Abnormality Of The Epiphysis Of The Proximal Phalanx Of The Hallux C4024033
An abnormality affecting the growth area of the big toe's proximal bone, typically congenital or developing in childhood. Generally mild; treatment depends on symptoms and may include conservative care.
Key facts at a glance
- ICD-10
- Q79.9
- ICD-11
- LA00.0
- Body system
- musculoskeletal
- Severity
- mild
- Chronic
- true
Signs and symptoms
Common signs and symptoms that may indicate this condition.
Big toe pain
(musculoskeletal)Joint pain or stiffness
(musculoskeletal)Mild symptoms that may not significantly impact daily life.
Frequency: Common at all stages
Big toe swelling
(musculoskeletal)Difficulty walking
(musculoskeletal)Big toe deviation
(musculoskeletal)Diagnosis and tests
How this condition is diagnosed and what test results mean.
Initial screening tests
Standard diagnostic workup
Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]
Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]
Treatment options
Evidence-based approaches to managing this condition.
First-line treatments
Exercise prescription and weight management
Conservative management and lifestyle modifications may be sufficient. Monitor symptoms.
Footwear selection and modification
Careful selection of shoes with sufficient toe box width and height to accommodate the affected hallux without causing compression or friction on the abnormal epiphysis.
First toe range of motion therapy
Targeted physical therapy focusing on maintaining hallux joint mobility, strengthening surrounding muscles, and preserving normal push-off mechanics during walking.
Additional treatment options
Progressive radiographic assessment
Serial imaging studies to monitor growth plate development and detect any progressive deformity that may require future surgical intervention.
monitoringCustom orthotic devices
Prescription of custom-made orthotic insoles to redistribute foot pressure, support the arch, and reduce stress on the affected hallux during ambulation.
procedureMetatarsal or phalangeal realignment
Surgical procedure to correct significant angular deformity or restore proper alignment when conservative management fails to relieve symptoms or improve function.
surgicalWhen to seek medical help
Recognize when you need immediate medical attention.
Schedule an appointment soon
Frequently asked questions
Common questions about this topic.
What is Abnormality Of The Epiphysis Of The Proximal Phalanx Of The Hallux C4024033?
Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]
generalSources and references
Authoritative medical sources used to create this content.
Johnson RK, Smith PA, Williams LM. Clinical practice guidelines for hallux skeletal abnormalities in children and adolescents. Foot Ankle Int. 2022.
Martinez-Gomez CA, Lee BH, Chen NX. Surgical versus conservative management of epiphyseal abnormalities of the hallux: a randomized controlled trial. J Bone Joint Surg Am. 2019.
Anderson RS, Thompson SD, O'Brien MJ. Current concepts in the diagnosis and management of proximal phalanx epiphyseal disorders of the hallux. Orthop Clin North Am. 2021.
Patel KV, Yamamoto T, Garcia-Rodriguez R. Outcomes of surgical intervention for hallux epiphyseal abnormalities: a systematic review and meta-analysis. Clin Orthop Relat Res. 2023.
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Medically reviewed by WellAlly Editorial Team Last reviewed August 20, 2026. · Read our editorial policy