{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T10:22:23Z","timestamp":1783506143622,"version":"3.55.0"},"reference-count":70,"publisher":"MDPI AG","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2011,11,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The aims of this study were to determine whether individuals with mild hallux limitus show a diminished capacity of internal rotation of the lower limb compared with those without hallux limitus and whether individuals with mild hallux limitus show an increased foot progression angle.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In 80 study participants (35 with normal feet and 45 with mild hallux limitus), the capacity of internal rotation of the lower limb (internal rotational pattern), hallux dorsiflexion, and the foot progression angle were measured. The values for internal rotational pattern and foot progression angle were compared between the two study groups, and the correlations between these variables were studied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The capacity of internal rotation of the lower limb was significantly lesser in patients with mild hallux limitus (P &amp;lt; .0001). There was no significant difference in foot progression angle between the two groups (P = .115). The Spearman correlation coefficient was 0.638 (P &amp;lt; .0001) for the relationship between internal rotational pattern and hallux dorsiflexion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Patients with mild hallux limitus had a lesser capacity of internal rotation of the lower extremity than did individuals in the control group. The more limited the internal rotational pattern of the lower limb, the more limited was hallux dorsiflexion. The foot progression angle was similar in both groups. (J Am Podiatr Med Assoc 101(6): 467\u2013474, 2011)<\/jats:p>\n                  <\/jats:sec>","DOI":"10.7547\/1010467","type":"journal-article","created":{"date-parts":[[2014,4,1]],"date-time":"2014-04-01T09:47:33Z","timestamp":1396345653000},"page":"467-474","source":"Crossref","is-referenced-by-count":7,"title":["Hallux Limitus and Its Relationship with the Internal Rotational Pattern of the Lower Limb"],"prefix":"10.3390","volume":"101","author":[{"given":"Guillermo","family":"Lafuente","sequence":"first","affiliation":[{"name":"Departamento de Podolog\u00eda, University of Seville, Seville, Spain. Dr. Lafuente is currently in private practice"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pedro V.","family":"Munuera","sequence":"first","affiliation":[{"name":"Podiatric Clinical Area, University of Seville, Seville, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel","family":"Dominguez","sequence":"first","affiliation":[{"name":"Departamento de Podolog\u00eda, University of Seville, Seville, Spain. Dr. Lafuente is currently in private practice"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Reina","sequence":"first","affiliation":[{"name":"Departamento de Podolog\u00eda, University of Seville, Seville, Spain. Dr. Lafuente is currently in private practice"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Blanca","family":"Lafuente","sequence":"first","affiliation":[{"name":"Departamento de Podolog\u00eda, University of Seville, Seville, Spain. Dr. Lafuente is currently in private practice"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","reference":[{"key":"ref391","doi-asserted-by":"crossref","first-page":"460","DOI":"10.7547\/0970460","article-title":"Radiographic study about the size of the first metatarso-digital segment in feet with incipient hallux limitus.","volume":"97","author":"Munuera","year":"2007","journal-title":"JAPMA"},{"key":"ref671","doi-asserted-by":"crossref","first-page":"492","DOI":"10.1002\/bjs.18002710710","article-title":"The aetiology of hallux rigidus.","volume":"27","author":"Jack","year":"1940","journal-title":"Br J Surg"},{"key":"ref521","doi-asserted-by":"crossref","first-page":"1000","DOI":"10.2106\/00004623-198668070-00006","article-title":"The association of femoral retroversion with slipped capital femoral epiphysis.","volume":"68","author":"Gelberman","year":"1986","journal-title":"J Bone Joint Surg Am"},{"key":"ref131","first-page":"390","article-title":"Hallux equinus: the stages of hallux limitus and hallux rigidus.","volume":"74","author":"Rzonca","year":"1984","journal-title":"JAPA"},{"key":"ref31","doi-asserted-by":"crossref","first-page":"390","DOI":"10.7547\/87507315-90-8-390","article-title":"The effect of rearfoot eversion on maximal hallux dorsiflexion: a preliminary study.","volume":"90","author":"Harradine","year":"2000","journal-title":"JAPMA"},{"key":"ref681","doi-asserted-by":"crossref","first-page":"1273","DOI":"10.1177\/003591573803101103","article-title":"Metatarsus primus elevatus.","volume":"31","author":"Lambrinudi","year":"1938","journal-title":"Proc Roy Soc Med"},{"key":"ref401","first-page":"196","article-title":"\u201cRole of the Sesamoid Apparatus in Hallux Limitus\/Rigidus,\u201d.","author":"Camasta","year":"1995","journal-title":"Reconstructive Surgery of the Foot and Leg: Update \u201995"},{"key":"ref601","volume-title":"Statistical Power Analysis for the Behavioural Sciences","author":"Cohen","year":"1988"},{"key":"ref621","doi-asserted-by":"crossref","first-page":"615","DOI":"10.7547\/87507315-83-11-615","article-title":"Gait style as an etiology to chronic postural pain: part II. Postural compensatory process.","volume":"83","author":"Dananberg","year":"1993","journal-title":"JAPMA"},{"key":"ref181","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1302\/0301-620X.83B2.0830171","article-title":"Femoroacetabular impingement and the cam-effect: a MRI-based quantitative anatomical study of the femoral head-neck offset.","volume":"83","author":"Ito","year":"2001","journal-title":"J Bone Joint Surg Br"},{"key":"ref141","doi-asserted-by":"crossref","first-page":"39","DOI":"10.2106\/00004623-198567010-00006","article-title":"Lower-extremity rotational problems in children: normal values to guide management.","volume":"67","author":"Staheli","year":"1985","journal-title":"J Bone Joint Surg Am"},{"key":"ref371","doi-asserted-by":"crossref","first-page":"102","DOI":"10.7547\/87507315-92-2-102","article-title":"A retrospective analysis of 772 patients with hallux limitus.","volume":"92","author":"Grady","year":"2002","journal-title":"JAPMA"},{"key":"ref471","first-page":"345","article-title":"\u201cHallux Valgus y Hallux Rigidus,\u201d.","author":"Giannestras","year":"1979","journal-title":"Trastornos del Pie"},{"key":"ref61","first-page":"193","article-title":"\u201cEl Hallux Limitus,\u201d.","author":"Lafuente","year":"2009","journal-title":"El Primer Radio: Biomec\u00e1nica y Ortopodolog\u00eda"},{"key":"ref251","volume-title":"Statistical Power Analysis for the Behavioural Sciences","author":"Cohen","year":"1988"},{"key":"ref11","first-page":"248","article-title":"Patomec\u00e1nica y tratamiento de la insuficiencia del M\u00fasculo Peroneo Largo.","volume":"12","author":"Munuera","year":"2001","journal-title":"Rev Esp Podol"},{"key":"ref571","first-page":"67","article-title":"\u201cA Rational Approach to the Nonsurgical Treatment of Hallux Limitus,\u201d.","volume":"2","author":"Dananberg","year":"1996","journal-title":"Advances in 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Rigidus,\u201d.","author":"Giannestras","year":"1979","journal-title":"Trastornos del Pie"},{"key":"ref341","volume-title":"Patolog\u00eda del Pie","author":"Leli\u00e8vre","year":"1982"},{"key":"ref421","doi-asserted-by":"crossref","first-page":"300","DOI":"10.7547\/87507315-78-6-300","article-title":"Shape of the first metatarsal head in hallux rigidus and hallux valgus.","volume":"78","author":"Brahm","year":"1988","journal-title":"JAPMA"},{"key":"ref281","doi-asserted-by":"crossref","first-page":"421","DOI":"10.2106\/00004623-195941030-00006","article-title":"Femoral torsion and its relation to toeing-in and toeing-out.","volume":"41","author":"Crane","year":"1959","journal-title":"J Bone Joint Surg Am"},{"key":"ref211","doi-asserted-by":"crossref","first-page":"439","DOI":"10.7547\/87507315-78-9-439","article-title":"Measurement of the first metatarsophalangeal joint range of 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hip.","volume":"81","author":"Tonnis","year":"1999","journal-title":"J Bone Joint Surg Am"},{"key":"ref221","first-page":"67","article-title":"\u201cA Rational Approach to the Nonsurgical Treatment of Hallux Limitus,\u201d.","volume":"2","author":"Dananberg","year":"1996","journal-title":"Advances in Podiatric Medicine and Surgery"},{"key":"ref661","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1016\/S0891-8422(23)00816-9","article-title":"Hallux limitus and hallux rigidus: clinical examination, radiographic findings, and natural history.","volume":"13","author":"Camasta","year":"1996","journal-title":"Clin Podiatr Med Surg"},{"key":"ref81","doi-asserted-by":"crossref","first-page":"731","DOI":"10.1177\/107110070302401002","article-title":"Hallux rigidus: demographics, etiology, and radiographic assessment.","volume":"24","author":"Coughlin","year":"2003","journal-title":"Foot Ankle Int"},{"key":"ref331","doi-asserted-by":"crossref","first-page":"1273","DOI":"10.1177\/003591573803101103","article-title":"Metatarsus primus elevatus.","volume":"31","author":"Lambrinudi","year":"1938","journal-title":"Proc Roy Soc Med"},{"key":"ref441","first-page":"57","article-title":"Hallux rigidus: a review of the literature and a method of treatment.","volume":"142","author":"Mann","year":"1979","journal-title":"Clin Orthop"},{"key":"ref171","doi-asserted-by":"crossref","first-page":"1000","DOI":"10.2106\/00004623-198668070-00006","article-title":"The association of femoral retroversion with slipped capital femoral epiphysis.","volume":"68","author":"Gelberman","year":"1986","journal-title":"J Bone Joint Surg Am"},{"key":"ref201","doi-asserted-by":"crossref","first-page":"1061","DOI":"10.1093\/rheumatology\/keh687","article-title":"Radiographic validation of the Manchester scale for the classification of hallux valgus deformity.","volume":"44","author":"Menz","year":"2005","journal-title":"Rheumatology (Oxford)"},{"key":"ref271","doi-asserted-by":"crossref","first-page":"615","DOI":"10.7547\/87507315-83-11-615","article-title":"Gait style as an etiology to chronic postural pain: part II. Postural compensatory process.","volume":"83","author":"Dananberg","year":"1993","journal-title":"JAPMA"},{"key":"ref311","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1016\/S0891-8422(23)00816-9","article-title":"Hallux limitus and hallux rigidus: clinical examination, radiographic findings, and natural history.","volume":"13","author":"Camasta","year":"1996","journal-title":"Clin Podiatr Med Surg"},{"key":"ref351","doi-asserted-by":"crossref","first-page":"173","DOI":"10.7547\/87507315-83-4-173","article-title":"Role of soft tissue structures as an etiology of hallux limitus.","volume":"83","author":"Durrant","year":"1993","journal-title":"JAPMA"},{"key":"ref111","volume-title":"Marcha Normal y Patol\u00f3gica","author":"Ducroquet","year":"1972"},{"key":"ref411","first-page":"193","article-title":"\u201cEl Hallux Limitus,\u201d.","author":"Lafuente","year":"2009","journal-title":"El Primer Radio: Biomec\u00e1nica y Ortopodolog\u00eda"},{"key":"ref641","first-page":"525","article-title":"Comparison in regression of femoral neck anteversion in children with normal, intoeing and outtoeing gait: prospective study.","volume":"22","author":"Matovinovic","year":"1998","journal-title":"Coll Anthropol"},{"key":"ref451","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1302\/0301-620X.32B2.214","article-title":"Hallux rigidus.","volume":"32","author":"Bingold","year":"1950","journal-title":"J Bone Joint Surg Br"},{"key":"ref151","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1007\/s004020050459","article-title":"Rotational profile of the lower extremity and foot progression angle: computerized tomographic examination of 50 male adults.","volume":"120","author":"Seber","year":"2000","journal-title":"Arch Orthop Traum Surg"},{"key":"ref01","doi-asserted-by":"crossref","first-page":"173","DOI":"10.7547\/87507315-83-4-173","article-title":"Role of soft tissue structures as an etiology of 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Ther"},{"key":"ref241","author":"Lafuente","year":"2006","journal-title":"Patr\u00f3 n rotador de la extremidad inferior: un nuevo par\u00e1metro exploratorio: Relaci\u00f3 n con el hallux limitus [doctoral thesis]"},{"key":"ref611","doi-asserted-by":"crossref","first-page":"648","DOI":"10.7547\/87507315-76-11-648","article-title":"Functional hallux limitus and its relationship to gait efficiency.","volume":"76","author":"Dananberg","year":"1986","journal-title":"JAPMA"},{"key":"ref261","doi-asserted-by":"crossref","first-page":"648","DOI":"10.7547\/87507315-76-11-648","article-title":"Functional hallux limitus and its relationship to gait efficiency.","volume":"76","author":"Dananberg","year":"1986","journal-title":"JAPMA"},{"key":"ref551","doi-asserted-by":"crossref","first-page":"1061","DOI":"10.1093\/rheumatology\/keh687","article-title":"Radiographic validation of the Manchester scale for the classification of hallux valgus 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