Abstract

Purpose: The purpose of this study is to review the previous works done by some scholars on hallux Abducto-Valgus deformity. 
This will in turn evaluate some research studies and their implications to management of persons with hallux abductovalgus 
deformity 
Methodology: This review was done through searching previous studies done on this topic hallus abductovalgus 
deformity. This was done using the search databases like Medline, Hinari, scopus and sciencedirect. Here the 
different researcher’s thoughts on the aetiology, pathophysiology, clinical manifestations, investigations, 
classifications, treatments, rehabilitation and outcome of treatment of hallux abductovalgus deformity were analysed 
to produce this piece. 
Findings: The findings showed that hallux Abducto-valgus (HAV) is a deformity of the first metatarsophalangeal 
joint towards the midline of the foot due to the eversion and abduction of the hallux. The two main factors 
contributing to the development of hallux abductovalgus include congenital causes and inappropriate footwear. 
Several factors have been reported to be associated with hallux abductovalgus including genetic predisposition, 
structural factors, sex, age, BMI, foot pain, pes planus and footwear. Patients can also present with fore foot pain due 
to a variety of associated problems such as painful calluses and corns, Inter – digital neuromas, lesser toe 
deformities. Hallux valgus occurs in two distinctive aspects; it can occur either on the left or right foot (Unilateral 
hallux valgus) or on both feet (Bilateral hallux valgus) with prevalence more in the elderly and women. Evaluation 
of the hallux abducto valgus deformity should be carried out with the patient weight-bearing as well as non-weight
bearing. Imaging investigation is an important evaluation tool. Treatment could be either conservative or surgical. 
Unique Contribution to theory, practice and policy: Since there is increase in the incidence of hallux 
abductovalgus deformity, there is need for in-depth awareness and knowledge of this clinical condition. It is 
recommended that daily foot check and care should be regularly done individuals. The idea of using shoe gear with 
narrow shoe box, high-heeled, tight fitting and pointed should be discouraged in preference to broad-based, flat, 
wide and loose-fitting shoes. Early and timely consultation with specialist in foot care should be advised if the 
symptoms of hallux abductovalgus deformity develops.