Background
Definition
Bunion
- medial prominence of head of 1st MT
Hallux Valgus
- medial deviation 1st MT
- lateral deviation of great toe
Anatomy
Metatarsal head
- has 2 grooves separating ridge (cristae)
Bunion
- medial prominence of head of 1st MT
Hallux Valgus
- medial deviation 1st MT
- lateral deviation of great toe
Metatarsal head
- has 2 grooves separating ridge (cristae)
Disorder of immune system
- antigen-antibody complexes
- stimulate release of proteolytic enzymes
- leading to vasculitis, synovitis and cartilage destruction
Articular Effects
- synovitis
- ligamentous and capsular laxity
- cartilage destruction
- osseous erosion
Vasculitis
- rheumatoid nodules