Orthonotes
Orthonotes
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Hallux Rigidus

Degenerative osteoarthritis of the 1st MTP joint causing dorsal osteophytes, stiffness, and pain—especially with push‑off. Coughlin–Shurnas clinical–radiographic grading guides treatment (Grade 1: mild stiffness → Grade 4: severe stiffness with sesamoid involvement/near ankylosis). Cheilectomy ± Moberg (dorsal closing wedge) osteotomy for low‑grade disease; 1st MTP arthrodesis is the gold standard for advanced disease in active patients. Arthroplasty/hemicap considered selectively in low‑demand...