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Factors Affecting Subjective Symptoms in Children with Pes Planovalgus Deformity: A Study Using the Oxford Ankle Foot Questionnaire.
J Bone Joint Surg Am. 2020 Sep 02; 102(17):1479-1485.JB

Abstract

BACKGROUND

Idiopathic pes planovalgus is one of the most common foot deformities in children and adolescents. However, there is a discrepancy between subjective symptoms and radiographic severity in idiopathic planovalgus deformity, and very few studies have investigated this aspect. Further, the assessment of subjective symptoms in patients with pes planovalgus requires a quantitative scoring system for making meaningful comparisons, such as the Oxford Ankle Foot Questionnaire for Children (OxAFQ-c) and that for parents (OxAFQ-p). Therefore, the purpose of this study was to evaluate the factors affecting the symptoms of idiopathic planovalgus using the OxAFQ.

METHODS

All patients who were ≤18 years of age, had visited our clinic for the evaluation of pes planovalgus deformity, and had completed the OxAFQ were included in this study. The anteroposterior talo-first metatarsal, lateral talo-first metatarsal, and hallux valgus angles were measured on weight-bearing radiographs. The data were analyzed using a multiple regression model, with age, sex, and radiographic indices as explanatory variables.

RESULTS

Overall, 123 patients were enrolled in this study, and 246 standing foot radiographs were evaluated along with scores in each domain of the OxAFQ. The factors affecting physical domain scores in the OxAFQ-c were female sex (p = 0.047) and the anteroposterior talo-first metatarsal angle (p = 0.033). Age of ≥10 years was a significant factor (p < 0.05) affecting all domains in both the OxAFQ-c and OxAFQ-p other than the physical domain score.

CONCLUSIONS

Although pes planovalgus deformity is 3-dimensional, the forefoot abduction component of the deformity should be carefully assessed as it is closely related to subjective symptoms. Further, in female patients with a more severe anteroposterior talo-first metatarsal angle, an aggravation of symptoms with aging should be expected when managing pes planovalgus deformity.

LEVEL OF EVIDENCE

Prognostic Level IV. See Instructions for Authors for a complete description of levels of evidence.

Authors+Show Affiliations

Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, Gyeonggi, Republic of Korea.Department of Mathematics and Department of AI and Data Science, College of Natural Sciences, Ajou University, Gyeonggi, Republic of Korea.Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, Gyeonggi, Republic of Korea.Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, Gyeonggi, Republic of Korea.Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, Gyeonggi, Republic of Korea.Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, Gyeonggi, Republic of Korea.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32590397

Citation

Min, Jae Jung, et al. "Factors Affecting Subjective Symptoms in Children With Pes Planovalgus Deformity: a Study Using the Oxford Ankle Foot Questionnaire." The Journal of Bone and Joint Surgery. American Volume, vol. 102, no. 17, 2020, pp. 1479-1485.
Min JJ, Kwon SS, Sung KH, et al. Factors Affecting Subjective Symptoms in Children with Pes Planovalgus Deformity: A Study Using the Oxford Ankle Foot Questionnaire. J Bone Joint Surg Am. 2020;102(17):1479-1485.
Min, J. J., Kwon, S. S., Sung, K. H., Lee, K. M., Chung, C. Y., & Park, M. S. (2020). Factors Affecting Subjective Symptoms in Children with Pes Planovalgus Deformity: A Study Using the Oxford Ankle Foot Questionnaire. The Journal of Bone and Joint Surgery. American Volume, 102(17), 1479-1485. https://doi.org/10.2106/JBJS.19.01504
Min JJ, et al. Factors Affecting Subjective Symptoms in Children With Pes Planovalgus Deformity: a Study Using the Oxford Ankle Foot Questionnaire. J Bone Joint Surg Am. 2020 Sep 2;102(17):1479-1485. PubMed PMID: 32590397.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Factors Affecting Subjective Symptoms in Children with Pes Planovalgus Deformity: A Study Using the Oxford Ankle Foot Questionnaire. AU - Min,Jae Jung, AU - Kwon,Soon-Sun, AU - Sung,Ki Hyuk, AU - Lee,Kyoung Min, AU - Chung,Chin Youb, AU - Park,Moon Seok, PY - 2020/6/27/pubmed PY - 2020/6/27/medline PY - 2020/6/27/entrez SP - 1479 EP - 1485 JF - The Journal of bone and joint surgery. American volume JO - J Bone Joint Surg Am VL - 102 IS - 17 N2 - BACKGROUND: Idiopathic pes planovalgus is one of the most common foot deformities in children and adolescents. However, there is a discrepancy between subjective symptoms and radiographic severity in idiopathic planovalgus deformity, and very few studies have investigated this aspect. Further, the assessment of subjective symptoms in patients with pes planovalgus requires a quantitative scoring system for making meaningful comparisons, such as the Oxford Ankle Foot Questionnaire for Children (OxAFQ-c) and that for parents (OxAFQ-p). Therefore, the purpose of this study was to evaluate the factors affecting the symptoms of idiopathic planovalgus using the OxAFQ. METHODS: All patients who were ≤18 years of age, had visited our clinic for the evaluation of pes planovalgus deformity, and had completed the OxAFQ were included in this study. The anteroposterior talo-first metatarsal, lateral talo-first metatarsal, and hallux valgus angles were measured on weight-bearing radiographs. The data were analyzed using a multiple regression model, with age, sex, and radiographic indices as explanatory variables. RESULTS: Overall, 123 patients were enrolled in this study, and 246 standing foot radiographs were evaluated along with scores in each domain of the OxAFQ. The factors affecting physical domain scores in the OxAFQ-c were female sex (p = 0.047) and the anteroposterior talo-first metatarsal angle (p = 0.033). Age of ≥10 years was a significant factor (p < 0.05) affecting all domains in both the OxAFQ-c and OxAFQ-p other than the physical domain score. CONCLUSIONS: Although pes planovalgus deformity is 3-dimensional, the forefoot abduction component of the deformity should be carefully assessed as it is closely related to subjective symptoms. Further, in female patients with a more severe anteroposterior talo-first metatarsal angle, an aggravation of symptoms with aging should be expected when managing pes planovalgus deformity. LEVEL OF EVIDENCE: Prognostic Level IV. See Instructions for Authors for a complete description of levels of evidence. SN - 1535-1386 UR - https://www.unboundmedicine.com/medline/citation/32590397/Factors_Affecting_Subjective_Symptoms_in_Children_with_Pes_Planovalgus_Deformity:_A_Study_Using_the_Oxford_Ankle_Foot_Questionnaire_ L2 - https://doi.org/10.2106/JBJS.19.01504 DB - PRIME DP - Unbound Medicine ER -
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