Hallus varus

Definition

• Triplanar deformity
  • Supination of MTP J
  • Hyperextension MTPJ
  • Hyperflexion of IPJ

Causes

• Primary (uncommon)
• Secondary
  • Over correction of H Valgus
  • Club foot
  • Eq varus
  • NM
  • Trauma
  • Inflammation

Assessment

• Beighton score
• Flexibility of deformity
• MT deformities
• Gait
• X Rays

Treatment

• Strapping in valgus
• Surgical
  • Soft tissue correction
    • Medial release and lateral plication
    • Abd H release
    • EHL/EHB transfer
  • Bony correction
  • Joint procedures
    • Arthrodesis
    • Resection arthroplasty