Forefoot MCQs

A 45-year-old woman presents with severe hallux valgus. Clinical examination reveals hypermobility of the first tarsometatarsal (TMT) joint. Radiographs show an intermetatarsal angle (IMA) of 19 degrees and a hallux valgus angle (HVA) of 45 degrees. Which of the following surgical procedures is most appropriate?

A 52-year-old woman presents with a painful bunion. Weight-bearing radiographs show a hallux valgus angle of 45 degrees, an intermetatarsal angle of 18 degrees, and hypermobility at the first tarsometatarsal (TMT) joint. Which of the following surgical procedures is most appropriate?

A 40-year-old female presents with a painful bunion. Clinical examination reveals hypermobility of the first tarsometatarsal (TMT) joint. Radiographs show a hallux valgus angle of 38 degrees and an intermetatarsal angle (IMA) of 18 degrees. What is the most appropriate surgical intervention?

A 50-year-old female presents with dorsal midfoot pain localized to the first metatarsophalangeal (MTP) joint. Radiographs show mild to moderate joint space narrowing with a large dorsal osteophyte, consistent with Grade 2 hallux rigidus. She has failed conservative management. What is the most appropriate surgical treatment?

A 55-year-old male complains of progressive right big toe pain. Examination reveals a rigid first metatarsophalangeal (MTP) joint with less than 10 degrees of dorsiflexion and severe pain in the midrange of motion. Radiographs show joint space obliteration and large dorsal osteophytes (Coughlin and Shurnas Grade 3). What is the most reliable surgical option for long-term pain relief?

A 45-year-old woman complains of medial eminence pain. Radiographs demonstrate a hallux valgus angle of 45 degrees and an intermetatarsal angle of 18 degrees.

Clinical examination reveals hypermobility at the first tarsometatarsal (TMT) joint. Which procedure is most appropriate?

A 50-year-old man presents with pain and stiffness in the great toe. Radiographs show dorsal joint space narrowing and a prominent dorsal osteophyte (Coughlin and Shurnas Grade 2 hallux rigidus). The plantar joint space is relatively preserved. What is the preferred surgical option after failing conservative care?

A 45-year-old woman presents with a symptomatic hallux valgus deformity. Radiographs show a hallux valgus angle of 35 degrees and an intermetatarsal angle of 18 degrees. The first tarsometatarsal joint is hypermobile. Which procedure is most appropriate?

A 65-year-old male presents with dorsal foot pain and limited hallux dorsiflexion. Radiographs reveal dorsal osteophytes at the first MTP joint with preserved joint space on the plantar aspect. What is the most appropriate initial surgical option after failed conservative care?

A football player presents with severe pain and swelling at the plantar aspect of the first MTP joint after a forced hyperextension injury. MRI confirms a complete rupture of the plantar plate with retraction of the sesamoids. What is the most appropriate treatment?

A 45-year-old female presents with a painful bunion. Weight-bearing radiographs reveal a Hallux Valgus Angle (HVA) of 45 degrees and an Intermetatarsal Angle (IMA) of 18 degrees. There is no hypermobility of the first tarsometatarsal joint. Which surgical procedure is most indicated?

A 45-year-old woman presents with a painful bunion. Weight-bearing radiographs reveal an intermetatarsal angle (IMA) of 16 degrees and a hallux valgus angle (HVA) of 38 degrees. Clinical examination demonstrates significant hypermobility of the first tarsometatarsal (TMT) joint. Which of the following surgical procedures is most appropriate?

A 55-year-old man reports chronic dorsal midfoot pain at the first metatarsophalangeal (MTP) joint, worst during toe-off. Radiographs display moderate dorsal osteophytes but preservation of the plantar joint space (Coughlin/Shurnas Grade 2). Conservative measures have failed. Which surgical option is most indicated?

A 45-year-old woman presents with severe bunion pain. Weight-bearing radiographs reveal a hallux valgus angle (HVA) of 45 degrees, an intermetatarsal angle (IMA) of 18 degrees, and clinical examination demonstrates gross hypermobility of the first tarsometatarsal (TMT) joint. Which of the following procedures is most appropriate?

A 50-year-old man presents with a painful, stiff great toe. Examination reveals 15 degrees of dorsiflexion with pain at the extremes of motion. Radiographs demonstrate a dorsal osteophyte but well-preserved plantar joint space (Coughlin Grade 2 hallux rigidus). Which of the following is the most appropriate surgical treatment?

A 45-year-old female presents with a severe bunion deformity. Examination reveals hypermobility of the 1st tarsometatarsal (TMT) joint. Radiographs show a Hallux Valgus Angle of 45 degrees and an Intermetatarsal Angle of 18 degrees.

What is the most appropriate surgical intervention?

A 45-year-old man presents with dorsal midfoot pain and limited dorsiflexion of his first metatarsophalangeal (MTP) joint. Radiographs show a dorsal osteophyte and joint space narrowing isolated to the dorsal half of the 1st MTP joint. Which procedure is most appropriate?

A 45-year-old female presents with severe pain over the medial eminence of her left foot. Weight-bearing radiographs reveal a hallux valgus angle of 45 degrees, an intermetatarsal angle of 21 degrees, and marked hypermobility of the first tarsometatarsal joint. Which of the following procedures is most appropriate to achieve durable correction?

A 60-year-old woman presents with severe bunion pain. Radiographs reveal an intermetatarsal angle (IMA) of 22 degrees, a hallux valgus angle (HVA) of 55 degrees, and clinical hypermobility of the first tarsometatarsal (TMT) joint. What is the most appropriate surgical procedure?

A 45-year-old woman presents with severe bunion pain. Weight-bearing radiographs reveal a hallux valgus angle (HVA) of 45 degrees and an intermetatarsal angle (IMA) of 20 degrees. Clinical examination reveals profound hypermobility at the first tarsometatarsal (TMT) joint. Which of the following procedures is most appropriate?