ABSTRACT

Acute great toe (Hallux) pain is a common complaint encountered by the primary care physician. Pathological conditions can vary from acute trauma to acute exacerbation of underlying chronic conditions. Delay in treatment or misdiagnosis can lead to debilitating loss of function and long-lasting pain. This review endeavors to discuss the pertinent history, physical exam findings, radiographic evidence, conservative treatment options, and surgical management for the musculoskeletal causes of acute and acute on chronic great toe pain in the adult population. The acute pathologies discussed in this review are hallux fractures and dislocations, turf toe, sand toe, and sesamoid disorders. The chronic pathologies discussed include hallux rigidus, hallux valgus, and chronic sesamoiditis.

摘要

急性大脚趾（Hallux）疼痛是初级保健医生经常遇到的主诉。病理状况可能有所不同，从急性创伤到潜在的慢性疾病的急性加重。延迟治疗或误诊会导致虚弱的功能丧失和长期的疼痛。这篇综述致力于讨论成年人群急性和急性大脚趾疼痛的肌肉骨骼病因的相关病史，体格检查结果，影像学证据，保守治疗选择和手术治疗。在这篇综述中讨论的急性病理是拇趾骨折和脱位，草皮脚趾，沙脚趾和芝麻样疾病。讨论的慢性病包括僵硬性拇趾，外翻拇趾和慢性芝麻样炎。