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Evaluation of the relationship between hallux valgus and foot measurements in radiographic images of adult female

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Abstract

Purpose

In the present study, we aimed to determine the relationship of HV angle with angles and measurements obtained from lateral and anteroposterior (AP) radiological images of the foot in individuals with HV.

Methods

The present study had a retrospective design, and the participants consisted of 66 female patients between the ages of 19 and 64 who applied to Orthopedics and Traumatology and were diagnosed with Hallux valgus. Metatarsus adductus angle, metatarsus primus adductus angle, hallux valgus angle, hallux interphalangeal angle, metatarsal break angle, first metatarsal protrusion distance, metatarsal width, talocalcaneal angle, AP Meary’s angle were measured on AP view and calcaneal inclination angle, talar declination angle, lateral talocalcaneal angle, first metatarsal declination angle, fifth metatarsal declination angle, navicular height, lateral Meary’s angle, tibiotalar angle were measured on a lateral radiograph. The IBM SPSS 21.0. program was used for statistical analysis, and the level of significance was taken as p < 0.05.

Results

There were statistically significant differences between the right and left feet in MPA and AMA measurements. The results showed that HV angle (HVA) had a weak relationship with MAA and MW, as well as a moderately positive relationship with MPA. However, it had a moderately negative relationship with AMA and a weak negative relationship with HIPA.

Conclusion

We believe that in addition to the HVA angle, MPA and AMA angles should be considered in the diagnosis of HV, especially as the HVA angle is moderately positively correlated with the MPA angle and moderately negatively correlated with the AMA angle.

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References

  1. Atbaşı Z, Erdem Y, Kose O, Demiralp B, Ilkbahar S, Tekin HO (2020) Relationship between hallux valgus and pes planus: real or fiction? J Foot Ankle Surg 59(3):513–517. https://doi.org/10.1053/j.jfas.2019.09.037

    Article  PubMed  Google Scholar 

  2. Bryant A, Tinley P, Singer K (2000) A comparison of radiographic measurements in normal, hallux valgus, and hallux limitus feet. J Foot Ankle Surg 39(1):39–43. https://doi.org/10.1016/S1067-2516(00)80062-9

    Article  CAS  PubMed  Google Scholar 

  3. Canella C (2020). Imaging evaluation of hallux valgus. Radiol Bras 53, VII–VII. https://doi.org/10.1590/0100-3984.2020.53.3e2

  4. Carl A, Ross S, Evanski P, Waugh T (1988) Hypermobility in hallux valgus. Foot Ankle 8(5):264–270. https://doi.org/10.1177/107110078800800507

    Article  CAS  PubMed  Google Scholar 

  5. Cavalheiro CS, Arcuri MH, Guil VR, Gali JC (2020) Hallux valgus anatomical alterations and its correlation with the radiographic findings. Acta Ortop Bras 28(1):12–15. https://doi.org/10.1590/1413-785220202801226897

    Article  PubMed  PubMed Central  Google Scholar 

  6. Chan YH (2003) Biostatistics 104: correlational analysis. Singapore Med J 44(12):614–619

    CAS  PubMed  Google Scholar 

  7. Coughlin MJ, Jones CP (2007) Hallux valgus: demographics, etiology, and radiographic assessment. Foot Ankle Int 28(7):759–777. https://doi.org/10.3113/2FFAI.2007.0759

    Article  PubMed  Google Scholar 

  8. Coughlin MJ, Shurnas PS (2003) Hallux valgus in men part II: first ray mobility after bunionectomy and factors associated with hallux valgus deformity. Foot Ankle Int 24(1):73–78. https://doi.org/10.1177/2F107110070302400112

    Article  PubMed  Google Scholar 

  9. D'arcangelo PR, Landorf KB, Munteanu SE, Zammit GV, Menz HB (2010) Radiographic correlates of hallux valgus severity in older people. J Foot Ankle Res 3(1): 1–9. http://www.jfootankleres.com/content/3/1/20

  10. Doğan A, Üzümcügil O, Akman YE (2007) Halluks valgus. TOTBİD Dergisi 2:88–94

    Google Scholar 

  11. Dykyj D (1989) Pathologic anatomy of hallux abducto valgus. Clin Podiatr Med Surg 6(1):1–15

    CAS  PubMed  Google Scholar 

  12. Götze M, Hasmann SE, Hofmann UK, Walter C, Mittag F (2019) Preoperative analysis of radiographic findings in 516 patients with hallux valgus deformity. Acta Ortop Bras 27:16–19. https://doi.org/10.1590/1413-785220192701174203

    Article  PubMed  PubMed Central  Google Scholar 

  13. Hujazi I, Yassa R, Sevenoaks H, Khalfaoui M, Barrie J (2019) Hallux valgus interphalangeus: reliability of radiological assessment. Foot Ankle Surg 25(4):507–510. https://doi.org/10.1016/j.fas.2018.03.005

    Article  PubMed  Google Scholar 

  14. Hummel J, Skweres J, Heineman N, Dessouky R, Xi Y, Zhang L, Wukich DK, Chhabra A (2019) Hallux valgus assessment on X-ray and Magnetic resonance Imaging (MRI): correlation with qualitative soft tissue and internal derangement findings on MRI. Eur J Radiol 113:24–31. https://doi.org/10.1016/j.ejrad.2019.01.035

    Article  PubMed  Google Scholar 

  15. Komeda T, Tanaka Y, Takakura Y, Fujii T, Samoto N, Tamai S (2001) Evaluation of the longitudinal arch of the foot with hallux valgus using a newly developed two-dimensional coordinate system. J Orthop Sci 6(2):110–118. https://doi.org/10.1007/s007760100056

    Article  CAS  PubMed  Google Scholar 

  16. Koo TK, Li MY (2016) A guideline of selecting and reporting intraclass correlation coefficients for reliability research. J Chiropr Med 15(2):155–163. https://doi.org/10.1016/j.jcm.2016.02.012

    Article  PubMed  PubMed Central  Google Scholar 

  17. Lamm BM, Stasko PA, Gesheff MG, Bhave A (2016) Normal foot and ankle radiographic angles, measurements, and reference points. J Foot Ankle Surg 55(5):991–998. https://doi.org/10.1053/j.jfas.2016.05.005

    Article  PubMed  Google Scholar 

  18. Lee KM, Ahn S, Chung CY, Sung KH, Park MS (2012) Reliability and relationship of radiographic measurements in hallux valgus. Clin Orthop Relat Res 470(9):2613–2621. https://doi.org/10.1007/s11999-012-2368-6

    Article  PubMed  PubMed Central  Google Scholar 

  19. Lee MS, Vanore JV, Thomas JL et al (2005) Clinical practice guideline adult flatfoot panel. Diagnosis and treatment of adult flatfoot. J Foot Ankle Surg 44(2):78–113. https://doi.org/10.1053/j.jfas.2004.12.001

    Article  PubMed  Google Scholar 

  20. Nery CA (2001) Hálux valgo. Rev Bras Ortop 36(6):183–200

    Google Scholar 

  21. Nix S, Smith M, Vicenzino B (2010) Prevalence of hallux valgus in the general population: a systematic review and meta-analysis. J Foot Ankle Res 3(1):1–9. https://doi.org/10.1186/1757-1146-3-21

    Article  Google Scholar 

  22. Okuda H, Juman S, Ueda A, Miki T, Shima M (2014) Factors related to prevalence of hallux valgus in female university students: a cross-sectional study. J Epidemiol 24(3):200–208. https://doi.org/10.2188/jea.JE20130110

    Article  PubMed  Google Scholar 

  23. Perera AM, Mason L, Stephens MM (2011) The pathogenesis of hallux valgus. J Bone Joint Surg Am 93(17):1650–1661. https://doi.org/10.2106/JBJS.H.01630

    Article  CAS  PubMed  Google Scholar 

  24. Roddy E, Zhang W, Doherty M (2008) Prevalence and associations of hallux valgus in a primary care population. Arthritis Rheum 59(6):857–862. https://doi.org/10.1002/art.23709

    Article  PubMed  Google Scholar 

  25. Saragas NP, Becker PJ (1995) Comparative radiographic analysis of parameters in feet with and without hallux valgus. Foot Ankle Int 16(3):139–143. https://doi.org/10.1177/2F107110079501600306

    Article  CAS  PubMed  Google Scholar 

  26. Shelton TJ, Singh S, Bent Robinson E, Nardo L, Escobedo E, Jackson L, Kreulen CD, Giza E (2018) The influence of percentage weight-bearing on foot radiographs. Foot Ankle Spec 12(4):363–369. https://doi.org/10.1177/2F1938640018810412

    Article  PubMed  Google Scholar 

  27. Steinberg N, Finestone A, Noff M, Zeev A, Dar G (2013) Relationship between lower extremity alignment and hallux valgus in women. Foot Ankle Int 34(6):824–831. https://doi.org/10.1177/2F1071100713478407

    Article  PubMed  Google Scholar 

  28. Suh DH, Kim HJ, Park JH, Park YH, Koo BM, Choi GW (2021) Relationship between hallux valgus and pes planus in adult patients. J Foot Ankle Surg 60(2):297–301. https://doi.org/10.1053/j.jfas.2020.06.030

    Article  PubMed  Google Scholar 

  29. Thomas JL, Kunkel MW, Lopez R, Sparks D (2006) Radiographic values of the adult foot in a standardized population. J Foot Ankle Surg 45(1):3–12. https://doi.org/10.1053/j.jfas.2005.10.014

    Article  PubMed  Google Scholar 

  30. Wilkins EH (1941) Feet with particular reference to school children. Med Officer 66:5–29

    Google Scholar 

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Funding

There was no funding for this study.

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Authors and Affiliations

  1. Department of Anatomy, Faculty of Medicine, Çukurova University, 01330, Adana, Turkey

    Ahmet Kürşad Açikgöz & M. Gülhal Bozkir

  2. Department of Midwifery, Faculty of Health Sciences, Cukurova University, Adana, Turkey

    Şükriye Deniz Mutluay

  3. Department of Radiology, Faculty of Medicine, Çukurova University, Adana, Turkey

    Figen Binokay

Authors
  1. Ahmet Kürşad Açikgöz
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  3. Figen Binokay
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  4. M. Gülhal Bozkir
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Contributions

AKA: project development, study design, data collection, data analysis, statistics, manuscript writing. ŞDM: study design, data collection, FB: data collection, data analysis, supply of radiological data. MGB: study design, manuscript editing, supervision of the study, revision of the manuscript.

Corresponding author

Correspondence to Ahmet Kürşad Açikgöz.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethics approval

Ethical approval was waived by the Non-Invasive Clinical Research Ethics Committee of Çukurova University (11.06.2021/112) in view of the retrospective nature of the study and all the procedures being performed were part of the routine care.

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Açikgöz, A.K., Mutluay, Ş.D., Binokay, F. et al. Evaluation of the relationship between hallux valgus and foot measurements in radiographic images of adult female. Surg Radiol Anat 44, 1281–1288 (2022). https://doi.org/10.1007/s00276-022-03012-8

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  • DOI: https://doi.org/10.1007/s00276-022-03012-8

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