--- title: "Hallux valgus surgery in the athlete current evidence. | Sutter Health" description: "Literature supports distal 1st metatarsal osteotomy (Chevron), and the Ludloff osteotomy for moderate to severe deformity." url: "https://www.sutterhealth.org/research/publications/hallux-valgus-surgery-in-the-athlete-current-evidence-1055312383" --- 1. [Home](https://www.sutterhealth.org/) / 2. [Research](https://www.sutterhealth.org/research) / 3. [Research publications](https://www.sutterhealth.org/research/publications) / 4. Hallux valgus surgery in the athlete current evidence. # Hallux valgus surgery in the athlete: current evidence. Fournier M, Saxena A, & Maffulli N. _J Foot Ankle Surg. 2018 Nov 14. pii: S1067-2516(18)30183-2. doi: 10.1053/j.jfas.2018.04.003. \[Epub ahead of print\]_ 2018-11-14 ## Abstract Hallux valgus is a common disorder characterized by a medial deviation of the 1st metatarsal, eventually leading to subluxation and pain of the 1st metatarsophalangeal joint. This can inhibit sports activity. Despite being a common forefoot pathology, debate exists regarding the appropriate surgical approach in the athletic population. Paucity in literature exists with reporting of outcomes of 1st metatarsal procedures leading to best outcomes. This review was able to identify 5 studies of surgical correction of hallux valgus in athletes published to date. The aim is to guide the physician in treating athletes with hallux valgus deformity. Currently, the literature supports distal 1st metatarsal osteotomy (Chevron) with a return to activity of approximately 3 months for mild to moderate deformity, and the Ludloff osteotomy for moderate to severe deformity at a slightly slower time frame of return to sports. At best, the Lapidus procedure allows approximately 80% of patients to return to activity. Studies need to document activity level and return to sport in order to help guide treatment. [PubMed abstract](https://www.ncbi.nlm.nih.gov/pubmed/30448185) ## Research topics - [Disease Management](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Disease+Management%5C%22%22) - [Musculoskeletal Disorders](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Musculoskeletal+Disorders%5C%22%22) ## Related publications [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) - Publication ### [Association of short-term complications with procedures through separate incisions during total ankle replacement.](https://www.sutterhealth.org/research/publications/short-term-complications-sep-incisions-tar-1055312445) Criswell B, Hunt K, Kim T, Chou L, Haskell A. Foot Ankle Int. pii: 1071100716651964. \[Epub ahead of print\] 2016 Jun 08 - Publication ### [Comment on: "Outcomes of Drill Canalplasty in Exostoses and Osteoma: Analysis of 256 Cases and Literature Review."](https://www.sutterhealth.org/research/publications/comment-outcomes-drill-canalplasty-exotoses-1055312315) Hetzler DG. Otol Neurotol. doi: 10.1097/MAO.0000000000001383. \[Epub ahead of print\] 2017 Mar 22 - Publication ### [Subtalar arthroereisis implant removal in adults: a prospective study of 100 patients.](https://www.sutterhealth.org/research/publications/subtalar-arthroereisis-implant-removal-adults-1055312370) Saxena A, Via AG, Maffulli N, Chiu H. 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Epub 2014 Feb 26. 2014 Apr 01 [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) ```json {"@context":"https://schema.org","@type":"MedicalOrganization","name":"Sutter Health","@id":"https://www.sutterhealth.org/#medicalorganization","url":"https://www.sutterhealth.org","logo":"https://www.sutterhealth.org/static/images/sutter-health-logo.svg","address":{"@type":"PostalAddress","streetAddress":"2200 River Plaza Drive","addressLocality":"Sacramento","addressRegion":"CA","postalCode":"95833","addressCountry":"US"},"areaServed":{"@type":"AdministrativeArea","name":"California"},"sameAs":["https://www.facebook.com/SutterHealth","https://www.instagram.com/sutterhealth/","https://x.com/SutterHealth","https://www.youtube.com/sutterhealth","https://www.linkedin.com/company/sutter-health","https://en.wikipedia.org/wiki/Sutter_Health"]} ``` ```json {"@context":"https://schema.org","@type":"BreadcrumbList","@id":"https://www.sutterhealth.org/research/publications/hallux-valgus-surgery-in-the-athlete-current-evidence-1055312383#breadcrumblist","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.sutterhealth.org/"},{"@type":"ListItem","position":2,"name":"Research","item":"https://www.sutterhealth.org/research"},{"@type":"ListItem","position":3,"name":"Research publications","item":"https://www.sutterhealth.org/research/publications"},{"@type":"ListItem","position":4,"name":"Hallux valgus surgery in the athlete current evidence."}]} ``` ```json {"@context":"https://schema.org","@type":"MedicalScholarlyArticle","@id":"https://www.sutterhealth.org/research/publications/hallux-valgus-surgery-in-the-athlete-current-evidence-1055312383#medicalscholarlyarticle","name":"Hallux valgus surgery in the athlete: current evidence.","headline":"Hallux valgus surgery in the athlete current evidence.","abstract":"Hallux valgus is a common disorder characterized by a medial deviation of the 1st metatarsal, eventually leading to subluxation and pain of the 1st metatarsophalangeal joint. This can inhibit sports activity. Despite being a common forefoot pathology, debate exists regarding the appropriate surgical approach in the athletic population. Paucity in literature exists with reporting of outcomes of 1st metatarsal procedures leading to best outcomes. This review was able to identify 5 studies of surgical correction of hallux valgus in athletes published to date. The aim is to guide the physician in treating athletes with hallux valgus deformity. Currently, the literature supports distal 1st metatarsal osteotomy (Chevron) with a return to activity of approximately 3 months for mild to moderate deformity, and the Ludloff osteotomy for moderate to severe deformity at a slightly slower time frame of return to sports. At best, the Lapidus procedure allows approximately 80% of patients to return to activity. 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