • J. O’Byrne
    • 1
  • Lisa Bussolari
    • 2
  • Mark Thomas
    • 2
  • Michael Stephens
    • 1
  • John Stack
    • 1
  • Barbara Weissman
    • 2
  1. 1.Department of Radiology, Boston University Medical Center Hospital, 88 East Newton Street, Atrium – 2, Boston, MA 02118, USAUS
  2. 2.Department of Radiology, Brigham and Womens Hospital, Boston, Massachusetts, USAUS
  3. 3.Department of Orthopedics, Brigham and Womens Hospital, Boston, Massachusetts, USAUS