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Hallux valgus
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Hallux valgus

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  • 1. Hallux ValgusKristine Aclan, RN
  • 2. Hallux Valgus• Also called bunion• A deformity of the foot involving the first metatarsal and great toe
  • 3. Hallux Valgus• Occurs in females more frequently than males, and incidence increases with age
  • 4. • May have a genetic predisposition• Commonly occurs with other deformities of the feet, such as hammertoe, mallet toe, and claw toe
  • 5. CLINICALMANIFESTATIONS
  • 6. • Pain• Possible callus of skin overlying bunion and accompanying toe deformities• Diminished ROM• Generally associated with tight footwear
  • 7. MANAGEMENT ANDNURSINGINTERVENTIONS
  • 8. Conservative Management• Wearing footwear made of soft leather with a wider toe box, rounded rather than pointed, and with low heel.• Special orthoses can be ordered.• Steroid injections to relieve pain.
  • 9. Surgical Management• Surgical alignment of the great toe by osteotomy of metatarsal or proximal phalanx of the great toe or fusion of the metatarsal-metatarsophalangeal joint
  • 10. Postoperative Care• Elevation of the foot to reduce pain• Initial non-weight-bearing activity, with very gradual progress in activity• Crutch walking initially, followed by wooden shoe immobilizer for several weeks
  • 11. Postoperative Care• NSAIDs and opioid analgesics for pain• Bandages changed by surgeon initially