scholarly journals Practicing various sports disciplines and their impact on the occurrence of hallux valgus

2021 ◽  
Vol 10 (2) ◽  
pp. 51-53
Author(s):  
Marek Mikuła ◽  
◽  
Karolina Bogdan ◽  
Keyword(s):  
Hallux Valgus ◽  
Lower Limb ◽  
Morphological Structure ◽  
Medical Problem ◽  
Metatarsal Bone ◽  
The Body ◽  
Lateral Deviation ◽  
First Metatarsal ◽  
High Heels ◽  
Supporting Element

The foot is an important supporting element of the body. The deformity that may arise in the area of the toes is hallux valgus. It consists in the lateral deviation of the toe and the medial displacement of the first metatarsal bone. It is a medical problem and affects the aesthetics and symmetry of the feet. The aim of the study was to present how selected sports disciplines affect the morphological structure of the feet, with emphasis on the formation of hallux valgus. Regular physical activity strengthens the muscles and ligaments of the foot. Most sports do not lead to the formation of hallux valgus, also they can slow down the process of its formation. More frequent occurrence of hallux valgus among female dancers may be due to the wearing of high heels. Foot defects may also appear in people who, as a result of practicing sports, suffer injuries in the distal parts of the lower limb and in those with an increased Body Mass Index.

Geometric Data of Hallux Valgus Feet

1996 ◽  
Vol 17 (9) ◽  
pp. 548-554 ◽  
Author(s):  
Kenneth S. Lamur ◽  
Anton Huson ◽  
Chris J. Snijders ◽  
Rob Stoeckart
Keyword(s):  
Hallux Valgus ◽  
Least Squares Method ◽  
Metatarsal Bone ◽  
Flexor Hallucis Longus ◽  
Independent Variables ◽  
First Metatarsal ◽  
Linear Dependency ◽  
Geometric Data ◽  
Longus Muscle ◽  
Stepwise Procedure

The aim of this study is to find basic quantitative geometric data that may contribute to the understanding of the etiology of hallux valgus. Embalmed specimens with existing hallux valgus (N = 39) were dissected; 28 variables were measured with a Vernier caliper gauge and toe goniometer. Correlations between pairs of independent variables were calculated. Linear dependency of the hallux angle, varus angle, and the width of the forefoot on a number of independent variables was analyzed by multiple linear regression. A least squares method and a stepwise procedure were used. The distance from the tendon of the flexor hallucis longus muscle to the head of the first metatarsal bone explains more than other variables the variation in hallux angle and width of the forefoot. A widened forefoot is significantly correlated with both hallux and varus angles. The interrelation of the predictor parameters illustrates the complicated hallux valgus phenomenon.

Three-Dimensional Analysis of the First Metatarsal Bone in Minimally Invasive Distal Linear Metatarsal Osteotomy for Hallux Valgus

2019 ◽  
Vol 41 (1) ◽  
pp. 84-93 ◽  
Author(s):  
Hiroyuki Seki ◽  
Satoshi Oki ◽  
Yasunori Suda ◽  
Kenichiro Takeshima ◽  
Tetsuro Kokubo ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Hallux Valgus ◽  
Morphological Changes ◽  
Case Series ◽  
Metatarsal Bone ◽  
Ct Scans ◽  
Metatarsal Osteotomy ◽  
Level Of Evidence ◽  
3 Dimensional ◽  
First Metatarsal

Background: Modified Bösch osteotomy (distal linear metatarsal osteotomy [DLMO]) is one of the minimally invasive correctional surgeries for hallux valgus. The 3-dimensional correctional angles and distances of the first metatarsal bone in DLMO have not been clarified. The purpose of this study was to analyze the 3-dimensional postoperative morphological changes of the first metatarsal bone in DLMO. Methods: Twenty patients (30 feet) who underwent DLMO were enrolled. Preoperative plain radiographs and computed tomography (CT) scans of the feet were examined. Postoperative radiographs and CT scans were also obtained after bone union. The surface data of the pre- and postoperative first metatarsals were reconstructed from the CT data. The positions of the distal ends of the first metatarsals described with respect to the proximal ends were calculated using CT surface-matching technique. Results: The distal end of the first metatarsal after DLMO was significantly supinated (10.2 ± 6.0 degrees, P < .001), adducted (6.0 ± 11.8 degrees, P = .004), dorsiflexed (11.1 ± 10.9, P < .001), shortened (7.4 ± 2.5 mm, P < .001), elevated (2.3 ± 3.1 mm, P = .001), and laterally shifted (8.2 ± 3.0 mm, P < .001) compared to the preoperative metatarsal distal end. Supination correction demonstrated a significant correlation with adduction correction ( r = 0.659, P < .001) on correlation analyses between these parameters. Conclusion: The 3-dimensional corrections of the first metatarsal bone after DLMO were evaluated. Pronation and abduction were successfully corrected. Furthermore, adduction correction might be an important factor affecting correction of pronation. Level of Evidence: Level IV, retrospective case series.

scholarly journals PO 18235 - New tomographic method for measuring metatarsal rotation in hallux valgus

2019 ◽  
Vol 13 (Supl 1) ◽  
pp. 52S
Author(s):  
Bruno Rodrigues de Miranda ◽  
Rui Dos Santos Barroco ◽  
Leticia Zaccaria Prates de Oliveira ◽  
Mahmoud Beerens Abdul Ghani Abdul Ghani ◽  
Antonio Candido de Paula Neto ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Hallux Valgus ◽  
Weight Bearing ◽  
Alpha Angle ◽  
Metatarsal Bone ◽  
3 Dimensional ◽  
First Metatarsal ◽  
Computed Tomography Scans ◽  
Tomographic Method ◽  
The Relationship

Introduction: Hallux valgus is a 3-dimensional deformity involving an increased intermetatarsal I/II angle and a rotational deformity of the first metatarsal bone. Kim et al. developed a method for measuring the tibial sesamoid position relative to the coronal rotation of the first metatarsal bone in computed tomography scans under simulated weight-bearing conditions. Objective: To describe a method for the topographic assessment of the correction of tibial sesamoid and metatarsal pronation using computed tomography scans under simulated weight-bearing and active toe extension. Method: We performed computed tomography under simulated weight-bearing conditions with and without active toe dorsiflexion, observing the degree of metatarsal pronation and sesamoid subluxation. For measurement purposes, we used the classifications of Kim et al. and Smith et al. Results: We observed tomographic correction, both angular and rotational, by measuring the intermetatarsal angle and tibial sesamoid position, which were confirmed by the change in the alpha angle suggested by Kim et al. Discussion: Toe extension was described as a peroneus longus tendon activation test by Klemola et al., who used this maneuver to demonstrate clinical rotational correction of hallux valgus. We described the use of a tomographic technique that followed this principle to preoperatively observe the underlying factors that may affect the rotational correction of the deformity. Conclusion: The method has the capacity for correction in various planes involving derotation of the first metatarsal bone and the relationship between such derotation and the change in sesamoid position in relation to the coronal plane of the foot.

scholarly journals PO 18074 - Rotational biplanar Chevron osteotomy

2019 ◽  
Vol 13 (Supl 1) ◽  
pp. 9S
Author(s):  
Tiago Soares Baumfeld ◽  
Marcelo Pires Prado ◽  
Alberto Mendes ◽  
Caio Augusto De Souza Nery ◽  
Daniel Soares Baumfeld
Keyword(s):  
Internal Rotation ◽  
Hallux Valgus ◽  
Valgus Deformity ◽  
Metatarsal Bone ◽  
Distal Fragment ◽  
Rotational Deformity ◽  
First Metatarsal ◽  
Chevron Osteotomy ◽  
Hallux Valgus Deformity ◽  
Rotation Component

Introduction: The Chevron osteotomy is a reliable and popular osteotomy for treating hallux valgus worldwide. Many modifications have been described, but none of them address the rotational deformity of the first metatarsal. The objective of this study is to describe a variation of biplanar Chevron osteotomy that can address first metatarsal rotation when necessary. Methods: The indications for the Rotational Biplanar Chevron Osteotomy (RBCO) are mild to moderate hallux valgus deformity associated with hallux pronation related to internal rotation of the first metatarsal bone. We describe a technique that uses a medial-based wedge parallel to the plantar limb of the osteotomy to free the distal fragment for correct rotation. Results: The more recent concern about hallux valgus surgery represents a very interesting concept that this deformity truly occurs in three different planes, and we may have mistreated the rotation component using current techniques. Many authors have revisited numerous common techniques to adapt them to correct metatarsal pronation. To the best of our knowledge, this is the first paper to describe a modification of the Chevron osteotomy to address rotation of the first metatarsal.  Conclusion: We can conclude that rotational biplanar Chevron osteotomy is an useful tool in the treatment of mild hallux valgus associated with metatarsal pronation.

scholarly journals Results of Hallux Abducto Valgus Surgical Correction Using Two 1.1mm Mini TightRope Constructs

2020 ◽  
Vol 71 (2) ◽  
pp. 52-57
Author(s):  
Mihai Nica ◽  
Corina Panaitescu ◽  
Bogdan Cretu ◽  
Panti Zsombor ◽  
Camelia Tecu ◽  
...  
Keyword(s):  
Hallux Valgus ◽  
Treatment Option ◽  
Functional Impairment ◽  
Metatarsal Bone ◽  
Foot Deformity ◽  
Moderate Severity ◽  
First Metatarsal ◽  
First Ray ◽  
The Mean ◽  
Correction Potential

Hallux valgus represents an acquired foot deformity defined by medial deviation of the first metatarsal bone combined with lateral shift of the hallux and medial metatarsophalageal joint eminence enlargement. The functional impairment and metatarsalgia generated stem from the biomechanical imbalance which does not allow for normal transfer of weight trough the first ray during walking. The results generated with our experience with the 1.1mm Mini TightRope� Disposable Kitin the treatment of hallux valgus are analyzed in this paper. A total number of 24 feet (12 bilateral cases) with hallux valgus, surgically treated in our department were followed for a period of minimum twelve months and evaluated. The results showed an improvement of the mean preoperative IMA 14.6�to 7.9� postoperatively and 9.2� at six months after surgery. The preoperative measured HVA was reduced from 28.4to 14.2� at once and 16.1� after six months. The AOFAS hallux metatarsophalangeal-interphalangeal score resulted improvement reflects the functional benefits. These results confirm the good correction potential of the technique and support it as avalid treatment option for mild to moderate severity hallux valgus.

scholarly journals THE THE RELATIONSHIP BETWEEN PROLONGED STANDING AND HALLUX VALGUS IN SALESPERSON

2018 ◽  
Vol 6 (2) ◽  
pp. 11
Author(s):  
Galuh Aullia Pratiwi ◽  
I Made Niko Winaya ◽  
Dewa Ayu Inten Primayanti
Keyword(s):  
Hallux Valgus ◽  
Significant Relationship ◽  
Measuring Instruments ◽  
Lateral Deviation ◽  
Cross Sectional ◽  
Prolonged Standing ◽  
First Metatarsal ◽  
Rotation Factor ◽  
The Relationship

ABSTRAK Hallux valgus is a condition if first metatarsal medial deviation and thumb or hallux lateral deviation and rotation. Factor that affected was the prolonged standing use of constrictive footwear such as high-heeled shoes. Prolonged standing was standing with  more than 4 hours per day.This study was cross sectional analytic observation and 62 female salesperson who worked in Mall X were selected to be sample. Measuring instruments used to determine the hallux valgus was using the Manchester scale. This study was shown there wes a significant relationship between prolonged standing and hallux valgus in female salesperson p = 0.007 (p <0.05). From 62 female salesperson, the were 46 who had hallux valgus, in which 43 persons worked with longterm standing (93.5%) and 3 persons (6.5%) worked without longterm standing. However, from 16 salesperson who had not hallux valgus, there was 10 persons (62.5%) worked with longterm standing and 6 persons worked without longterm. Keywords : Hallux valgus, Prolonged standing, salesperson

scholarly journals Hallux Valgus and the First Metatarsal Arch Segment: A Theoretical Biomechanical Perspective

2010 ◽  
Vol 90 (1) ◽  
pp. 110-120 ◽  
Author(s):  
Ward M. Glasoe ◽  
David J. Nuckley ◽  
Paula M. Ludewig
Keyword(s):  
Hallux Valgus ◽  
Late Stage ◽  
Foot Orthoses ◽  
Foot Deformity ◽  
Lateral Deviation ◽  
Vertical Orientation ◽  
First Metatarsal

Hallux valgus is a progressive foot deformity characterized by a lateral deviation of the hallux with corresponding medial deviation of the first metatarsal. Late-stage changes may render the hallux painful and without functional utility, leading to impaired gait. Various environmental, genetic, and anatomical predispositions have been suggested, but the exact cause of hallux valgus is unknown. Evidence indicates that conservative intervention for hallux valgus provides relief from symptoms but does not reverse deformity. Part 1 of this perspective article reviews the literature describing the anatomy, pathomechanics, and etiology of hallux valgus. Part 2 expands on the biomechanical initiators of hallux valgus attributed to the first metatarsal. Theory is advanced that collapse of the arch with vertical orientation (tilt) of the first metatarsal axis initiates deformity. To counteract the progression of hallux valgus, we use theory to discuss a possible mechanism by which foot orthoses can bolster the arch and reorient the first metatarsal axis horizontally.

scholarly journals Bahasa Indonesia

2020 ◽  
Vol 8 (1) ◽  
pp. 33-41
Author(s):  
Novita Elisabeth Daeli ◽  
Sanny Frisca
Keyword(s):  
Hallux Valgus ◽  
Univariate Analysis ◽  
Elderly Person ◽  
The Elderly ◽  
The Body ◽  
Survey Method ◽  
Bivariate Analysis ◽  
Elderly Age ◽  
Body Balance ◽  
High Heels

Background: Bunion or Hallux Valgus (HV) is a chronic joint inflammation that occurs when the thumb toward the other fingers. The age mostly to experiencing bunions is the elderly age. Decrease of various body functions in the elderly, especially in the musculoskeletal system, can changes the body balance. Impaired body balance errors in eldery have a high risk of falling. 1 in 3 elderly who are over 65 years old experience falls every year and one of the causes is because use of high heels, shoes with slippery soles, and shoes with an imbalance between the height of the midsole and the heel. Purpose: This study aims to analyze the relationship between Bunion (Hallux Valgus) and body balance in women who use high heels. Research Methods: Using an analytic survey method with a cross sectional design. Univariate analysis describe of frequency distribution and proportion. Bivariate analysis using the Kendal Tau test. Results: The results showed that there was a relationship between bunions and body balance in the elderly (p = 0.041) and 25% of bunion sufferers experienced 85% of body balance disorders. Conclusion: Bunions have an important role in body balance of elderly person. Abnormal foot shape serves the proper and correct use of footwear. Suggestion: The shape of the legs has an important role in maintaining one's body balance. Use of shoes with high heels can be avoided to prevent bunions, especially in women.  Keywords: Bunion, woman, elderly, high heels, body balanc  

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