Tags

Type your tag names separated by a space and hit enter

The symptomatic adult flatfoot: Is there a relationship between severity and degree of pre-existing arthritis in the foot and ankle?
Foot (Edinb). 2020 Jun; 43:101664.F

Abstract

BACKGROUND

The acquired adult flatfoot deformity (AFFD) is a potentially debilitating foot condition with a prevalence thought to be between 3 %-10 %. To the authors' best knowledge, no association has been described between severity of AFFD and degree of pre-existing ankle or foot arthritis. The degree and pattern of preexisting ipsilateral arthritis of the foot and ankle was investigated in those with symptomatic AFFD presenting to hospital.

METHODS

Retrospective observational study between May 2015 and May 2018, of patients who presented to our tertiary clinic with symptomatic AFFD. Radiographs of one hundred and forty-eight (n=148) patients were reviewed, excluding those with charcot arthropathy, previous trauma or coalition. The primary outcome measure was severity of OA in the ankle, subtalar, talonavicular and calcaneocuboid joints. Secondary outcome was severity of radiographic planovalgus deformity. The independant variables used were age and severity of planovalgus deformity as measured by the Meary angle, calcaneal pitch and medial cuneiform-fifth metatarsal height. A linear regression model was carried out on the outcomes.

RESULTS

Median age was 60.0 years (IQR 22). There were 56 males to 92 females, with 75 left sided deformities observed and 73 right sided. With increasing severity of planovalgus measurements, there was no significant association observed in severity of arthritis in the ankle joint (p = 0.766), subtalar joint (p = 0.090), talonavicular joint (p = 0.256) and calcaneocuboid joint (p = 0.091). With increasing age, there was significance observed in degree of ankle arthritis, subtalar, talonavicular and calcaneocuboid joints (p = 0.001). There was no significant correlation observed with age for the angular break of Meary's line (p = 0.73), calcaneal pitch (0.262) and medial cuneiform-fifth metatarsal height (p = 0.937).

CONCLUSION

This observational study shows no significant association between severity of radiographic planovalgus deformity and pre-existing arthritis of the ankle, hindfoot and midtarsal joints.

Authors+Show Affiliations

Department of Orthopaedic Surgery, Southmead Hospital, Bristol, United Kingdom. Electronic address: kalhourani@doctors.org.uk.Department of Orthopaedic Surgery, Southmead Hospital, Bristol, United Kingdom.Department of Orthopaedic Surgery, Southmead Hospital, Bristol, United Kingdom.Department of Orthopaedic Surgery, Southmead Hospital, Bristol, United Kingdom.Department of Orthopaedic Surgery, Southmead Hospital, Bristol, United Kingdom.Department of Orthopaedic Surgery, Southmead Hospital, Bristol, United Kingdom.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32135346

Citation

Al-Hourani, K, et al. "The Symptomatic Adult Flatfoot: Is There a Relationship Between Severity and Degree of Pre-existing Arthritis in the Foot and Ankle?" Foot (Edinburgh, Scotland), vol. 43, 2020, p. 101664.
Al-Hourani K, Mathews JA, Shiels S, et al. The symptomatic adult flatfoot: Is there a relationship between severity and degree of pre-existing arthritis in the foot and ankle? Foot (Edinb). 2020;43:101664.
Al-Hourani, K., Mathews, J. A., Shiels, S., Harries, W., Hepple, S., & Winson, I. (2020). The symptomatic adult flatfoot: Is there a relationship between severity and degree of pre-existing arthritis in the foot and ankle? Foot (Edinburgh, Scotland), 43, 101664. https://doi.org/10.1016/j.foot.2020.101664
Al-Hourani K, et al. The Symptomatic Adult Flatfoot: Is There a Relationship Between Severity and Degree of Pre-existing Arthritis in the Foot and Ankle. Foot (Edinb). 2020;43:101664. PubMed PMID: 32135346.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The symptomatic adult flatfoot: Is there a relationship between severity and degree of pre-existing arthritis in the foot and ankle? AU - Al-Hourani,K, AU - Mathews,J A, AU - Shiels,S, AU - Harries,W, AU - Hepple,S, AU - Winson,I, Y1 - 2020/01/28/ PY - 2019/07/22/received PY - 2019/12/15/revised PY - 2020/01/26/accepted PY - 2020/3/7/pubmed PY - 2020/3/7/medline PY - 2020/3/6/entrez KW - Acquired KW - Adult KW - Arthritis KW - Foot KW - Planovalgus SP - 101664 EP - 101664 JF - Foot (Edinburgh, Scotland) JO - Foot (Edinb) VL - 43 N2 - BACKGROUND: The acquired adult flatfoot deformity (AFFD) is a potentially debilitating foot condition with a prevalence thought to be between 3 %-10 %. To the authors' best knowledge, no association has been described between severity of AFFD and degree of pre-existing ankle or foot arthritis. The degree and pattern of preexisting ipsilateral arthritis of the foot and ankle was investigated in those with symptomatic AFFD presenting to hospital. METHODS: Retrospective observational study between May 2015 and May 2018, of patients who presented to our tertiary clinic with symptomatic AFFD. Radiographs of one hundred and forty-eight (n=148) patients were reviewed, excluding those with charcot arthropathy, previous trauma or coalition. The primary outcome measure was severity of OA in the ankle, subtalar, talonavicular and calcaneocuboid joints. Secondary outcome was severity of radiographic planovalgus deformity. The independant variables used were age and severity of planovalgus deformity as measured by the Meary angle, calcaneal pitch and medial cuneiform-fifth metatarsal height. A linear regression model was carried out on the outcomes. RESULTS: Median age was 60.0 years (IQR 22). There were 56 males to 92 females, with 75 left sided deformities observed and 73 right sided. With increasing severity of planovalgus measurements, there was no significant association observed in severity of arthritis in the ankle joint (p = 0.766), subtalar joint (p = 0.090), talonavicular joint (p = 0.256) and calcaneocuboid joint (p = 0.091). With increasing age, there was significance observed in degree of ankle arthritis, subtalar, talonavicular and calcaneocuboid joints (p = 0.001). There was no significant correlation observed with age for the angular break of Meary's line (p = 0.73), calcaneal pitch (0.262) and medial cuneiform-fifth metatarsal height (p = 0.937). CONCLUSION: This observational study shows no significant association between severity of radiographic planovalgus deformity and pre-existing arthritis of the ankle, hindfoot and midtarsal joints. SN - 1532-2963 UR - https://www.unboundmedicine.com/medline/citation/32135346/The_symptomatic_adult_flatfoot:_Is_there_a_relationship_between_severity_and_degree_of_pre-existing_arthritis_in_the_foot_and_ankle L2 - https://linkinghub.elsevier.com/retrieve/pii/S0958-2592(20)30002-X DB - PRIME DP - Unbound Medicine ER -
Try the Free App:
Prime PubMed app for iOS iPhone iPad
Prime PubMed app for Android
Prime PubMed is provided
free to individuals by:
Unbound Medicine.