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Ossification Anomaly Associated with Interphalangeal Hallux Valgus

Unlike the common type of hallux valgus, i.e., lateral deviation of the entire big toe, similar deviation of the end phalanx alone is an unusual deformity, which has received little attention in the literature. Such interphalangeal hallux valgus is only rarely acquired, presumably because the anatomy of the interphalangeal joint provides sufficient stability to prevent the end phalanx from becoming notably sideward tilted unless this articulation is severely injured by trauma or disease. However, interphalangeal hallux valgus can be a malformation resulting from skew development of one or both phalanges. Two unrelated children are now reported in whom such developmental deformities were found in both feet and proved associated with a previously unrecognized type of anomalous ossification.