Cargando…

Relationship Between Demographic and Radiographic Characteristics and Second Ray Pathology in Hallux Valgus Patients

BACKGROUND: Hallux valgus can alter load bearing in the foot leading to abnormal forces on the second toe. The purpose of this study was to determine demographic and radiographic factors associated with second ray hammertoes in hallux valgus using 3-dimensional weightbearing CT scans. METHODS: Seven...

Descripción completa

Detalles Bibliográficos
Autores principales: Cronin, Samantha, Conti, Matthew, Williams, Nicholas, Ellis, Scott J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8697280/
https://www.ncbi.nlm.nih.gov/pubmed/35097369
http://dx.doi.org/10.1177/2473011420909088
_version_ 1784620014706360320
author Cronin, Samantha
Conti, Matthew
Williams, Nicholas
Ellis, Scott J.
author_facet Cronin, Samantha
Conti, Matthew
Williams, Nicholas
Ellis, Scott J.
author_sort Cronin, Samantha
collection PubMed
description BACKGROUND: Hallux valgus can alter load bearing in the foot leading to abnormal forces on the second toe. The purpose of this study was to determine demographic and radiographic factors associated with second ray hammertoes in hallux valgus using 3-dimensional weightbearing CT scans. METHODS: Seventy-one patients who underwent a modified Lapidus procedure for hallux valgus with preoperative weightbearing CT scans were separated into 2 groups: (1) hallux valgus only (47 feet) and (2) hallux valgus with second ray hammertoe (29 feet). Preoperative age, body mass index (BMI), sex, hallux valgus angle (HVA), intermetatarsal angle (IMA), absolute and effective metatarsal (MT) lengths, ratios between metatarsal lengths, Meary angle, metatarsus adductus angle (MAA), and pronation were measured. Mean values of continuous variables were compared and both simple and multivariable logistic regression models were used to evaluate associations between variables and hammertoe occurrence. RESULTS: Patients in the hammertoe group were found to be significantly older and have higher BMIs, HVAs, effective second MT lengths, IMAs, and more apex plantar Meary angles (all P < .05). The multivariable analysis demonstrated that a higher IMA and a more apex plantar Meary angle were the only significant predictors of second ray hammertoe risk (P = .03 and P = .01, respectively) once corrected for age and BMI. CONCLUSION: Significant associations were found between older age, higher BMI, and more severe deformity and the occurrence of hammertoe in hallux valgus patients. These results may help clinicians counsel hallux valgus patients about the risk of developing an advanced hammertoe deformity. LEVEL OF EVIDENCE: Level III, retrospective comparative series
format Online
Article
Text
id pubmed-8697280
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher SAGE Publications
record_format MEDLINE/PubMed
spelling pubmed-86972802022-01-28 Relationship Between Demographic and Radiographic Characteristics and Second Ray Pathology in Hallux Valgus Patients Cronin, Samantha Conti, Matthew Williams, Nicholas Ellis, Scott J. Foot Ankle Orthop Article BACKGROUND: Hallux valgus can alter load bearing in the foot leading to abnormal forces on the second toe. The purpose of this study was to determine demographic and radiographic factors associated with second ray hammertoes in hallux valgus using 3-dimensional weightbearing CT scans. METHODS: Seventy-one patients who underwent a modified Lapidus procedure for hallux valgus with preoperative weightbearing CT scans were separated into 2 groups: (1) hallux valgus only (47 feet) and (2) hallux valgus with second ray hammertoe (29 feet). Preoperative age, body mass index (BMI), sex, hallux valgus angle (HVA), intermetatarsal angle (IMA), absolute and effective metatarsal (MT) lengths, ratios between metatarsal lengths, Meary angle, metatarsus adductus angle (MAA), and pronation were measured. Mean values of continuous variables were compared and both simple and multivariable logistic regression models were used to evaluate associations between variables and hammertoe occurrence. RESULTS: Patients in the hammertoe group were found to be significantly older and have higher BMIs, HVAs, effective second MT lengths, IMAs, and more apex plantar Meary angles (all P < .05). The multivariable analysis demonstrated that a higher IMA and a more apex plantar Meary angle were the only significant predictors of second ray hammertoe risk (P = .03 and P = .01, respectively) once corrected for age and BMI. CONCLUSION: Significant associations were found between older age, higher BMI, and more severe deformity and the occurrence of hammertoe in hallux valgus patients. These results may help clinicians counsel hallux valgus patients about the risk of developing an advanced hammertoe deformity. LEVEL OF EVIDENCE: Level III, retrospective comparative series SAGE Publications 2020-03-24 /pmc/articles/PMC8697280/ /pubmed/35097369 http://dx.doi.org/10.1177/2473011420909088 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Article
Cronin, Samantha
Conti, Matthew
Williams, Nicholas
Ellis, Scott J.
Relationship Between Demographic and Radiographic Characteristics and Second Ray Pathology in Hallux Valgus Patients
title Relationship Between Demographic and Radiographic Characteristics and Second Ray Pathology in Hallux Valgus Patients
title_full Relationship Between Demographic and Radiographic Characteristics and Second Ray Pathology in Hallux Valgus Patients
title_fullStr Relationship Between Demographic and Radiographic Characteristics and Second Ray Pathology in Hallux Valgus Patients
title_full_unstemmed Relationship Between Demographic and Radiographic Characteristics and Second Ray Pathology in Hallux Valgus Patients
title_short Relationship Between Demographic and Radiographic Characteristics and Second Ray Pathology in Hallux Valgus Patients
title_sort relationship between demographic and radiographic characteristics and second ray pathology in hallux valgus patients
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8697280/
https://www.ncbi.nlm.nih.gov/pubmed/35097369
http://dx.doi.org/10.1177/2473011420909088
work_keys_str_mv AT croninsamantha relationshipbetweendemographicandradiographiccharacteristicsandsecondraypathologyinhalluxvalguspatients
AT contimatthew relationshipbetweendemographicandradiographiccharacteristicsandsecondraypathologyinhalluxvalguspatients
AT williamsnicholas relationshipbetweendemographicandradiographiccharacteristicsandsecondraypathologyinhalluxvalguspatients
AT ellisscottj relationshipbetweendemographicandradiographiccharacteristicsandsecondraypathologyinhalluxvalguspatients