Reproducibility of the Radiographic Metatarsophalangeal Angle in Hallux Surgery

Schneider, W.; Csepan, Robert; Knahr, K.

doi:10.2106/00004623-200303000-00015

Cited by 122 publications

(85 citation statements)

References 11 publications

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“…Standardised weight bearing radiographs allowed comparison of preoperative and postoperative findings: first intermetatarsal angle, hallux valgus angle, hallux valgus interphalangeus angle, distal metatarsal articular angle, joint congruency at the first metatarsophalangeal joint, length of the first metatarsal, metatarsal alignment, arthritic changes at the first metatarsophalangeal joint and the alignment of the first metatarso-cuneiform joint [1,20]. These radiographic parameters were evaluated preoperatively, three months after surgery, and at follow-up.…”

Section: Methodsmentioning

confidence: 99%

Mid-term results of Scarf osteotomy in hallux valgus

Fuhrmann

Zollinger-Kies

Kundert

2010

International Orthopaedics (SICOT)

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We performed a retrospective study on 178 Scarf osteotomies with a mean follow-up of 44.9 months (range 15-83 months). Clinical rating was based on the forefoot score of the American Orthopaedic Foot and Ankle Society (AOFAS). Weight bearing X-rays were used to perform angular measurements and assess the first metatarsophalangeal joint (MTP 1). At follow-up the mean AOFAS score had improved significantly (p<0.001), but only 55% of the feet showed a perfect realignment of the first ray. Patients with a hallux valgus angle exceeding 30°and preexisting degenerative changes at the MTP 1 joint displayed inferior clinical results (p<0.05). Nearly 20% of the patients suffered from pain at the MTP 1 joint. This was clearly attributed to an onset or worsening of distinct radiographic signs of arthritis (p<0.05) resulting in painfully decreased joint motion. Comparing radiographic appearance three months postoperatively and at follow-up, we found that radiographic criteria (hallux valgus, first intermetatarsal angle, hallux valgus interphalangeus, MTP 1 joint congruency, arthritic lesions at MTP 1) worsened with time.

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Section: Methodsmentioning

confidence: 99%

Mid-term results of Scarf osteotomy in hallux valgus

Fuhrmann

Zollinger-Kies

Kundert

2010

International Orthopaedics (SICOT)

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“…8 Radiographic measures of HV angle, the current criterion standard, are commonly used in clinical practice 31 and have an acceptable level of interrater reliability. 26,28 However, they are not always costeffective or desirable, due to exposure to ionizing radiation, especially for repeated measurements. One alternative is to take clinical measurements using a finger goniometer.…”

mentioning

confidence: 99%

Validity and Reliability of Hallux Valgus Angle Measured on Digital Photographs

Nix¹,

Russell²,

Vicenzino³

et al. 2012

J Orthop Sports Phys Ther

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“…This method was used because of the lack of a digital goniometer. 12 No studies were found in the literature regarding the foot and ankle patterns of patients with spinal cord injuries. The absence of such research suggests that more studies are needed to define standards and to compare different treatments for this group of patients attempting to regain walking.…”

Section: Discussionmentioning

confidence: 99%

“…In all, 21 patients were paraplegic and 9 were tetraplegic; causes included automobile accident (12), run over (3), diving (4), bicycle accident (1), motorcycle accident (3), gunshot wound (6), thoracic tuberculosis (1) and lumbar surgery (1). The mean lesion time was 8.2 years (range, 1-15 years), with a mean NMES rehabilitation time of 3.4 years (range, 1-13 years).…”

Section: Methodsmentioning

confidence: 99%

Effects of quadriceps and anterior tibial muscles electrical stimulation on the feet and ankles of patients with spinal cord injuries

Bittar

Cliquet

2010

Spinal Cord

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Study design: Controlled clinical test.Objectives: The purpose of this study was to assess the effects of quadriceps and anterior tibial muscles electrical stimulation on the feet and ankles of patients with spinal cord injuries and to compare them with able-bodied individuals and a group of patients who did not undergo neuromuscular electrical stimulation (NMES). Setting: This study was conducted at the Hospital das Clínicas of Unicamp, Campinas, São Paulo, Brazil. Methods: Between January and April 2008, 30 patients at the spinal cord injury ambulatory clinic who underwent NMES (group A) were submitted to a clinical and radiographic assessment of their feet and ankles and compared with a spinal cord injury group (group B) who did not undergo NMES and a group of able-bodied individuals (group C). The Kruskal-Wallis test was used to compare all the three groups, and between-group differences (Po0.05) were investigated with the Mann-Whitney test. Results: The mean mobility of the midfoot and ankle subtalar joint was significantly higher in group C than in groups A and B. Differences in the mean measurements of the profiles of the talocalcaneal and the talus-first metatarsal angles were statistically significant for group A vs the other groups (P ¼ 0.0020, 0.0024, respectively). Foot deformities were found in groups including claw toes and flat feet (group A) and grade I ulcers on the lateral malleolus and calcaneus (group B). Conclusion: Partial-load NMES maintains the feet and ankles in a planted and adequate walking position in patients with spinal cord injuries, a favorable result of new technologies that allows these patients to reacquire independent walking capacity.

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Reproducibility of the Radiographic Metatarsophalangeal Angle in Hallux Surgery

Cited by 122 publications

References 11 publications

Mid-term results of Scarf osteotomy in hallux valgus

Mid-term results of Scarf osteotomy in hallux valgus

Validity and Reliability of Hallux Valgus Angle Measured on Digital Photographs

Effects of quadriceps and anterior tibial muscles electrical stimulation on the feet and ankles of patients with spinal cord injuries

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