Hallux valgus presents as what specific anatomical finding at the first metatarsophalangeal joint?

• A. A bunion with lateral deviation of the proximal phalanx of the great toe
• B. Medial deviation of the proximal phalanx of the great toe
• C. Fracture of the first metatarsal
• D. Hyperextension deformity of the great toe

Answer: (A)

This deformity involves the great toe angling away from the midline at the first metatarsophalangeal joint, producing a bunion on the medial side of the foot. Specifically, the proximal phalanx drifts laterally relative to the first metatarsal, so the toe appears deviated toward the second toe while a prominent bony bump forms at the joint. This combination—bunion with lateral deviation of the proximal phalanx—is the hallmark of hallux valgus. It’s not a fracture or a hyperextension issue of the toe, which would present differently.