Hallux valgus in dancers: a closer look at dance technique and its impact on dancers' feet.
Hallux valgus is a common deformity of the forefoot. There is no doubt that some dancers develop hallux valgus, but the question remains as to whether dancers are at greater risk than the general population for developing this deformity. Review of the literature reveals on-going debate regarding risk factors for hallux valgus, which may include increasing age, female gender, genetic predisposition, constrictive shoe wear, first ray hypermobility, foot architecture, tight Achilles tendon, and first metatarsal length. There is insufficient evidence to demonstrate conclusively that dancing, specifically pointe work, increases the prevalence or severity of hallux valgus; more research is needed. Treatment of hallux valgus in dancers should be conservative, with delay of surgical correction until retirement if possible.
Preferred Orthopedics of the Palm Beaches, 7593 Boynton Beach Boulevard, Suite 280, Boynton Beach, Florida 33437, USA. kdavenport@popb.md.
Kathleen L
KL
Davenport
Institute for Dance Medicine, Munich, Germany.
Liane
L
Simmel
Department of Orthopedic Surgery, Group Health Cooperative, Seattle, Washington, USA.
Nancy
N
Kadel
D000328:Adult; D001696:Biomechanical Phenomena; D003615:Dancing / Q000706:statistics & numerical data*; D005260:Female; D005528:Foot / Q000503:physiopathology*; D006215:Hallux Valgus / Q000453:epidemiology*; D006801:Humans; D008297:Male; D016273:Occupational Exposure / Q000706:statistics & numerical data*; D016059:Range of Motion, Articular; D012307:Risk Factors; D014033:Toe Joint / Q000503:physiopathology*; D055815:Young Adult