Abstract
The development and developmental variation of the proximal epiphysis of the hallux have been studied in 1,500 children who presented to the Emergency Department with minor injuries. An abnormality was present in 3.5% of the children representing epiphyseal fragmentation, sclerosis, cone-shaped epiphysis, and trauma. Those subjects with developmental anomalies were reviewed clinically and 25% of those with epiphyseal fragmentation were found to be suffering from hallux rigidus. The radiological features and clinical considerations are presented.
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References
Bingold AC, Collins DH (1950) Hallux rigidus. J Bone Joint Surg 32:214
Brailsford JM (1953) The radiology of bones and joints. 5th edn. Churchill, London
Caffey J (1972) Paediatric X-ray diagnosis. 4th edn. Year Book Medical Publishers. Chicago
Dessecker C (1930) Zur Epiphysennekrose der Mittelphalangen beider Hände. Dtsch Chir 229:327
Fleischner F (1923) Multiple Epiphysenstörungen an den Händen. Eine bisher unbekannte Lokalisation der Osteochondropathie juvenilis. RÖFO 31:206
Frank S (1942) Aseptic necrosis in the epiphyses of the digital phalanges and metacarpal bones (Thiemann's disease, Dietrich disease) Acta Radiol [Diagn] (Stockh) 23:449
Giedion A (1966) Das tricho-rhino-phalangeale Syndrome, Helv Paediatr Acta 21:475
Giedion A (1973) Acrodysplasias. Progress in paediatric radiology. Intrinsic disseases of bones, vol 4. Karger, Basel, p 325
Giedion A (1977) Cone-shaped epiphyses of the hands and their diagnostic value. The tricho-rhino-phalangeal syndrome. Ann Radiol (Paris) 10:322
Glissan DJ (1946) Hallux valgus and hallux rigidus. Med J Aust 2:585
Hauser EDW (1939) Diseases of the foot. Saunders, Philadelphia London, p 132
Hoerr NL, Pyle SI, Francis CC (1962) Radiographic atlas of skeletal development of the foot and ankle. Thomas, Springfield
Iturizza JR, Tanner IM (1969) Cone-shaped epiphyses and other minor abnormalities in the hands of normal British children. J Pediatr 75:265
Jack EA (1940) The aetiology of hallux rigidus. Br J Surg 27:492
Kessel L, Bonney G (1958) Hallux rigidus in adolescents. J Bone Joint Surg [Br] 40:668
Kingreen O (1933) Zur Ätiologie des hallux flexus. Zentralbl Chir 60:2116
Kohler A, Zimmer EA (1968) Borderlands of the normal and early pathologic in skeletal roentgenology. 3rd edn. Grune and Stratton, New York
Roche AF, Sunderland S (1959) Multiple ossification centers in the epiphyses of the long bones of the human hand and foot. J Bone Joint Surg [Br] 41:375
Ryffel H (1933) Zur Thiemannschen Epiphysenerkrankung. Röntgenpraxis 5:423
Sawtell RO (1931) Irregular ossification of the extremities of boys and girls. AJR 25:330
Schinz HR, Baensch WE, Friedl E, Uehlinger E (1951) Textbook of X-ray diagnosis, 5th edn. Thieme, Stuttgart
Steihauser W (1959) Osteochondrose der basalen Epiphyse der Grundphalanx, Grosszehe und Hallux rigidus. Beitr Orthop Traumatol 6:177
Thiemann H (1909) Juvenile Epiphysenstörungen. RÖFO 14:79
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Lyritis, G. Developmental disorders of the proximal epiphysis of the hallux. Skeletal Radiol 10, 250–254 (1983). https://doi.org/10.1007/BF00357899
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DOI: https://doi.org/10.1007/BF00357899