Radiographic correlates of hallux valgus severity in older people.
Summary of "Radiographic correlates of hallux valgus severity in older people."
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.
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.
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.
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.
This article was published in the following journal.
Name: Journal of foot and ankle research
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/20846367
- DOI: http://dx.doi.org/10.1186/1757-1146-3-20
Winter is here, therefore, this issue of Nursing Older People explores the subject of older people's health in cold weather. Older people are more susceptible than younger people to cold-related healt...
There is a lack of consensus about how early chronic kidney disease (CKD) should be diagnosed and managed in older people. Some believe that reduced renal function in older age is usually benign and t...
HEALTH SECRETARY Jeremy Hunt has identified loneliness as a critical issue affecting older people. Speaking at the National Children and Adults Services conference, he said the charity Campaign to End...
REMINISCENCE AREAS have been developed by a Cornish care home operator in its three homes for older people to help trigger memories and spark conversation.
This is an update of our previous 2008 review. Several recent trials and systematic reviews of the impact of exercise on people with dementia are reporting promising findings. OBJECTIVES: Primary: D...
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...
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...
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 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...
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.