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-
1.
Kaptan AY , Cavusoglu AT & Tokgoz MA et al.: Distal oblique metatarsal osteotomy technique in hallux valgus deformity: clinical and radiological results. J Dis Relat Surg 31 : 88, 2020.
-
2.
Hecht PJ & Lin TJ: Hallux valgus. Med Clin North Am 98 : 227, 2014.
-
3.
Dykyj D , Ateshian GA & Trepal MJ et al.: Articular geometry of the medial tarsometatarsal joint in the foot: comparison of metatarsus primus adductus and metatarsus primus rectus. J Foot Ankle Surg 40 : 357, 2001.
-
4.
Slullitel G , López V & Calvi JP et al.: Effect of first ray insufficiency and metatarsal index on metatarsalgia in hallux valgus. Foot Ankle Int 37 : 300, 2016.
-
5.
Ahn TK , Kitaoka HB & Luo ZP et al.: Kinematics and contact characteristics of the first metatarsophalangeal joint. Foot Ankle Int 18 : 170, 1997.
-
6.
Baca E , Tuy E & Celen KM: Can radiology reflects patient satisfaction after hallux valgus surgery? Eklem Hastalıkları Cerrahisi 30 : 241, 2019.
-
7.
Doty JF & Coughlin MJ: Hallux valgus and hypermobility of the first ray: facts and fiction. Int Orthop 37 : 1655, 2013.
-
8.
Nix SE , Vicenzino BT & Collins NJ et al.: Characteristics of foot structure and footwear associated with hallux valgus: a systematic review. Osteoarthritis Cartilage 20 : 1059, 2012.
-
9.
Okuda R , Kinoshita M & Yasuda T et al.: The shape of the lateral edge of the first metatarsal head as a risk factor for recurrence of hallux valgus. J Bone Joint Surg Am 89 : 2163, 2007.
-
10.
Coughlin MJ: Hallux valgus. J Bone Joint Surg Am 78 : 932, 1996.
-
11.
Grebing BR & Coughlin MJ: Evaluation of Morton's theory of second metatarsal hypertrophy. J Bone Joint Surg Am 86 : 1375, 2004.
-
12.
Couglin MJ & Jones CP: Hallux valgus: demographics, etiology and radiographic assessment. Foot Ankle Int 28 : 759, 2007.
-
13.
Mann RA & Coughlin MJ: Hallux valgus: etiology, anatomy, treatment and surgical considerations. Clin Orthop Relat Res 157 : 31, 1981.
-
14.
Haber JA & O'Mara BP: Preparing for hallux abducto valgus surgery. Clin Podiatr Med Surg 6 : 17, 1989.
-
15.
Yamaguchi S , Sasho T & Endo J et al.: Shape of the lateral edge of the first metatarsal head changes depending on the rotation and inclination of the first metatarsal: a study using digitally reconstructed radiographs. J Orthop Sci 20 : 868, 2015.
-
16.
Farber DC , Deorio JK & Steel MW: Goniometric versus computerized angle measurement in assessing hallux valgus. Foot Ankle Int 26 : 234, 2005.
-
17.
Pique-Vidal C: The first metatarsophalangeal arc circumference: correlation with angular measurements. Foot Ankle Int 28 : 186, 2007.
-
18.
Van Vo H , Safiedine AM & Short T et al.: A comparison of 4 common methods of hand-measured techniques with a computerized technique to measure the first intermetatarsal angle. J Foot Ankle Surg 43 : 395, 2004.
-
19.
Hardy RH & Clapham JC: Observations on hallux valgus; based on a controlled series. J Bone Joint Surg Br 33 : 376, 1951.
-
20.
Coughlin MJ: & Roger A. Mann Award: juvenile hallux valgus: etiology and treatment. Foot Ankle Int 16 : 682, 1995.
-
21.
Ferrari J & Malone-Lee J: The shape of the metatarsal head as a cause of hallux abductovalgus. Foot Ankle Int 23 : 236, 2002.
-
22.
Wen J , Ding Q & Yu Z et al.: Adaptive changes of foot pressure in hallux valgus patients. Gait Posture 36 : 344, 2012.
-
23.
Aseyo D & Nathan H: Hallux sesamoid bones: anatomical observations with special reference to osteoarthritis and hallux valgus. Int Orthop 8 : 67, 1984.
-
24.
Munuera PV , Dominguez G & Reina M et al.: Bipartite hallucal sesamoid bones: relationship with hallux valgus and metatarsal index. Skeletal Radiol 36 : 1043, 2007.
Effect of Metatarsal Head Shape on the Development of Hallux Valgus Deformity: 10 Years of Natural Follow-up
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Background
We investigated the role of first metatarsal head shape in the etiology of hallux valgus. By pedobarographic analysis, we evaluated whether first metatarsal head shape causes an alteration in plantar pressure values that would result in metatarsalgia.
Methods
Referrals to our clinic for metatarsalgia, plantar fasciitis, and calcaneal spur were scanned retrospectively. Patients with severe hallux valgus, pes planus, gastrocnemius stiffness, generalized joint laxity, neuromuscular disease, or a history of lower-extremity orthopedic surgery were excluded. Sixty-two patients with plantar pressure assessment and radiographic evaluation were included. These patients were invited for reassessment after 10 years. Feet were divided into three groups by metatarsal head shape: round, square, and chevron. On anteroposterior radiographs, the hallux valgus and intermetatarsal angles, relative first metatarsal length, lateral sesamoid subluxation, and presence of bipartite sesamoid were noted. Plantar pressure was assessed with pedobarography.
Results
Feet with round-shaped first metatarsal heads had a statistically significantly greater progression in hallux valgus angle than the other shapes. Plantar pressures under the first, second and third, and fourth and fifth metatarsals increased with time. This can explain the mechanism of transfer metatarsalgia and painful callosities under the first metatarsal in hallux valgus. There was no correlation between hallux valgus angle, relative metatarsal length, and lateral sesamoid subluxation.
Conclusions
We found a strong relation between round-shaped first metatarsal head and hallux valgus angle progression. No patients had a risk factor responsible for hallux valgus. In other words, this study gives approximately 10-year natural history results in nearly normal feet.
Department of Orthopaedics and Traumatology, Medical Faculty of Gazi Unıversıty, Gazi University Hospital, Ankara, Turkey.
Department of Orthopedics and Traumatology, Ankara Numune Training and Research Hospital, Ankara, Turkey.
Department of Orthopaedics and Traumatology, Konya Teaching and Research Hospital, Konya, Turkey.
Department of Orthopaedics and Traumatology, Erzincan University Mengücek Gazi Training and Research Hospital, Erzincan, Turkey.
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