Clinical and imaging assessment and treatment of hallux valgus

Heineman, Nathan; Liu, George; Pacicco, Thomas; Dessouky, Riham; Wukich, Dane K.; Chhabra, Avneesh

doi:10.1177/0284185119847675

Cited by 28 publications

(14 citation statements)

References 49 publications

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“…HVA, IMA, metatarsophalangeal osteoarthritis, metatarsal rotation, and lateral round sign of first metatarsal present are among these evaluations. Besides radiographic measurements, clinical evaluation methods such as quality of life can guide the definition and optimal treatment of HV deformity [23].…”

Section: Discussionmentioning

confidence: 99%

Do radiological parameters affect quality of life in patients with untreated and symptomatic hallux valgus?

Turgay

Sever

2022

The European Research Journal

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Objectives:The aim of this study is to investigate the effect of the disease on quality of life (QoL) in patients with not operated symptomatic hallux valgus (HV) and the relationship between the degree of deformity classified by radiological parameters and QoL. Methods: In this prospective study, 100 patients (33 males, 67 females; mean age 49.25 ± 15.20 years; range 18 to 75 years) who were admitted to our institution and diagnosed with HV between March 2019 and February 2020 were included. Hallux valgus angle (HVA) and intermetatarsal angle (IMA) were used to assess the degree of deformity. The Visual Analog Scale (VAS), the Foot Function Index (FFI), and the 36-Item Short-Form Health Survey (SF-36) instruments were used to evaluate patients. Results: The severity of HVA associated with SF-36 scores for physical health, social functioning, bodily pain, general health, and mental health (p < 0.05). Differences were found between the degrees of IMA for social functioning, bodily pain, and general health scores in SF-36 (p < 0.05). A significant statistical correlation was observed between pain scores in VAS and severity of HVA and IMA. Higher scores in VAS and FFI were recorded from the participants with high degrees of HVA (p < 0.05). However, no relationship was found between the radiographic severity of the IMA and the FFI. Conclusions: In this study, it was shown that the QoL decreased as the degree of deformity increased in HV patients. In addition, it was concluded that HVA is a more basic radiological predictor than IMA in the evaluation of HV patients.

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Section: Discussionmentioning

confidence: 99%

Do radiological parameters affect quality of life in patients with untreated and symptomatic hallux valgus?

Turgay

Sever

2022

The European Research Journal

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“…The research enriched our understanding of the morphology and pathology of HV, defined a safe range of hallux operations, and improved the understanding of HV for young clinical orthopaedic surgeons. Hallux valgus is not only a deformity with medial deviation of the first metatarsal and lateral deviation of the sesamoids but also widely considered a triplanar deformity, with involvement of the transverse, sagittal, and frontal planes 6,12 . The literature describes many treatment strategies for HV with the same degree of severity.…”

Section: Discussionmentioning

confidence: 99%

“…Hallux valgus is not only a deformity with medial deviation of the first metatarsal and lateral deviation of the sesamoids but also widely considered a triplanar deformity, with involvement of the transverse, sagittal, and frontal planes 6, 12 . The literature describes many treatment strategies for HV with the same degree of severity.…”

Section: Discussionmentioning

confidence: 99%

Triplanar Chevron Osteotomy: A Newly Proposed Method to Treat Hallux Valgus Deformities

Guo

Dong

Shang

et al. 2020

Orthopaedic Surgery

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Objective: To present a novel method called triplanar chevron osteotomy to treat hallux valgus (HV). Methods: This is a retrospective study. In this study, the CT data of HV patients with painful callosities were evaluated retrospectively between 1 June 2018 and 1 June 2020. CT data from 49 consecutive patients (59 feet) with HV were evaluated. The average age at the time of surgery was 49.6 years (range, 30-63 years). The apex of the chevron osteotomy procedure was located at the center of the first metatarsal and was defined as the line formed by the central point perpendicular to the fourth metatarsal bone. The cut planes of the plantarward oblique chevron osteotomy (POCO) were defined as follows: chevron osteotomy along with 20 of plantarward obliquity. The triplanar osteotomy incision was made using the POCO method, with the direction inclined by 10 distally. The intermetatarsal angle (IMA), the HV angle (HVA), the projection of the second metatarsal (PSM), the metatarsal protrusion index (MPI), and the metatarsal protrusion distance (MPD) were all calculated before and after the operations. The length of the first metatarsal was measured and calculated with an equation. Results: The results showed that the HVA was significantly decreased after surgery (32.7 AE 4.6 vs 14.9 AE 2.1 , t = 25.583, P < 0.001) in the triplanar, traditional, and POCO groups. The IMA was also significantly decreased (14.7 AE 2.0) compared with the results before surgery (8.0 AE 1.1 , t = 22.739, P < 0.001) in these groups. Compared with traditional osteotomy and POCO, there were no differences in correcting deformities on axial planes for the HVA (14.5

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“…The original balance of the muscle strength of the metatarsal bone promotes the metatarsal rotation during the relative displacement of the sesamoid bone. The sesamoids on the head of the rst metatarsal are in dynamic balance because of pulling by two group muscles [31] . So in theory, either sesamoid dislocation could lead to hallux valgus [32][33] .In this study, it was found that the normal position of sesamoid bone (FSP) intersected with the lateral cortex of the rst metatarsal bone accounted for (52.3 ± 3.2) % of the total area of sesamoid bones.…”

Section: Correlation Between Tibial Sesamoid Bone and Hallux Valgusmentioning

confidence: 99%

Correlative Study Between the Sesamoid Bones under the Head of the First Metatarsal and the Development of Hallux Valgus Determined with Radiographs

Li¹,

Liu²,

Wang³

2021

Preprint

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Objective. To study the correlative between the sesamoid bones under the head of the first metatarsal and the development of hallux valgus determined with radiographs.Methods.The measurements were performed on the X-ray of 300 normal feet and 300 cases of hallux valgus. The following parameters were measured: hallux valgus angle(HVA); the first-second intermetatarsal angle(IMA) between the axes of the first and second metatarsal;the length of the second metatarsal（CD）;the position of tibial sesamoid(TSP ) measured the percent formed between the tibial sesamoid and the centreline of the first metatarsal;the position of fibular sesamoid(FSP) measured tangent value between fibular sesamoid bone and lateral cortex of first metatarsal bone ; the absolute distances (AB) from the centre of the tibial sesamoid to the long axis of the second metatarsal, the absolute distances (EF) from the centre of the fibular sesamoid to the long axis of the second metatarsal and the absolute distance (GH) from the centre of the tibial sesamoid to the centre of the fibular sesamoid. Then calculate the ratio of AB to CD (K1), EF to CD (K2) and GH to CD (K3). Results.HVA moderately positively correlates with TSP and moderately negatively correlates with FSP in subjects with HVA ≥ 20°. HVA and FSP are strongly negatively correlated in the hallux valgus group. Conclusion.The dislocation of sesamoid bone under the first metatarsal head is an important pathological factor leading to valgus. HVA is positively correlated with TSP and negatively correlated with FSP.

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Clinical and imaging assessment and treatment of hallux valgus

Cited by 28 publications

References 49 publications

Do radiological parameters affect quality of life in patients with untreated and symptomatic hallux valgus?

Do radiological parameters affect quality of life in patients with untreated and symptomatic hallux valgus?

Triplanar Chevron Osteotomy: A Newly Proposed Method to Treat Hallux Valgus Deformities

Correlative Study Between the Sesamoid Bones under the Head of the First Metatarsal and the Development of Hallux Valgus Determined with Radiographs

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