Hallux valgus

Hallux valgus is a misalignment of the big toe in which it deviates towards the other toes and the metatarsal bone tilts outwards. This often leads to a visible bump on the inside of the foot. This condition is less common in children and adolescents, but it can also occur here.

Hallux valgus occurs relatively rarely in children, but the deformity can be favoured by incorrect footwear or a family history. There are two main causes: on the one hand, a congenital predisposition in which the foot muscles and bones tend to be misaligned from birth, and on the other hand, an acquired form that can be caused by unfavourable lifestyle habits or incorrect footwear during growth.

Typical symptoms are pain in the affected area, especially when wearing tight or high shoes, as well as an increasing deviation of the toe. Walking can become difficult. In very severe cases, there may be other problems such as painful overloading of the other toes and misalignments occurring here too.

The treatment of hallux valgus in children and adolescents depends on the severity of the deformity. Initially, conservative therapy can be carried out by wearing suitable footwear or with adjustments to the shoe. Depending on the symptoms and especially while the foot is still growing, splints can also alleviate symptoms and slow down any increase in the deformity.

However, if the deformity worsens or severe symptoms occur, surgery may be necessary. Depending on the foot statics, growth-guiding operations may already be an option for younger patients. Whether this is an option is primarily decided on the basis of a standing foot x-ray. As a rule, most operations are performed on adolescents, when foot growth is already complete and there is a lower risk of growth disorders due to the operations themselves. The aim of the operation is to bring the toe back into a natural position. After the operation, regular follow-up checks and physiotherapeutic aftercare are important to maintain the result and normalise joint mobility.

Without treatment, hallux valgus can progress and significantly impair quality of life. However, with treatment adapted to the degree of severity, the deformity can often be stabilised or even corrected so that the foot functions normally again.