Clinical, Quantitative Assessment of First Tarsometatarsal Mobility in                the Sagittal Plane and Its Relation to Hallux Valgus Deformity

Klaue, Kaj; Hansen, Sigvard T.; Masquelet, A. C.

doi:10.1177/107110079401500103

Cited by 235 publications

(224 citation statements)

References 3 publications

Supporting

Mentioning

209

Contrasting

Unclassified

Order By: Relevance

“…2 The SEM was computed as the square root of within-subjects mean-square error from a 1-way analysis of variance (ANOVA). 2 Intrarater reliability (ICC 3,10 ) for the ruler measurements of each examiner and for the device (ICC 3,1 ) were calculated. Interrater reliability (ICC 2,10 ) for the ruler measurement was calculated using data from the first measurement session.…”

Section: Discussionmentioning

confidence: 99%

“…Both groups of investigators found poor agreement between clinicianassessed ordinal-level hypomobile, normal, or hypermobile estimates of the first ray sagittal plane motion as compared to dorsal mobility measured by a mechanical device. 1,4 Authors of clinical studies 9,10,12,15 have suggested ways to refine Morton's test procedure with intent to improve the measure. Grebing and Coughlin 9 found that motion available at the first ray is influenced by the position of the ankle and recommended that a neutral ankle position with the knee bolstered in slight flexion be adopted as the standard position of measurement.…”

mentioning

confidence: 99%

“…Grebing and Coughlin 9 found that motion available at the first ray is influenced by the position of the ankle and recommended that a neutral ankle position with the knee bolstered in slight flexion be adopted as the standard position of measurement. To further standardize the measure, the authors of 2 studies 10,15 suggested that the examiner first align the head of the first metatarsal in relation to the lesser metatarsals and then measure only the extension (dorsal) phase of motion. Lee …”

mentioning

confidence: 99%

See 2 more Smart Citations

Criterion-Related Validity of a Clinical Measure of Dorsal First Ray Mobility

Glasoe¹,

Getsoian²,

Myers³

et al. 2005

J Orthop Sports Phys Ther

View full text Add to dashboard Cite

Study Design: Test-retest methodological design using a sample of convenience. Objective: To determine the criterion-related validity and the reliability of measuring first ray mobility with a ruler. Background: Studies have questioned the accuracy of assessing first ray mobility by manual examination. Use of a ruler and adherence to strict guidelines in positioning of the patient may improve the measure. This study investigates the validity, and the intrarater and interrater reliability of measuring dorsal first ray mobility with a ruler while following recent recommendations to standardize the position of measurement. A valid and reliable mechanical device designed to measure first ray mobility was used as the validation criterion of measurement. Methods: Three clinicians performed ruler measurement of dorsal mobility on 14 subjects. A separate examiner measured dorsal mobility with the mechanical device. Intraclass correlation coefficients (ICCs) and standard error of measurements (SEMs) were computed to quantify the intrarater reliability of both testing procedures and the interrater reliability of the ruler measurement. ICCs of agreement were also computed to determine the concurrent validity of the ruler measurement for each clinician. Results: Mechanical device intrarater reliability ICC was 0.98 (SEM = 0.15 mm). Ruler intrarater ICCs were equal or less than -0.06 (SEMs = 1.1 mm); ruler interrater ICC was 0.05 (SEM = 1.2 mm). The ICCs of agreement between the mechanical device and ruler method ranged from -0.44 to 0.06. Minnesota, Mayo Mail Code 388, 420 Delaware St, Minneapolis, agreement between clinicianassessed ordinal-level hypomobile, normal, or hypermobile estimates of the first ray sagittal plane motion as compared to dorsal mobility measured by a mechanical device. Conclusion

show abstract

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Criterion-Related Validity of a Clinical Measure of Dorsal First Ray Mobility

Glasoe¹,

Getsoian²,

Myers³

et al. 2005

J Orthop Sports Phys Ther

View full text Add to dashboard Cite

show abstract

“…Interestingly, hallux valgus deformity decreased in frequency as facet number increased, with the condition identified in all seven feet (100%) with a unifacet and 12 (66.7%) of 18 feet with bifacets. Hallux valgus was not encountered in any of the 16 feet with the trifacet pattern, leading the authors to conclude that it restricts the joint hypermobility that some believe to be a precipitating factor (Carl et al, 1988;Klaue et al, 1994). The rarity of the unifacet pattern, often noted as one of the most frequently occurring patterns at the hallucal tarsometatarsal joint (Singh, 1960;Jeyasingh et al, 1981;Ajmani et al, 1984;Zipfel, 2004) is surprising, as is the high rate of trifacets.…”

Section: Resultsmentioning

confidence: 96%

Interpretation of variant morphological patterns in the hallucal cuneometatarsal joint

Burnett

Case

2014

View full text Add to dashboard Cite

First cuneometatarsal joints are normally characterized by a single articulating facet. In some cases, however, they may bear some degree of division into two, or even three, distinct facets. Typically, double facets at this joint are interpreted as evidence of partial or complete division of the medial cuneiform earlier in development, though evidence to support this interpretation is limited. The purpose of this study was to examine the relationship between double facets and bipartition by comparing the sex ratio in double-faceted medial cuneiforms from two Euro-American skeletal samples, with the unbalanced sex ratio found in cases of complete bipartition of the medial cuneiform. Upon examination, no statistically significant differences were found in double-facet frequency between females and males, and the sex ratio differed significantly from that seen in known cases of bipartite medial cuneiform. These results suggest that the existence of double facets distally on the medial cuneiform is likely not exclusively indicative of developmental bipartition, a conclusion also supported by reports of divided distal surfaces in non-bipartite medial cuneiforms in some prenatal specimens. Furthermore, medial cuneiforms bearing three facets distally to the first metatarsal sometimes occur, possibly more frequently in individuals of advanced age. Ultimately, understanding distal facet patterns on the medial cuneiform may hold significance for understanding joint mobility and susceptibility to hallux valgus deformity in hominins from both bioarchaeological and paleoanthropological perspectives.

show abstract

“…[2][3][4]. In addition, limited Lisfranc complex mobility [2] and medial column sagittal instability [5] are known risk factors for rapid progression of HV. On the other hand, some changes in the hindfoot also appear to be related to HV progression.…”

Section: Introductionmentioning

confidence: 99%

Hind-mid-forefoot Deformity in Hallux Valgus Deformity in Rheumatoid Arthritis: Radiographic Evaluation Grouped by Existence of Dorsal Dislocation of Second Metatarsophalangeal Joint

Tsuboi¹

2013

Rheumatol Curr Res

View full text Add to dashboard Cite

Hallux valgus deformity combined with dorsal dislocation of the second metatarsophalangeal joint is frequently observed in rheumatoid arthritis cases. However, hallux valgus deformity without lesser toe dislocation is also seen in rheumatoid cases. Dislocated second toe cause the loss of the lateral support on the hallux, suggesting the importance to confirm the state of lesser toe MTP joint when assessing the risk of HV recurrence after surgery, and there may be some differences in the mechanical transmission between hind-mid and forefoot based on whether dorsal dislocation of the MTP joint in the lesser toe is present, although findings are unclear. This study examined the relationship between radiographic findings from the hind, mid, and forefoot and hallux valgus angle in rheumatoid arthritis cases grouped based on the presence or absence of dorsal dislocation of the second metatarsophalangeal joint. X-rays of 160 feet and ankles with rheumatoid arthritis were evaluated for the first metatarsophalangeal Larsen grade, existence of second metatarsophalangeal dorsal dislocation, hallux valgus angle, intermetatarsal angle between the first and second intermetatarsals, shape of the first metatarsal head, position of the sesamoid, the metatarsus primus varus angle, diastasis between the base of the first and second metatarsals, angle between long axis of the talus and short axis of the navicular, internal arch angle, tibio-calcaneal angle, and calcaneal lateral offset. Based on Pearson product-moment correlation coefficient test, involvement of hindfoot deformity should always be considered when assessing hallux valgus deformity in rheumatoid arthritis patients. Although mechanism of mechanical transmission through hindfoot to Lisfranc joint seems to be different by the presence or absence of dorsal dislocation of the second metatarsophalangeal joint, Lisfranc looseness also must be considered when assessing hallux valgus including the surgery to avoid the progression or recurrence in rheumatoid arthritis cases. Dorsal dislocation of the second metatarsophalangeal joint strongly influences the exacerbation of hallux valgus in rheumatoid arthritis cases. Thus, it is may be important to achieve adequate reduction of the second metatarsophalangeal joint dislocation and make a stable metatarsophalangeal joint to avoid recurrence of hallux valgus after forefoot surgery in rheumatoid arthritis.

show abstract

Clinical, Quantitative Assessment of First Tarsometatarsal Mobility in the Sagittal Plane and Its Relation to Hallux Valgus Deformity

Cited by 235 publications

References 3 publications

Criterion-Related Validity of a Clinical Measure of Dorsal First Ray Mobility

Criterion-Related Validity of a Clinical Measure of Dorsal First Ray Mobility

Interpretation of variant morphological patterns in the hallucal cuneometatarsal joint

Hind-mid-forefoot Deformity in Hallux Valgus Deformity in Rheumatoid Arthritis: Radiographic Evaluation Grouped by Existence of Dorsal Dislocation of Second Metatarsophalangeal Joint

Contact Info

Product

Resources

About