[Retracted] Therapeutic Management of the Hallux Rigidus
Table 1
Classification of the Hallux rigidus according to severity [14, 15].
Grade
Clinical findings
Radiological findings
I
Pain at end of passive ROM Functional limitation without radiographic degradation of articular cartilage
Metatarsus primus elevatus, plantar subluxation of proximal phalanx no radiographic evidence of DJD
II
Limited passive ROM
Dorsal spurring, subchondral eburnation, sclerosis, periarticular lipping, flattening of firstmetatarsal head, possible development of osteochondral defects
III
Grade II plus joint crepitation and pain with full ROM established joint destruction
Subchondral bone cyst, severe flattening of joint, severe spurring, asymmetrical joint space loss, articular cartilage loss
IV
Grade III plus less than 10° first MTPJ ROM, possible total ankylosis
Obliteration of joint space, intra-articular loose bodies