يغطي هذا البروتوكول حالات إبهام القدم الأروح العَرَضي التي تظهر بألم مقدمة القدم موضعياً في مفصل المشط السلامي الأول (MTP)، حيث يُحدد التقييم الزاوي زاوية الأروح 15–20° أو الزاوية الأولى بين المشطيتين 9–14°.
Symptomatic patients typically present with a gradual onset of sharp pain at the metatarsal phalangeal (MTP) joint that is worse on weight bearing.
NICE uses the HVA and intermetatarsal angle (IMA) to sub-classify the severity of the deformity.
Initial management of symptomatic HV involves conservative measures.
Patients should be educated on their condition, as well as receive a footwear assessment and relevant analgesia.
From here, patients may be provided with further options such as offloading orthotics.
Another common treatment is physiotherapy to improve patient balance, proprioception, and core stability.
Conservative treatments are aimed at symptom relief but do not prevent or slow down deformity progression.
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