Nonoperative Treatment of Congenital Hallux Valgus

Hallux valgus is a deformity of the metatarsophalangeal joint of the great toe that may be accompanied by increased medial deviation of the first metatarsal1,2. The evolution of congenital hallux valgus is progressive, especially in childhood. The association of congenital hallux valgus with fibrodysplasia ossificans progressiva (FOP), also known as Munchmeyer disease, is well known. FOP is a rare autosomal dominant disease that is defined by progressive ectopic ossification and characteristic skeletal malformations and is the most frequent cause of congenital hallux valgus (rather than isolated hallux valgus)3. The patient’s parents were informed that data concerning the case would be submitted for publication, and they provided consent. A two-month-old infant was referred to the pediatric rehabilitation unit by his pediatrician because of positional deformities of the feet. He was born at term by normal delivery, with a birth weight of 3880 g. There had not been any complications in the neonatal period, but he had been hospitalized for pneumonia when he was forty days old. The family history was positive for juvenile hallux valgus. On general examination, the child was healthy in appearance; no substantial abnormalities were noted about the head and the neck. The upper extremities and trunk were normal. The …