Tags

Type your tag names separated by a space and hit enter

Radiographic Assessment of Foot Alignment in Juvenile Hallux Valgus and Its Relationship to Flatfoot.
Foot Ankle Int. 2019 Sep; 40(9):1079-1086.FA

Abstract

BACKGROUND

The relationship between juvenile hallux valgus (JHV) and flatfoot has not been clearly established. The aim of this study was to assess radiographic measurements in feet with JHV compared with matched controls and to investigate whether the foot alignment of JHV is related to flatfoot.

METHODS

We retrospectively reviewed 163 patients with JHV as defined as hallux valgus angle greater than 20 degrees and intermetatarsal greater than angle than 10 degrees. Patients with open physes of the feet and who had weight-bearing radiographs of the feet were included. Another 55 normal participants served as controls. Patients with JHV were divided into 2 subgroups: Group 1 included patients with asymptomatic JHV and group 2 consisted of those treated with correctional surgery for painful JHV. Twelve radiographic indices were analyzed, including calcaneal pitch angle, tibiocalcaneal angle, talocalcaneal angle, naviculocuboid overlap, talonavicular coverage angle, lateral talo-first metatarsal angle, anteroposterior talo-first metatarsal angle, metatarsus adductus angle, hallux valgus angle, intermetatarsal angle, distal metatarsal articular angle, and first metatarsal cuneiform angle. The groups were compared by age, gender, and the above radiographic parameters.

RESULTS

There was no significant difference in hindfoot alignment of patients with JHV and controls. Naviculocuboid overlap (P <.001), lateral talo-first metatarsal angle (P = .002), and metatarsus adductus angle (P = .004) were significantly greater in patients with JHV than in controls, whereas the anteroposterior talo-first metatarsal angle (P = .026) was significantly less. Symptomatic and asymptomatic JHV patient subsets showed no significant radiologic differences.

CONCLUSION

Radiographic profiles in patients with JHV were inconsistent with regard to features of flatfoot, and foot alignment was unrelated to the presence of symptoms or degree of deformity in JHV.

LEVEL OF EVIDENCE

Level III, retrospective comparative series.

Authors+Show Affiliations

1 Division of Orthopaedic Surgery, Severance Children's Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.1 Division of Orthopaedic Surgery, Severance Children's Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.1 Division of Orthopaedic Surgery, Severance Children's Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.1 Division of Orthopaedic Surgery, Severance Children's Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.2 Department of Orthopaedic Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

31132894

Citation

Kim, Hyun Woo, et al. "Radiographic Assessment of Foot Alignment in Juvenile Hallux Valgus and Its Relationship to Flatfoot." Foot & Ankle International, vol. 40, no. 9, 2019, pp. 1079-1086.
Kim HW, Park KB, Kwak YH, et al. Radiographic Assessment of Foot Alignment in Juvenile Hallux Valgus and Its Relationship to Flatfoot. Foot Ankle Int. 2019;40(9):1079-1086.
Kim, H. W., Park, K. B., Kwak, Y. H., Jin, S., & Park, H. (2019). Radiographic Assessment of Foot Alignment in Juvenile Hallux Valgus and Its Relationship to Flatfoot. Foot & Ankle International, 40(9), 1079-1086. https://doi.org/10.1177/1071100719850148
Kim HW, et al. Radiographic Assessment of Foot Alignment in Juvenile Hallux Valgus and Its Relationship to Flatfoot. Foot Ankle Int. 2019;40(9):1079-1086. PubMed PMID: 31132894.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Radiographic Assessment of Foot Alignment in Juvenile Hallux Valgus and Its Relationship to Flatfoot. AU - Kim,Hyun Woo, AU - Park,Kun Bo, AU - Kwak,Yoon Hae, AU - Jin,Seokhwan, AU - Park,Hoon, Y1 - 2019/05/27/ PY - 2019/5/28/pubmed PY - 2020/3/11/medline PY - 2019/5/29/entrez KW - flatfoot KW - juvenile hallux valgus KW - radiographic SP - 1079 EP - 1086 JF - Foot & ankle international JO - Foot Ankle Int VL - 40 IS - 9 N2 - BACKGROUND: The relationship between juvenile hallux valgus (JHV) and flatfoot has not been clearly established. The aim of this study was to assess radiographic measurements in feet with JHV compared with matched controls and to investigate whether the foot alignment of JHV is related to flatfoot. METHODS: We retrospectively reviewed 163 patients with JHV as defined as hallux valgus angle greater than 20 degrees and intermetatarsal greater than angle than 10 degrees. Patients with open physes of the feet and who had weight-bearing radiographs of the feet were included. Another 55 normal participants served as controls. Patients with JHV were divided into 2 subgroups: Group 1 included patients with asymptomatic JHV and group 2 consisted of those treated with correctional surgery for painful JHV. Twelve radiographic indices were analyzed, including calcaneal pitch angle, tibiocalcaneal angle, talocalcaneal angle, naviculocuboid overlap, talonavicular coverage angle, lateral talo-first metatarsal angle, anteroposterior talo-first metatarsal angle, metatarsus adductus angle, hallux valgus angle, intermetatarsal angle, distal metatarsal articular angle, and first metatarsal cuneiform angle. The groups were compared by age, gender, and the above radiographic parameters. RESULTS: There was no significant difference in hindfoot alignment of patients with JHV and controls. Naviculocuboid overlap (P <.001), lateral talo-first metatarsal angle (P = .002), and metatarsus adductus angle (P = .004) were significantly greater in patients with JHV than in controls, whereas the anteroposterior talo-first metatarsal angle (P = .026) was significantly less. Symptomatic and asymptomatic JHV patient subsets showed no significant radiologic differences. CONCLUSION: Radiographic profiles in patients with JHV were inconsistent with regard to features of flatfoot, and foot alignment was unrelated to the presence of symptoms or degree of deformity in JHV. LEVEL OF EVIDENCE: Level III, retrospective comparative series. SN - 1944-7876 UR - https://www.unboundmedicine.com/medline/citation/31132894/Radiographic_Assessment_of_Foot_Alignment_in_Juvenile_Hallux_Valgus_and_Its_Relationship_to_Flatfoot_ L2 - http://journals.sagepub.com/doi/full/10.1177/1071100719850148?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -