Decreased ROM at the 1st MTPJ refers to which condition?

• A. Hallux valgus
• B. Hallux rigidus
• C. Metatarsalgia
• D. Hallux limitus

Answer: (D)

Decreased motion at the first metatarsophalangeal joint points to hallux limitus. This is the stage where the joint’s dorsiflexion is limited due to degenerative changes in the articular surfaces, osteophyte formation, and soft tissue tightening. The result is a partial restriction in motion, especially during the push-off phase of gait. In contrast, hallux rigidus is more advanced and shows a severe or near-complete loss of motion with persistent pain. Hallux valgus is a deformity of toe alignment, not defined by ROM at the joint, and metatarsalgia describes forefoot pain without a primary ROM restriction at the 1st MTP joint.