Advertisement
Advertise here Publish your press releases here Sponsor BioPortfolio
Follow us on Twitter Sign up for daily news and research emails Contributors wanted

Radiographic correlates of hallux valgus severity in older people.

19:32 EDT 18th April 2014 | BioPortfolio

Summary of "Radiographic correlates of hallux valgus severity in older people."


ABSTRACT:

BACKGROUND:
The severity of hallux valgus is easily appreciated by its clinical appearance, however x-ray measurements are also frequently used to evaluate the condition, particularly if surgery is being considered. There have been few large studies that have assessed the validity of these x-ray observations across a wide spectrum of the deformity. In addition, no studies have specifically focused on older people where the progression of the disorder has largely ceased. Therefore, this study aimed to explore relationships between relevant x-ray observations with respect to hallux valgus severity in older people.
METHODS:
This study utilised 402 x-rays of 201 participants (74 men and 127 women) aged 65 to 94 years. All participants were graded using the Manchester Scale - a simple, validated system to grade the severity of hallux valgus - prior to radiographic assessment. A total of 19 hallux valgus-related x-ray observations were performed on each set of x-rays. These measurements were then correlated with the Manchester Scale scores.
RESULTS:
Strong, positive correlations were identified between the severity of hallux valgus and the hallux abductus angle, the proximal articular set angle, the sesamoid position and congruency of the first metatarsophalangeal joint. As hallux valgus severity increased, so did the frequency of radiographic osteoarthritis of the first metatarsophalangeal joint and a round first metatarsal head. A strong linear relationship between increased relative length of the first metatarsal and increased severity of hallux valgus was also observed.
CONCLUSIONS:
Strong associations are evident between the clinical appearance of hallux valgus and a number of hallux valgus-related x-ray observations indicative of structural deformity and joint degeneration. As it is unlikely that metatarsal length increases as a result of hallux valgus deformity, increased length of the first metatarsal relative to the second metatarsal may be a contributing factor to the development and/or progression of hallux valgus.

Affiliation

Journal Details

This article was published in the following journal.

Name: Journal of foot and ankle research
ISSN: 1757-1146
Pages: 20

Links

PubMed Articles [7022 Associated PubMed Articles listed on BioPortfolio]

Long-term outcome of chevron-osteotomy in juvenile hallux valgus.

The long-term outcome of juvenile hallux valgus treated by a modified Austin procedure was investigated. The clinical (subjective, AOFA Scores) and radiological outcome (hallux valgus angles, intermet...

Effect of medial arch support foot orthosis on plantar pressure distribution in females with mild-to-moderate hallux valgus after one month of follow-up.

Background:Higher plantar pressures at the medial forefoot are reported in hallux valgus. Foot orthoses with medial arch support are considered as an intervention in this pathology. However, little is...

The use of a syndesmosis procedure for the treatment of hallux valgus: Good clinical and radiological results two years post-operatively.

Metatarsus primus varus deformity correction is one of the main objectives in hallux valgus surgery. A 'syndesmosis' procedure may be used to correct hallux valgus. An osteotomy is not involved. The a...

Patellofemoral osteoarthritis is common in middle-aged people with chronic patellofemoral pain.

Objective: To document the prevalence of radiographic OA in the medial and lateral patellofemoral joint (PFJ) compartments relative to prevalence of tibiofemoral joint (TFJ) OA in middle-aged and olde...

Clarification of the Anatomic Definition of the Bunion Deformity.

Evolution of the terminology applied to the bunion deformity has progressed in parallel with our changing understanding of the deformity itself. Along this path of progression have been multiple terms...

Clinical Trials [3029 Associated Clinical Trials listed on BioPortfolio]

Effect of Botulinum Toxin to Hallux Valgus in Addition to Total Contact Insole

The investigators propose a new therapeutic approach by injecting Botulinum Toxin Type A (BTA) to the oblique and transverse heads of adductor muscle of the great toe. BTA works by binding...

TRAUMEEL S in Reducing Pain After Correction of Hallux Valgus-Clinical Trial

Hallux valgus is a common deformity of the big toe, defined as medial deflection of the first metatarsal bone along with lateral deflection of the first toe. Surgery has been shown to be b...

The Correlation Between Fasicitis Plantaris and Hallux Rigidus

Comparison between 3 groups: - group I has hallux rigidus. Is fasicitis plantaris present? - group II has fasicitis plantaris. Does the hallux have limited mobility? - gr...

The Effect of Anti-inflammatory Analgesics on Pain Following Hallux Valgus Surgery

The effects of none-steroidal anti-inflammatory drugs (NSAIDs) and selective cyclooxygenase inhibitors (Coxibs) on the formation of bone and fracture healing have been a matter of debate s...

Prospective and Comparative Analysis of Arthroscopic and Open Surgery for Hallux Rigidus

Comparison between arthroscopic and open surgery for hallux rigidus.

Medical and Biotech [MESH] Definitions

Lateral displacement of the great toe (HALLUX), producing deformity of the first METATARSOPHALANGEAL JOINT with callous, bursa, or bunion formation over the bony prominence.

Displacement of the great toe (HALLUX) towards the midline or away from the other TOES. It can be congenital or acquired.

The branch of dentistry concerned with the dental problems of older people.

Use of optic and geometric techniques to enhance radiographic image quality and interpretation. It includes use of microfocal X-ray tubes and intensifying fluoroscopic screens.

Computer systems or networks designed to provide radiographic interpretive information.

Search BioPortfolio: