Guideline decision tool · Radiology
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Hallux Valgus Measurements (HVA / IMA / DMAA / Sesamoid Position) — free guideline decision tool

HVA, IMA, DMAA and sesamoid position: mild / moderate / severe (Coughlin) with procedure-selection cues. Includes how to measure and what each value means. Instant, browser-side.

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Computed locally — no data uploaded. For licensed clinicians.
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Guideline-based

Implements the decision logic from published clinical guidelines.

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Runs in your browser

No installation. Enter the patient's values and get a guideline recommendation instantly.

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Data stays local

Nothing is uploaded. Results are for licensed clinicians only.

Worked calculation

The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.

Sesamoid position (Hardy-Clapham)4
Hallux valgus angle32 °
Intermetatarsal angle14 °
DMAA8 °

→Hallux valgus angle32°

  • Hallux valgus angle:32 ° → 20–40°: moderate
  • Intermetatarsal angle:14 ° → 11–16°: moderate (often proximal osteotomy)
  • DMAA:8 ° → ≤ 10°: normal

Common questions

What is Hallux Valgus Measurements (HVA / IMA / DMAA / Sesamoid Position)?

HVA, IMA, DMAA and sesamoid position: mild / moderate / severe (Coughlin) with procedure-selection cues. Includes how to measure and what each value means. Instant, browser-side.

How is Hallux Valgus Measurements (HVA / IMA / DMAA / Sesamoid Position) calculated? What is the core formula?

Hallux valgus angle < 15°: normal Hallux valgus angle 15–20°: mild Hallux valgus angle 20–40°: moderate Hallux valgus angle > 40°: severe Intermetatarsal angle < 9°: normal Intermetatarsal angle 9–11°: mild Intermetatarsal angle 11–16°: moderate (often proximal osteotomy) Intermetatarsal angle ≥ 16°: severe (proximal osteotomy or Lapidus) DMAA ≤ 10°: normal DMAA > 10°: lateral articular tilt (biplanar / distal correction)

When is Hallux Valgus Measurements (HVA / IMA / DMAA / Sesamoid Position) used?

Foot & ankle imaging: weight-bearing foot and lateral calcaneal views — hallux valgus, flatfoot and calcaneal fracture assessment.

What are the key clinical points for Hallux Valgus Measurements (HVA / IMA / DMAA / Sesamoid Position)?

Weight-bearing AP foot. Each value is graded against published reference ranges. Measurement technique and positioning change the numbers — compare like with like on follow-up. Part of the YuanDoctor MSK measurement topic.

What are the limits and cautions when using Hallux Valgus Measurements (HVA / IMA / DMAA / Sesamoid Position)?

For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.

Does Hallux Valgus Measurements (HVA / IMA / DMAA / Sesamoid Position) upload patient data? Where is it calculated?

Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.

How is Hallux Valgus Measurements (HVA / IMA / DMAA / Sesamoid Position) calculated in practice? Can you show a worked example?

Inputs: Sesamoid position (Hardy-Clapham) 4, Hallux valgus angle 32 °, Intermetatarsal angle 14 °, DMAA 8 ° → Result: Hallux valgus angle 32 °(Hallux valgus angle: 32 ° → 20–40°: moderate, Intermetatarsal angle: 14 ° → 11–16°: moderate (often proximal osteotomy), DMAA: 8 ° → ≤ 10°: normal)

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Run Hallux Valgus Measurements (HVA / IMA / DMAA / Sesamoid Position) now

HVA, IMA, DMAA and sesamoid position: mild / moderate / severe (Coughlin) with procedure-selection cues. Includes how to measure and what each value means. Instant, browser-side.

Open guideline tool →

For licensed clinicians. Not a substitute for clinical judgement.

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For use by licensed clinicians and clinical researchers. Computed locally in your browser — no data is uploaded. Not a substitute for clinical judgement.

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