Stiff Great- Toe 5 1 1 



Gouty inflammation is specially apt to attack the first joint of the 

 great toe : because it is a hard-worked joint, because it is far away 

 from the centre of circulation, and because wearing a boot has caused 

 the toe to be deflected so that the joint is not worked in the natural 

 manner. 



In certain flat-footed adolescents the first joint of the great toe 

 becomes stiff and painful, or inconveniently flexed : the conditions are 

 called liallui rigidus and hallux flexus ; the cause is unknown,, 

 and the treatment is unsatisfactory. 



