The authors evaluated the radiographs of 40 patients (72 feet) under 21 years of age who underwent surgery for symptomatic hallux abducto valgus deformity at Northlake Regional Medical Center. Forty-eight of 72 feet had metatarsus adductus angles greater than 15-degrees. A statistically significant correlation was found between an increasing metatarsus adductus angle and an increasing hallux abductus angle.