Hallux Valgus Bursitis: Clinical Presentation and Management of a Rare Case

Abstract

Background: Hallux valgus is a common forefoot deformity characterized by lateral deviation and valgus rotation of the great toe, often associated with bunion formation. The condition usually develops due to medial deviation of the first metatarsal, lateral deviation or rotation of the hallux, and soft tissue hypertrophy over the first metatarsal head. This deformity is frequently seen in young women and can cause severe pain, gait disturbance, and progressive functional disability if left untreated. Case Presentation: We report the case of a 25-year-old female who presented with severe pain over the right first metatarsophalangeal (MTP) joint for two months, associated with difficulty in walking and intermittent fever. Clinical evaluation confirmed hallux valgus deformity with bunion formation, resulting in significant restriction of daily activities. Considering the severity of deformity, degenerative changes of the MTP joint, and the alignment of the metatarsal and phalanges, corrective osteotomy was performed. The postoperative course was uneventful, with significant improvement in pain and mobility. Conclusion: This case highlights that hallux valgus is not merely a cosmetic concern but a disabling condition requiring timely management. Surgical correction, particularly osteotomy, provides effective relief in young symptomatic patients when conservative treatment fails. Early recognition, patient education, and appropriate treatment are essential to restore function, prevent disease progression or worsening of the deformity.