Smith Bertil W, Coughlin Michael J
Treasure Valley Hospital, Boise, ID, United States.
Foot Ankle Surg. 2008;14(3):138-41. doi: 10.1016/j.fas.2008.05.006. Epub 2008 Jul 16.
The etiology and treatment of the hallux valgus deformity has long been a subject of controversy. Early reports focused on increased first metatarsocuneiform joint mobility as the primary cause of the deformity. While this theory was widely accepted, little evidence was offered in its support. Recent reports have provided objective evidence calling into question the notion of hypermobility. While flexibility in the first metatarsocuneiform joint is necessary for hallux valgus to develop, increased mobility is the result rather than the cause of the deformity.
拇外翻畸形的病因及治疗长期以来一直是个有争议的话题。早期报告将第一跖楔关节活动度增加作为该畸形的主要原因。虽然这一理论被广泛接受，但几乎没有证据支持它。最近的报告提供了客观证据，对关节活动过度的观点提出了质疑。虽然第一跖楔关节的灵活性是拇外翻形成所必需的，但活动度增加是畸形的结果而非原因。
