X-ray prerequisites for transverse platypodia
https://doi.org/10.35401/2500-0268-2020-18-2-35-40
Abstract
Background. Static deformation of the forefoot is one of the common orthopedic pathologies, most often found in women. X-ray index of the first metatarsocuneiform joint (M1C1) is important during preoperative planning to determine the surgeon volume for surgical treatment of static forefoot deformity.
Objective. To determine the radiometric prerequisites for the development of transverse platypodia depending on the structure of the first metatarsopharyngeal joint to improve the results of surgical treatment of patients.
Material and Methods. From 2015 to 2017, a retrospective study of X-rays of 236 feet (118 patients) performed in a standard dorsoplant projection at rest and with a functional load was carried out.
Results. The analysis of the obtained X-ray patterns revealed a direct dependence between the inclination of the articular surface of the medial sphenoid bone and angles of inclination of the articular surface of the base of the first phalanx of the first finger, the head of the first metatarsal bone (PASA), the intertarsal angle (M1M2) and the deflection angle of the first finger (M1P1).
Conclusion. Further study of the dependence of the degree of transverse platypodia to the angle of inclination of the articular surface of the medial sphenoid bone and the use of the angle P1C1 as a prognostic indicator, in our opinion, will improve the quality of preoperative planning of surgical treatment of patients with transverse platypodia to reduce the risk of relapse.
About the Authors
S. M. Roshal
5 Military Clinical Hospital of National Guard Troops of the Russian Federation;
Ural State Medical University
Russian Federation
Russian Federation
Sergey M. Roshal, Trauma Surgeon
10, Soboleva str., Yekaterinburg, 620036
I. A. Obukhov
5 Military Clinical Hospital of National Guard Troops of the Russian Federation;
Ural State Medical University
Russian Federation
Russian Federation
Igor A. Obukhov, Trauma Doctor
A. S. Ermishina
Ural State Medical University
Russian Federation
Russian Federation
Alena S. Ermishina, Sixth-Year Student, Faculty of General Medicine
M. M. Sheveleva
Ural State Medical University
Russian Federation
Russian Federation
Maria M. Sheveleva, Sixth-Year Student, Faculty of General Medicine
References
1. Vreden RR. Practical Guide to Orthopaedics. Leningrad, Moscow: Gos. med. izd-vo; 1930. 269 p. (In Russ.)
2. Cherkes-Zade DI, Kamenev YuF. Footstep Surgery. 2nd ed. Moscow: Meditsina; 1995. 327 p. (In Russ.)
3. Laporta G, Melillo T, Olinsky D. X-ray evaluation of hallux abducto valgus deformity. J Am Podiatry Assoc. 1974;64(8):544–66. PMID: 4845801. doi:10.7547/87507315-64-8-544
4. Thordarson DB, Ebramzadeh E, Rudicel SA, Baxter A. Age-adjusted baseline data for women with hallux valgus undergoing corrective surgery. J Bone Joint Surg Am. 2005;87(1):66–75. PMID: 15634815. doi:10.2106/jbjs.b.00288
5. Piggott H. The natural history of hallux valgus in adolescence and early adult life. J Bone Joint Surg Br. 1960;42-B:749–60. doi:10.1302/0301-620x.42b4.749
6. Kotelnikov GP, Mironov SP, ed. Orthopaedics. National Guide. Moscow: GEOTAR-Media; 2008. 826 p. (In Russ.)
7. Adams PF, Hendershot GE, Marano MA; National Center for Health Statistics. Current estimates from the National Health Interview Survey, 1996. Vital Health Stat. 1999;200:1–203. PMID: 15782448.
8. Wülker N. Hallux valgus. Hallux rigidus. Stuttgart; 1996.
9. Jarvis HL, Nester CJ, Jones RK, Williams A, Bowden PD. Inter-assessor reliability of practice based biomechanical assessment of the foot and ankle. J Foot Ankle Res. 2012;5:14. PMID: 22716130. PMCID: PMC3431260. doi:10.1186/1757-1146-5-14
10. Nix Sh, Smith M, Vicenzino B. Prevalence of hallux valgus in the general population: a systematic review and meta-analysis. J Foot Ankle Res. 2010;3:21. PMID: 20868524. PMCID: PMC2955707. doi:10.1186/1757-1146-3-21
11. Istomina IS, Kramarenko GN. Errors and complications in the surgical treatment of metatarsus latus and hallux valgus. Topical Issues of Traumatology and Orthopaedics. Moscow: TSITO; 1979;19:79–87. (In Russ.)
12. Kardanov AA. Foot Deformity Surgical Correction. Moscow: Medpraktika-M; 2016. 220 p. (In Russ.)
13. Palladino SJ. Preoperative evaluation of the bunion patient. In: Gerbert J, ed. Textbook of Bunion Surgery. 3rd ed. W.B. Saunders; 2001:3–71. doi:10.1016/B978-0-7216-7784-2.50005-X
14. Bonney G, Macnab I. Hallux valgus and hallux rigidus: a critical survey of operative results. J Bone Joint Surg Br. 1952;34:366–85. PMID: 12999918.
15. Morton DJ. Hypermobility of the first metatarsal bone: the interlinking factor between metatarsalgia and longitudindal arch strains. J Bone Joint Surg. 1928;10:187–96.
16. Lapidus PW. A quarter of a century of experience with the operative correction of the metatarsus varus primus in hallux valgus. Bull Hosp Joint Dis. 1956;17:404–21. PMID: 13413410.
17. Kardanov AA. Surgical Treatment of Deformities and Diseases of Bones and Joints of First Ray of the Foot. [dissertation abstract]. Moscow: People’s Friendship University of Russia; 2009. 31 p. (In Russ.)
18. Myerson MS, Badekas A. Hypermobility of the first ray. Foot Ankle Clin. 2000;5:69–84. PMID: 11232392.
19. Tertyshnik SS, Grekova NM, Pfeifer AV, Atmanskii IA, Astapenkov DS. The surgical correction of deformities of the forefoot with hallux valgus. Chelyabinsk: ElitPechat; 2015. 158 p. (In Russ.)
20. Fritz GR, Prieskorn D. First metatarsocuneiform motion: a radiographic and statistical analysis. Foot Ankle Int. 1995;16:117–23. PMID: 7599727. doi:10.1177/107110079501600302
Review
For citations:
Roshal S.M., Obukhov I.A., Ermishina A.S., Sheveleva M.M. X-ray prerequisites for transverse platypodia. Innovative Medicine of Kuban. 2020;(2):35-40. (In Russ.) https://doi.org/10.35401/2500-0268-2020-18-2-35-40
Views:
562
Email this article 
