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Hallux valgus

Der Hallux valgus beschreibt die Abweichung der Großzehe (Hallux) um mehr als zehn Grad nach außen und ist die häufigste Zehendeformität des Menschen. Dabei sind Frauen statistisch deutlich häufiger betroffen als Männer.

Halux-valgus-anatomie-bewegungsanalyse

© Kriwat – Der Fussspezialist

Symptome

Aufgrund der Abweichung der Großzehe kann es bei Druckeinwirkungen vereinzelt zu Schmerzen kommen. In der Regel kommt es jedoch beim Hallux valgus zu keinen schmerzhaften Symptomen. Im Vordergrund steht primär der kosmetische Faktor (insbesondere bei Frauen) für eine Hallux valgus Operation.

Ursache

Die Ursache für den Hallux valgus ist meist ein abgeflachtes Quergewölbe (Spreizfuß) in Verbindung mit einer erhöhten Pronation sowie ungleicher Zug und Dauerkontraktion der Muskulatur der Großzehe. Ebenfalls ist ein schlecht sitzendes Schuhwerk verantwortlich für die Ausbildung des Hallux valgus. Hierdurch kommt es zu einer Bildung einer Exostose (Zubildung von Knochensubtanz) am Großzehengrundgelenk, welcher von einem Schleimbeutel abgedeckt wird. Dieser kann sich unter Druckeinwirkungen entzünden und zu Schmerzen führen. Teilweise kommt es zu einer Chronifizierung der Schmerzen.

Diagnose

Meist ist der Hallux valgus sehr leicht zu diagnostizieren. Es kommt im Fuß zu einer Abweichung der Großzehe um mehr als zehn Grad von der Mittellinie. In der Regel wird ein Röntgenbild angefertigt, um eine evtl. aufgetretene Gelenkschädigung sichtbar zu machen.

Therapie

Konservativ wird der Hallux valgus primär durch eine orthopädische Einlage mit einer Mittelfußpelotte behandelt. Ebenfalls sollte eine Druckentlastung durch ein Schaumstoffpolster am medialen Grundgelenk erfolgen. Der Patient sollte vermeiden enge Strümpfe sowie enge Schuhe zu tragen. Schuhe mit breitem Vorfußbereich sind zu empfehlen. Konservativ kann weiter auf Bandagen zurückgegriffen werden. In schwerwiegenden Fällen kann gegebenenfalls eine Operation durchgeführt werden. Hierbei gibt es ca. 150 verschiedene Operationsverfahren um den Hallux valgus zu entfernen.

Bewegungsanalyse

In der Bewegungsanalyse erkennen wir häufig bei schmerzhaftem Hallux valgus eine starke Vorfußsupination (Abrollung über den äußeren Vorfuß) auf Grund einer Schonhaltung. Dies bewirkt oftmals eine Reizung der Achillessehne oder das mediale Schienbeinkantensyndrom.

 

WELCHE VERLETZUNG INTERESSIERT DICH ALS NÄCHSTES IN DER REIHE “LAUFSPEZIFISCHE VERLETZUNGEN” ?
HINTERLASSE DEINEN WUNSCH IN DEN KOMMENTAREN.

 

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