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Radiographic Measurements Associated With the Natural Progression of the Hallux Valgus During at Least 2 Years of Follow-up.
Foot Ankle Int. 2018 04; 39(4):463-470.FA

Abstract

BACKGROUND

This study aimed to investigate the radiographic measurements associated with the progression of hallux valgus during at least 2 years of follow-up.

METHODS

Seventy adult patients with hallux valgus who were followed for at least 2 years and underwent weightbearing foot radiography were included. Radiographic measurements included the hallux valgus angle (HVA), hallux interphalangeal angle, intermetatarsal angle (IMA), metatarsus adductus angle, distal metatarsal articular angle (DMAA), tibial sesamoid position, anteroposterior (AP) talo-first metatarsal angle, and lateral talo-first metatarsal angle. Patients were divided into progressive and nonprogressive groups. Binary logistic regression analysis was performed to identify factors that significantly affected the progression of hallux valgus deformity. The correlation between change in HVA and changes in other radiographic indices during follow-up was analyzed.

RESULTS

The DMAA (P = .027) and AP talo-first metatarsal angle (P = .034) at initial presentation were found to be significant factors affecting the progression of hallux valgus deformity. Change in the HVA during follow-up was significantly correlated with changes in the IMA (r = 0.423; P = .001) and DMAA (r = 0.541; P < .001).

CONCLUSION

The change in the HVA was found to be significantly correlated with changes in the IMA and DMAA. A future study is required to elucidate whether this correlation can be explained by the progressive instability of the first tarsometatarsal joint. We believe special attention needs to be paid to patients with pes planus and increased DMAA.

LEVEL OF EVIDENCE

Level III, comparative study.

Authors+Show Affiliations

1 Department of Orthopaedic Surgery, Ewha Womans University Mokdong Hospital, Seoul, Korea.2 Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, Kyungki, Korea.2 Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, Kyungki, Korea.2 Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, Kyungki, Korea.3 Department of Orthopaedic Surgery, University of California San Diego, CA, USA.4 School of Mechanical Engineering, Chung-Ang University, Seoul, Korea.2 Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, Kyungki, Korea.2 Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, Kyungki, Korea.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29320937

Citation

Lee, Seung Yeol, et al. "Radiographic Measurements Associated With the Natural Progression of the Hallux Valgus During at Least 2 Years of Follow-up." Foot & Ankle International, vol. 39, no. 4, 2018, pp. 463-470.
Lee SY, Chung CY, Park MS, et al. Radiographic Measurements Associated With the Natural Progression of the Hallux Valgus During at Least 2 Years of Follow-up. Foot Ankle Int. 2018;39(4):463-470.
Lee, S. Y., Chung, C. Y., Park, M. S., Sung, K. H., Ahmed, S., Koo, S., Kang, D. W., & Lee, K. M. (2018). Radiographic Measurements Associated With the Natural Progression of the Hallux Valgus During at Least 2 Years of Follow-up. Foot & Ankle International, 39(4), 463-470. https://doi.org/10.1177/1071100717745659
Lee SY, et al. Radiographic Measurements Associated With the Natural Progression of the Hallux Valgus During at Least 2 Years of Follow-up. Foot Ankle Int. 2018;39(4):463-470. PubMed PMID: 29320937.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Radiographic Measurements Associated With the Natural Progression of the Hallux Valgus During at Least 2 Years of Follow-up. AU - Lee,Seung Yeol, AU - Chung,Chin Youb, AU - Park,Moon Seok, AU - Sung,Ki Hyuk, AU - Ahmed,Sonya, AU - Koo,Seungbum, AU - Kang,Dong-Wan, AU - Lee,Kyoung Min, Y1 - 2018/01/10/ PY - 2018/1/13/pubmed PY - 2019/3/26/medline PY - 2018/1/12/entrez KW - distal metatarsal articular angle KW - hallux valgus KW - hallux valgus angle KW - progression SP - 463 EP - 470 JF - Foot & ankle international JO - Foot Ankle Int VL - 39 IS - 4 N2 - BACKGROUND: This study aimed to investigate the radiographic measurements associated with the progression of hallux valgus during at least 2 years of follow-up. METHODS: Seventy adult patients with hallux valgus who were followed for at least 2 years and underwent weightbearing foot radiography were included. Radiographic measurements included the hallux valgus angle (HVA), hallux interphalangeal angle, intermetatarsal angle (IMA), metatarsus adductus angle, distal metatarsal articular angle (DMAA), tibial sesamoid position, anteroposterior (AP) talo-first metatarsal angle, and lateral talo-first metatarsal angle. Patients were divided into progressive and nonprogressive groups. Binary logistic regression analysis was performed to identify factors that significantly affected the progression of hallux valgus deformity. The correlation between change in HVA and changes in other radiographic indices during follow-up was analyzed. RESULTS: The DMAA (P = .027) and AP talo-first metatarsal angle (P = .034) at initial presentation were found to be significant factors affecting the progression of hallux valgus deformity. Change in the HVA during follow-up was significantly correlated with changes in the IMA (r = 0.423; P = .001) and DMAA (r = 0.541; P < .001). CONCLUSION: The change in the HVA was found to be significantly correlated with changes in the IMA and DMAA. A future study is required to elucidate whether this correlation can be explained by the progressive instability of the first tarsometatarsal joint. We believe special attention needs to be paid to patients with pes planus and increased DMAA. LEVEL OF EVIDENCE: Level III, comparative study. SN - 1944-7876 UR - https://www.unboundmedicine.com/medline/citation/29320937/Radiographic_Measurements_Associated_With_the_Natural_Progression_of_the_Hallux_Valgus_During_at_Least_2_Years_of_Follow_up_ L2 - https://journals.sagepub.com/doi/10.1177/1071100717745659?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -