Classification of hallux valgus deformity–is there a standard?

Spindler, Fabian T.; Ettinger, Sarah und Baumbach, Sebastian F. (2024): Classification of hallux valgus deformity–is there a standard? In: Archives of Orthopaedic and Trauma Surgery, Bd. 144: S. 4737-4743

Abstract

Introduction

Hallux valgus deformity severity is one determent for the surgical procedure for hallux valgus (HV) correction. HV deformities are usually classified into mild/moderate/severe. The aim was to investigate the cut-off criteria used to classify HV deformity.

Materials and Methods

The study was based on a previous living systematic review. Four common databases were searched for the last decade. All review-steps were conducted by two reviewers. Data assessed were the individual cut-off values used to classify HV deformity into mild/moderate/severe, and the referenced classification systems.

Results

46 studies were included. 21/18 studies grade deformity based on the intermetatarsal angle (IMA)/ hallux valgus angle (HVA) with great heterogeneity throughout the different cut-off values. The most referenced classification systems were the Coughlin and Mann’s and the Robinson classification.

Conclusions

The currently used classification systems are heterogenic, and no standard could be defined. The community should define a uniform classification system.

• Dokumententyp: Zeitschriftenartikel
• Fakultät: Medizin > Klinikum der LMU München > MUM - Muskuloskelettales Universitätszentrum München
• Themengebiete: 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin und Gesundheit
• ISSN: 1434-3916
• Bemerkung: With the D. A. F. Scientific committee
• Sprache: Englisch