Isidro Albert, Malgosa Assumpció
J Am Podiatr Med Assoc. 2017 May;107(3):261-263. doi: 10.7547/16-041.
Hallux valgus is the most common orthopedic problem of the adult foot. The etiology can be congenital, associated with the occurrence of metatarsus primus varus, or acquired, which is closely related to wearing ill-fitting shoes. Hallux valgus occurs almost exclusively in shod societies and, therefore, is a very uncommon finding in archaeological remains. We present a partial first ray of the left foot belonging to a dismembered Egyptian mummy recovered in the necropolis of Sharuna (Middle Egypt) and dated to the end of the Old Kingdom (circa 2100 BC). The mummification process led to a metatarsophalangeal joint in connection by means of soft tissues. The alignment of this joint could be diagnosed as a hallux valgus. Further examination showed a metatarsophalangeal angle of 28°. After a comprehensive literature search and noting that all of the previous cases were described by indirect factors, such as mounting the joint in dry bones, we can state with certainty that the piece we present herein is the oldest case of mummified hallux valgus.
拇外翻是成人足部最常见的骨科问题。其病因可能是先天性的，与第一跖骨内翻的发生有关，也可能是后天性的，这与穿不合脚的鞋子密切相关。拇外翻几乎只出现在穿鞋的社会中，因此在考古遗迹中是非常罕见的发现。我们展示了一只左脚的部分第一跖骨，它属于在沙鲁纳（埃及中部）墓地出土的一具肢解的埃及木乃伊，年代可追溯到古王国末期（约公元前2100年）。木乃伊化过程使跖趾关节通过软组织相连。该关节的对线情况可诊断为拇外翻。进一步检查显示跖趾角为28°。在全面检索文献并注意到之前所有病例都是通过间接因素描述的，比如在干燥骨骼中安装关节后，我们可以肯定地说，我们在此展示的这块骨头是木乃伊化拇外翻的最古老病例。
