Hallux flexus may be defined as a progressive diminution of the normal
range of extension at the metatarso-phalangeal, or, more rarely, at
the inter-phalangeal joint of the great toe. It is unassociated with
any disease of the bones, cartilages, or synovial membrane of the
articulation, and originates only during the period of active growth.
It is, in fact, a “hammer great toe,” and it will be found strictly
analogous to the disease just described, occurring under the same
conditions and affecting the corresponding articulations.[12] The name
proposed by Mr. Davies-Colley has been objected to on more grounds
than one. In the first place, there is perhaps a lack of soundness in
the pedigree of the word “hallux.” It is a rather modern addition to
anatomical nomenclature, and its sanction in classical literature is
very dubious. In Plautus there is an expression “hallex viri,” implying
a little man, a “thumbling,” and the words “hallex,” “allex,” and
“hallux” have been used by other writers with a somewhat questionable
signification for the great toe. A purist might indeed be justified in
opposing the adoption of either “hallex” or “hallux,” and especially the
latter; but the convenience attached to a distinctive name for the great
toe in place of that of “pollex,” which is applied also to the thumb,
is so great that we are not tempted to be hypercritical on philological
grounds. A more serious objection has been raised against the adjective
“flexus,” because in the majority of cases the toe is not actually in
the position of flexion; but the term “flexion” may be applied in the
sense of movement as well as in that of position; and although the great
toe in hallux flexus may not reach the position of flexion, it has
passed through the motion of flexion before it has attained the line of
direction in which it is found in the disease.
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