Correlation between hindfoot joint three-dimensional kinematics and the changes of the medial arch angle in stage II posterior tibial tendon dysfunction flatfoot

Zhang, Yijun; Xu, Jian; Wang, Yue; Lin, Xiang; Ma, Xin

doi:10.1016/j.clinbiomech.2014.12.007

Cited by 19 publications

(15 citation statements)

References 28 publications

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“…Both the first metatarsal and medial cuneiform in unloaded condition (i.e., the moving bone) were matched to the corresponding bones in loaded condition (i.e., the stationary target) through global registration [ 12 , 13 ] (Fig. 3 ).…”

Section: Methodsmentioning

confidence: 99%

“…The accuracy of this method was 0.1 mm in translation and 0.1° in rotation [ 12 , 13 , 18 ], and in this study, deviation analysis was performed to verify the accuracy of each registration (Fig. 4 ).…”

Section: Methodsmentioning

confidence: 99%

“…With the advent of multiple-plane imaging, computed tomography (CT) can be used to reconstruct a three-dimentional (3D) model from 2D images, providing the possibility of measuring 3D kinematics between the small tarsal bones. More importantly, CT scanning under loaded conditions has recently been reported to study foot deformities [ 12 – 14 ], which is promising for describing the mobility of the first MC joint. Weight-bearing conditions are necessary for evaluating HV deformity [ 15 ], and body weight, compared with manually applied force, can provide the most common daily stress that induces multi-planar motion of the first MC joint.…”

Section: Introductionmentioning

confidence: 99%

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Mobility of the first metatarsal-cuneiform joint in patients with and without hallux valgus: in vivo three-dimensional analysis using computerized tomography scan

Geng

Wang

et al. 2015

J Orthop Surg Res

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BackgroundHallux valgus (HV) deformity is closely correlated to the hypermobility of the first metatarsal-cuneiform joint, but adequate understanding of the three-dimentional (3D) mobility of this joint in normal or HV feet is lacking. This study was conducted to investigate the mobility of the first metatarsal-cuneiform joint in multiple planes during body weight-bearing conditions for both normal and HV patients.MethodsA total of 10 female volunteers (20 feet) and 10 female HV patients (20 feet) participated in this study. Using a custom-made foot-loading device, computerized tomography (CT) scans of each pair of feet were taken under both unloaded and body weight-bearing conditions. 3D models were reconstructed for the first metatarsal and the medial cuneiform. Rotational and translational motions of the first metatarsal-cuneiform joint in multiple planes from unloaded to loaded conditions were quantitatively evaluated by reverse-engineering software.ResultsDuring body weight-bearing conditions, the first metatarsal-cuneiform joint in HV feet dorsiflexed at an average of 2.91° (standard deviation, SD 1.71) versus 1.18° (SD 0.47) in controls (t = 4.158, P = 0.001); supinated 2.17° (SD 2.28) versus 0.98° (SD 0.81) in controls (t = 2.080, P = 0.045); and internally rotated 2.65° (SD 2.22) versus 0.96° (SD 0.57) in controls (t = 3.114, P = 0.006). Moreover, the joint in HV feet widened significantly compared with the controls (t = 2.256, P = 0.030) and tended to translate more in the dorsal-plantar direction (t = 1.928, P = 0.063); the translation in the medial-lateral direction was not significantly different between the two groups.ConclusionsDuring weight-loading process, the first metatarsal-cuneiform joint turns dorsiflexed, supinated, and internally rotated. For HV feet, hypermobility of the first metatarsal-cuneiform joint can be observed in multiple planes. This study promotes further understanding of the physiological and pathological mobility of the first metatarsal-cuneiform joint.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Mobility of the first metatarsal-cuneiform joint in patients with and without hallux valgus: in vivo three-dimensional analysis using computerized tomography scan

Geng

Wang

et al. 2015

J Orthop Surg Res

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“…The simulated results of a study on 22 cadaveric feet show that flat foot deformity and increased peak eversion may increase the effect of PTT friction [72]. It has been shown that when stage I PTTD is lasting and progresses into stage II, the medial and plantar elements of the foot such as the deltoid and spring ligaments work inefficiently, resulting in increased rearfoot eversion as well as decreased foot arch [73].…”

Section: Posterior Tibial Tendon Dysfunctionmentioning

confidence: 99%

Kinematic risk factors for lower limb tendinopathy in distance runners: A systematic review and meta-analysis

et al. 2019

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“…Hindfoot joint displacement has been found to be the most common finding associated with the onset of symptoms (29). Hyperpronation is named at the leading etiologic factor to many chronic foot pathologies such as plantar fasciopathy (30)(31)(32), posterior tibial tendon insufficiency (33)(34)(35)(36)(37), first ray deformities (38)(39)(40), hallux limitus (41,42), tarsal tunnel syndrome (43,44), and posterior tibial tendon dysfunction (45,46). Proximal manifestations attributed to hindfoot misalignment are ankle joint pathology (47,48), growing pains, medial tibial stress syndrome/shin splints (49)(50)(51), knee pathology (52-57), hip pathology (58,59), pelvic tilt (60), and even back misalignment (61,62).…”

Section: Outcome If Not Treatedmentioning

confidence: 99%

Pediatric Flatfeet—A Disease Entity That Demands Greater Attention and Treatment

Bresnahan

Juanto

2020

Front. Pediatr.

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Background: Pediatric flatfoot is a common deformity. Unfortunately, the common opinion has been that most children with this faulty foot structure will simply out-grow it, despite no radiographic evidence to support this claim. Every step on a deformed foot leads to excessive tissue strain and further joint damage. Many forms of conservative and surgical treatments have been offered. This study was aimed at investigating the effectiveness of non-surgical and surgical treatment options.Main Text: faulty-foot structure is the leading cause of many secondary orthopedic deformities. A wide range of treatments for pediatric flatfeet have been recommended from the “do-nothing” approach, observation, to irreversible reconstructive surgery. Most forms of conservative care lack evidence of osseous realignment and stability. A conservative surgical option of extra-osseous talotarsal joint stabilization provides patients an effective form of treatment without the complications associated with other irreversible surgical procedures.Conclusion: Pediatric flatfeet should not be ignored or downplayed. The sooner effective treatment is prescribed, the less damage will occur to other parts of the body. When possible, a more conservative corrective procedure should be performed prior to irreversible, joint destructive options.

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Correlation between hindfoot joint three-dimensional kinematics and the changes of the medial arch angle in stage II posterior tibial tendon dysfunction flatfoot

Cited by 19 publications

References 28 publications

Mobility of the first metatarsal-cuneiform joint in patients with and without hallux valgus: in vivo three-dimensional analysis using computerized tomography scan

Mobility of the first metatarsal-cuneiform joint in patients with and without hallux valgus: in vivo three-dimensional analysis using computerized tomography scan

Kinematic risk factors for lower limb tendinopathy in distance runners: A systematic review and meta-analysis

Pediatric Flatfeet—A Disease Entity That Demands Greater Attention and Treatment

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