Abstract
The aim of this study was to investigate the presence of hallux valgus (HV) in patellofemoral pain syndrome (PFPS). Ninety-nine patients with unilateral patellofemoral pain participated. The study was designed with each subject acting as their own internal control by using the unaffected limb for comparison. The HV and intermetatarsal angles were measured by weight-bearing anteroposterior radiographs in patients. Eighty-four out of 99 patients had an abnormal HV angle on the affected side and 78 of 99 patients had an abnormal HV angle on the unaffected side. There were significant differences in the HV angle between affected and unaffected sides (P = 0.003). This study is the first to demonstrate the relationship between HV and PFPS. Further comprehensive biomechanical studies are warranted to analyse the relationship between HV and PFPS.
Similar content being viewed by others
References
Brody LT, Thein JM (1998) Nonoperative treatment for patellofemoral pain. J Orthop Sports Phys Ther 28:336–344
Buchbinder R, Naporo N, Biggs E (1979) The relationship of abnormal pronation to chondromalacia patellae in distance runners. J Am Podiatry Assoc 69:159–162
Callaghan MJ, Baltzopoulos V (1994) Gait analysis in patients with anterior knee pain. Clin Biomech 9:79–84
Cibulka MT, Threlkend-Watkins J (2005) Patellofemoral pain and asymmetrical hip rotation. Phys Ther 85:1201–1207
Coughlin MJ, Jones CP (2007) Hallux valgus and first ray mobility. J Bone Jt Surg Am 89:1887–1898
Duffey MJ, Martin D, Cannon W, Craven T, Messier SP (2000) Etiologic factors associated with anterior knee pain in distance runners. Med Sci Sports Exerc 32:1825–1832
Fairbank JC, Pynsent PB, van Poortvliet JA, Phillips H (1984) Mechanical factors in the incidence of knee pain in adolescents and young adults. J Bone Jt Surg Br 66:685–693
Gigante A, Pasquinelli FM, Paladini P, Ulisse S, Greco F (2001) The effects of patellar taping on patellofemoral incongruence: a computed tomography study. Am J Sports Med 29:88–92
Gudas CJ, Marcinko DE (1992) The complex deformity known as hallux abductor valgus. In: Marcinko DE (ed) Comprehensive textbook of hallux valgus reconstruction. Mosby, St Louis, pp 1–17
Hardy RH, Clapham JCR (1951) Observation on hallux valgus. Based on a controlled series. J Bone Jt Surg Br 33:376–391
Johnson LL, van Dyk GE, Green JR 3rd, Pittsley AW, Bays B, Gully SM, Phillips JM (1998) Clinical assessment of asymptomatic knees: comparison of men and women. Arthroscopy 14:347–359
Kilmartin TE, Barrington RL, Wallace WA (1991) Metatarsus primus varus: statistical study. J Bone Jt Surg Br 73:937–941
Kitaoka HB, Alexander IJ, Adelaar RS, Nunley JA, Myerson MS, Sanders M (1994) Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and lesser toes. Foot Ankle Int 15:349–353
Mann RA, Coughlin MJ (1993) Adult hallux valgus. In: Mann RA, Coughlin MJ (eds) Surgery of the foot and ankle, 6th edn. Mosby, St. Louis, pp 167–296 (year book)
Messier SP, Davis SE, Curl WW, Lowery RB, Pack RJ (1991) Etiologic factors associated with patellofemoral pain in runners. Med Sci Sports Exerc 23:1008–1015
Nissen CW, Cullen MC, Hewett TE, Noyes FR (1998) Physical and arthroscopic examination techniques of the patellofemoral joint. J Orthop Sports Phys Ther 28:277–285
Powers CM, Maffucci R, Hampton S (1995) Rearfoot posture in subjects with patellofemoral pain. J Orthop Sports Phys Ther 22:155–160
Sammarco GJ, Burnstein AH, Frankel VD (1973) Biomechanics of the ankle: a kinematic study. Orthop Clin N Am 4:248–253
Sullivan RW, Grant WP (1994) The role of gait analysis in planning reconstructive surgery. Oper Tech Plastic Reconstr Surg 4:165–171
Thomee R, Augustsson J, Karlsson J (1999) Patellofemoral pain syndrome: a review of current issues. Sports Med 28:245–262
Tiberio D (1988) Pathomechanics of structural foot deformities. Phys Ther 68:1840–1849
Tiberio D (1987) The effect of excessive subtalar joint pronation on patellofemoral mechanics: a theoretical model. J Orthop Sports Phys Ther 9:160–165
Williams DS, McClay IS, Hamill J (2001) Arch structure and injury patterns in runners. Clin Biomech 16:341–347
Acknowledgments
This study was written when Defne Kaya attended as a researcher in Centre for Rehabilitation Science, University of Manchester in UK. The authors would like to thank Akin Üzümcügil, MD, Assis. of Prof. for his assistance in taking measurements. The authors did not receive grants or outside funding in support of their research or for the preparation of this manuscript.
Author information
Authors and Affiliations
Corresponding authors
Rights and permissions
About this article
Cite this article
Kaya, D., Atay, O.A., Callaghan, M.J. et al. Hallux valgus in patients with patellofemoral pain syndrome. Knee Surg Sports Traumatol Arthrosc 17, 1364–1367 (2009). https://doi.org/10.1007/s00167-009-0775-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00167-009-0775-3