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Hallux Interphalangeal Joint Range of Motion in Feet with and Without Limited First Metatarsophalangeal Joint Dorsiflexion

Pedro V. Munuera Department of Podiatry, University of Seville, Seville, Spain.

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Piedad Trujillo Clinica del pie, Marbella, Malaga, Spain.

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Israel Güiza Clinica del pie, Marbella, Malaga, Spain.

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Background:

This work was designed to assess the degree of correlation between hallux interphalangeal joint and first metatarsophalangeal joint dorsiflexion and to compare the mobility of the hallux interphalangeal joint between participants with and without limited first metatarsophalangeal joint dorsiflexion (hallux limitus).

Methods:

Dorsiflexion of the hallux interphalangeal joint was measured in 60 normal feet and in 60 feet with hallux limitus to find correlations with first metatarsophalangeal joint dorsiflexion with the Spearman correlation coefficient and a simple linear regression equation. In addition, movement of the hallux interphalangeal joint was compared between normal and hallux limitus feet with the Mann-Whitney U test.

Results:

Significant differences were found between the groups in mean ± SD interphalangeal joint dorsiflexion (control group: 1.17° ± 2.50° ; hallux limitus group: 10.65° ± 8.24° ; P < .001). A significant inverse correlation was found between first metatarsophalangeal joint dorsiflexion and hallux interphalangeal joint dorsiflexion (ρ = −0.766, P < .001), and the regression equation from which predictions could be made is the following: hallux interphalangeal joint dorsiflexion = 27.17 − 0.381 × first metatarsophalangeal joint dorsiflexion.

Conclusions:

Hallux interphalangeal joint dorsiflexion was greater in feet with hallux limitus than in normal feet. There was a strong inverse correlation between first metatarsophalangeal joint dorsiflexion and hallux interphalangeal joint dorsiflexion. (J Am Podiatr Med Assoc 102(1): 47–53, 2012)

Corresponding author: Pedro V. Munuera, PhD, Department of Podiatry, University of Seville, C/Avicena, s/n, Seville, Seville 41008, Spain. (E-mail: pmunuera@us.es)