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 patients; interposition arthroplasty an option when motion preservation is desired but implants unsuitable.

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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 patients; interposition arthroplasty an option when motion preservation is desired but implants unsuitable.
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Question 1

What is the primary characteristic of hallux rigidus?

Question 2

Which grading system is most commonly used to classify hallux rigidus?

Question 3

In which grade of hallux rigidus is cheilectomy the preferred surgical option?

Question 4

What is the gold standard surgical treatment for advanced hallux rigidus (Grades 3 and 4)?

Question 5

Which of the following is the typical range of dorsiflexion loss seen in Grade 2 hallux rigidus?

Question 6

What compensatory gait change might a patient with hallux rigidus exhibit due to loss of dorsiflexion?

Question 7

What is the typical incidence of hallux rigidus in adults over 50 years of age?

Question 8

Which non-operative management strategy is typically recommended for early-stage hallux rigidus?

Question 9

Which of the following is NOT a risk factor for developing hallux rigidus?

Question 10

Which of the following is a common physical exam finding in hallux rigidus?