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Natural progression of radiographic indices in juvenile hallux valgus deformity.
Foot Ankle Surg. 2019 Jun; 25(3):378-382.FA

Abstract

BACKGROUND

This study aimed to estimate the annual change in radiographic indices for juvenile hallux valgus (JHV) and to analyze the factors that influence deformity progression.

METHODS

Patients aged <15 years who had JHV and were followed up for at least 1 year were included. Hallux valgus angle (HVA), hallux interphalangeal angle, intermetatarsal angle, metatarsus adductus angle, distal metatarsal articular angle, anteroposterior talo-first metatarsal angle, and lateral talo-first metatarsal angle were evaluated. The progression rate of HVA was adjusted by multiple factors by using a linear mixed model.

RESULTS

A total of 133 feet were included. The HVA and distal metatarsal articular angle both increased by 0.8° per year (p<0.001 and p=0.003, respectively). HVA increased by 1.5° per year (p<0.001) at under the age of 10, and the HVA progression in the older patients was not statistically significant.

CONCLUSIONS

JHV deformity could progress with aging. Most deformity progression could occur before the age of 10 years.

Authors+Show Affiliations

Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, 82 Gumi-ro173beon-gil, Bundang-gu, Seongnam-si, Kyungki 13620, Republic of Korea. Electronic address: 89412@snubh.org.Department of Mathematics, College of Natural Science, Ajou University, 206 Worldcup-ro, Yeongtong-gu, Suwon-si, Kyungki 16499, Republic of Korea. Electronic address: qrio1010@ajou.ac.kr.Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, 82 Gumi-ro173beon-gil, Bundang-gu, Seongnam-si, Kyungki 13620, Republic of Korea. Electronic address: 65407@snubh.org.Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, 82 Gumi-ro173beon-gil, Bundang-gu, Seongnam-si, Kyungki 13620, Republic of Korea. Electronic address: oasis100@snubh.org.Department of Orthopaedic Surgery, Ewha Womans University Mokdong Hospital, 1071 Anyangcheon-ro, Yangcheon-gu, Seoul 07985, Republic of Korea. Electronic address: 21344@eumc.ac.kr.Department of Orthopaedic Surgery, Ewha Womans University Mokdong Hospital, 1071 Anyangcheon-ro, Yangcheon-gu, Seoul 07985, Republic of Korea. Electronic address: syleemd@ewha.ac.kr.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30321975

Citation

Sung, Ki Hyuk, et al. "Natural Progression of Radiographic Indices in Juvenile Hallux Valgus Deformity." Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons, vol. 25, no. 3, 2019, pp. 378-382.
Sung KH, Kwon SS, Park MS, et al. Natural progression of radiographic indices in juvenile hallux valgus deformity. Foot Ankle Surg. 2019;25(3):378-382.
Sung, K. H., Kwon, S. S., Park, M. S., Lee, K. M., Ahn, J., & Lee, S. Y. (2019). Natural progression of radiographic indices in juvenile hallux valgus deformity. Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons, 25(3), 378-382. https://doi.org/10.1016/j.fas.2018.02.001
Sung KH, et al. Natural Progression of Radiographic Indices in Juvenile Hallux Valgus Deformity. Foot Ankle Surg. 2019;25(3):378-382. PubMed PMID: 30321975.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Natural progression of radiographic indices in juvenile hallux valgus deformity. AU - Sung,Ki Hyuk, AU - Kwon,Soon-Sun, AU - Park,Moon Seok, AU - Lee,Kyoung Min, AU - Ahn,Jonghyun, AU - Lee,Seung Yeol, Y1 - 2018/02/10/ PY - 2017/10/11/received PY - 2017/12/04/revised PY - 2018/02/02/accepted PY - 2018/10/17/pubmed PY - 2019/10/24/medline PY - 2018/10/17/entrez KW - Hallux valgus angle KW - Juvenile hallux valgus KW - Linear mixed model KW - Radiographic index SP - 378 EP - 382 JF - Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons JO - Foot Ankle Surg VL - 25 IS - 3 N2 - BACKGROUND: This study aimed to estimate the annual change in radiographic indices for juvenile hallux valgus (JHV) and to analyze the factors that influence deformity progression. METHODS: Patients aged <15 years who had JHV and were followed up for at least 1 year were included. Hallux valgus angle (HVA), hallux interphalangeal angle, intermetatarsal angle, metatarsus adductus angle, distal metatarsal articular angle, anteroposterior talo-first metatarsal angle, and lateral talo-first metatarsal angle were evaluated. The progression rate of HVA was adjusted by multiple factors by using a linear mixed model. RESULTS: A total of 133 feet were included. The HVA and distal metatarsal articular angle both increased by 0.8° per year (p<0.001 and p=0.003, respectively). HVA increased by 1.5° per year (p<0.001) at under the age of 10, and the HVA progression in the older patients was not statistically significant. CONCLUSIONS: JHV deformity could progress with aging. Most deformity progression could occur before the age of 10 years. SN - 1460-9584 UR - https://www.unboundmedicine.com/medline/citation/30321975/Natural_progression_of_radiographic_indices_in_juvenile_hallux_valgus_deformity_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1268-7731(18)30024-9 DB - PRIME DP - Unbound Medicine ER -