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First published on April 16, 2004, doi:10.1177/0363546503258780
This version was published on June 1, 2004
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The American Journal of Sports Medicine 32:1032-1034 (2004)
© 2004 American Orthopaedic Society for Sports Medicine

Relationship Between Stress Fractures of the Proximal Phalanx of the Great Toe and Hallux Valgus

Kiyoshi Yokoe, MD* and Yasushi Kameyama, MD

From the Institute of Sports Medicine and Science, Agui, Japan

* Address correspondence to Kiyoshi Yokoe, MD, Institute of Sports Medicine and Science, Agui, Aichi 470-2212, Japan.

Purpose: To clarify the relationship between stress fractures of the great toe and hallux valgus.

Methods: Ten cases of this fracture were analyzed for their alignment of the great toe.

Results: Nine of them had hallux valgus.

Discussion: The continuous bowstring effect of the extensor hallux longus and shearing stress on the hallux valgus that occur during specific exercises such as sprinting, jumping, and standing on tiptoe, could cause these stress fractures.

Conclusion: The hallux valgus could play a role in the cause of stress fractures of the proximal phalanx of the great toe.

Key Words: stress fracture • great toe • hallux valgus






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