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Correlation between static radiographic measurements and intersegmental angular measurements during gait using a multisegment foot model.
Foot Ankle Int. 2015 Jan; 36(1):1-10.FA

Abstract

BACKGROUND

Radiographic examination is a widely used evaluation method in the orthopedic clinic. However, conventional radiography alone does not reflect the dynamic changes between foot and ankle segments during gait. Multiple 3-dimensional multisegment foot models (3D MFMs) have been introduced to evaluate intersegmental motion of the foot. In this study, we evaluated the correlation between static radiographic indices and intersegmental foot motion indices.

METHODS

One hundred twenty-five females were tested. Static radiographs of full-leg and anteroposterior (AP) and lateral foot views were performed. For hindfoot evaluation, we measured the AP tibiotalar angle (TiTA), talar tilt (TT), calcaneal pitch, lateral tibiocalcaneal angle, and lateral talcocalcaneal angle. For the midfoot segment, naviculocuboid overlap and talonavicular coverage angle were calculated. AP and lateral talo-first metatarsal angles and metatarsal stacking angle (MSA) were measured to assess the forefoot. Hallux valgus angle (HVA) and hallux interphalangeal angle were measured. In gait analysis by 3D MFM, intersegmental angle (ISA) measurements of each segment (hallux, forefoot, hindfoot, arch) were recorded.

RESULTS

ISAs at midstance phase were most highly correlated with radiography. Significant correlations were observed between ISA measurements using MFM and static radiographic measurements in the same segment. In the hindfoot, coronal plane ISA was correlated with AP TiTA (P < .001) and TT (P = .018). In the hallux, HVA was strongly correlated with transverse ISA of the hallux (P < .001).

CONCLUSION

The segmental foot motion indices at midstance phase during gait measured by 3D MFM gait analysis were correlated with the conventional radiographic indices.

CLINICAL RELEVANCE

The observed correlation between MFM measurements at midstance phase during gait and static radiographic measurements supports the fundamental basis for the use of MFM in analysis of dynamic motion of foot segment during gait.

Authors+Show Affiliations

Department of Orthopedic Surgery, Seoul National University Hospital, Seoul, Korea Department of Orthopedic Surgery, University of Pennsylvania, Philadelphia, PA, USA leedy@snu.ac.kr.Department of Orthopedic Surgery, Seoul National University Hospital, Seoul, Korea.Department of Orthopedic Surgery, Seoul National University Hospital, Seoul, Korea.Department of Statistics, Korea University, Seoul, Korea.Department of Orthopedic Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.Department of Orthopedic Surgery, University of Pennsylvania, Philadelphia, PA, USA.Department of Orthopedic Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.Department of Orthopedic Surgery, Seoul National University Hospital, Seoul, Korea.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

25404757

Citation

Lee, Dong Yeon, et al. "Correlation Between Static Radiographic Measurements and Intersegmental Angular Measurements During Gait Using a Multisegment Foot Model." Foot & Ankle International, vol. 36, no. 1, 2015, pp. 1-10.
Lee DY, Seo SG, Kim EJ, et al. Correlation between static radiographic measurements and intersegmental angular measurements during gait using a multisegment foot model. Foot Ankle Int. 2015;36(1):1-10.
Lee, D. Y., Seo, S. G., Kim, E. J., Kim, S. J., Lee, K. M., Farber, D. C., Chung, C. Y., & Choi, I. H. (2015). Correlation between static radiographic measurements and intersegmental angular measurements during gait using a multisegment foot model. Foot & Ankle International, 36(1), 1-10. https://doi.org/10.1177/1071100714559727
Lee DY, et al. Correlation Between Static Radiographic Measurements and Intersegmental Angular Measurements During Gait Using a Multisegment Foot Model. Foot Ankle Int. 2015;36(1):1-10. PubMed PMID: 25404757.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Correlation between static radiographic measurements and intersegmental angular measurements during gait using a multisegment foot model. AU - Lee,Dong Yeon, AU - Seo,Sang Gyo, AU - Kim,Eo Jin, AU - Kim,Sung Ju, AU - Lee,Kyoung Min, AU - Farber,Daniel C, AU - Chung,Chin Youb, AU - Choi,In Ho, Y1 - 2014/11/17/ PY - 2014/11/19/entrez PY - 2014/11/19/pubmed PY - 2015/9/9/medline KW - correlation KW - gait analysis KW - intersegmental angle KW - multisegment foot model KW - radiography SP - 1 EP - 10 JF - Foot & ankle international JO - Foot Ankle Int VL - 36 IS - 1 N2 - BACKGROUND: Radiographic examination is a widely used evaluation method in the orthopedic clinic. However, conventional radiography alone does not reflect the dynamic changes between foot and ankle segments during gait. Multiple 3-dimensional multisegment foot models (3D MFMs) have been introduced to evaluate intersegmental motion of the foot. In this study, we evaluated the correlation between static radiographic indices and intersegmental foot motion indices. METHODS: One hundred twenty-five females were tested. Static radiographs of full-leg and anteroposterior (AP) and lateral foot views were performed. For hindfoot evaluation, we measured the AP tibiotalar angle (TiTA), talar tilt (TT), calcaneal pitch, lateral tibiocalcaneal angle, and lateral talcocalcaneal angle. For the midfoot segment, naviculocuboid overlap and talonavicular coverage angle were calculated. AP and lateral talo-first metatarsal angles and metatarsal stacking angle (MSA) were measured to assess the forefoot. Hallux valgus angle (HVA) and hallux interphalangeal angle were measured. In gait analysis by 3D MFM, intersegmental angle (ISA) measurements of each segment (hallux, forefoot, hindfoot, arch) were recorded. RESULTS: ISAs at midstance phase were most highly correlated with radiography. Significant correlations were observed between ISA measurements using MFM and static radiographic measurements in the same segment. In the hindfoot, coronal plane ISA was correlated with AP TiTA (P < .001) and TT (P = .018). In the hallux, HVA was strongly correlated with transverse ISA of the hallux (P < .001). CONCLUSION: The segmental foot motion indices at midstance phase during gait measured by 3D MFM gait analysis were correlated with the conventional radiographic indices. CLINICAL RELEVANCE: The observed correlation between MFM measurements at midstance phase during gait and static radiographic measurements supports the fundamental basis for the use of MFM in analysis of dynamic motion of foot segment during gait. SN - 1944-7876 UR - https://www.unboundmedicine.com/medline/citation/25404757/Correlation_between_static_radiographic_measurements_and_intersegmental_angular_measurements_during_gait_using_a_multisegment_foot_model_ L2 - http://journals.sagepub.com/doi/full/10.1177/1071100714559727?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -