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Juvenile Hallux Valgus

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Evidence-Based Bunion Surgery

Abstract

Juvenile hallux abductovalgus is a perplexing deformity leading to controversy in the treatment process (Coughlin, Foot Ankle Int 16(11):682–697, 1995; Johnson et al, J Pediatr Orthop 24(4):358–362, 2004). Currently there is no consensus on specific age criteria defining juvenile hallux valgus, only an accepted arbitrary time frame of “the formative years of life” (Piggott, Bone Joint J 42(4):749–760, 1960). This has been reportedly referred to as less than 20 years of age (Coughlin, Foot Ankle Int 16(11):682–697, 1995; Goldner and Gaines, Orthop Clin North Am 7:863, 1976; Hardy and Clapham, Lancet 259(6720):1180–1183, 1952). Furthermore, indications that warrant surgical correction are difficult to produce, as pain or incongruent joint is typically uncommon in the juvenile patient (Kilmartin et al, Bone Joint J 76(2):210–214, 1994). Further research is needed to clarify not only the etiology and progression but also the effects of treatment. Particularly concerning is the high recurrence rate when common osteotomy procedures are used in the younger population.

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Author information

Authors and Affiliations

  1. Ankle and Foot Care Center, KSU College of Podiatric Medicine Section Chief, St. Elizabeth Hospital, Youngstown, OH, USA

    Lawrence A. DiDomenico DPM, FACFAS (Director of Residency Training, Northside Medical Center, Director of Fellowship Training)

  2. Department of Surgery, Northside Hospital, Youngstown, OH, USA

    Lawrence A. DiDomenico DPM, FACFAS (Director of Residency Training, Northside Medical Center, Director of Fellowship Training)

  3. Surgical Reconstruction Foot & Ankle Fellowship, Ankle and Foot Care Centers, Youngstown, OH, USA

    Zach Flynn DPM (Fellow)

  4. Resident, Northside Medical Center, Youngstown, OH, USA

    Mike Reed DPM

Authors
  1. Lawrence A. DiDomenico DPM, FACFAS
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  2. Zach Flynn DPM
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  3. Mike Reed DPM
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Corresponding author

Correspondence to Lawrence A. DiDomenico DPM, FACFAS .

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Editors and Affiliations

  1. College of Podiatric Medicine and Surgery, Des Moines University, Des Moines, Iowa, USA

    Paul D. Dayton

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DiDomenico, L.A., Flynn, Z., Reed, M. (2018). Juvenile Hallux Valgus. In: Dayton, P. (eds) Evidence-Based Bunion Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-60315-5_15

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  • DOI: https://doi.org/10.1007/978-3-319-60315-5_15

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-319-60315-5

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