Asociación entre cambios degenerativos de la primera articulación metatarsofalángica con la alteración de las variables goniométricas del arco longitudinal internoestudio observacional

  1. Raquel Sánchez Sánchez 1
  2. Marta Nieto Cordero 1
  3. Raquel de la Cruz Moreno 1
  4. Raúl Molines Barrosos 1
  5. Ángel Manuel Orejana García 1
  6. Óscar Madruga Armada 1
  1. 1 Servicio de Patología y Ortopedia. Clínica Universitaria de Podología, Universidad Complutense de Madrid, España
Zeitschrift:
Revista española de podología

ISSN: 0210-1238

Datum der Publikation: 2024

Ausgabe: 35

Nummer: 1

Seiten: 36-41

Art: Artikel

DOI: 10.20986/REVESPPOD.2024.1694/2024 DIALNET GOOGLE SCHOLAR lock_openOpen Access editor

Andere Publikationen in: Revista española de podología

Zusammenfassung

Introduction: Radiographically, an association has been shown between hallux rigidus and tetatarsus Primus Elevatus. The objective of this article is to assess the association between degenerative changes of the fi rst metatarsophalangeal joint with goniometric values of the internal longitudinal arch. Patients and methods: Observational study on patients of the University Podiatry Clinic (UCM) from September 2022 to March 2023 who presented reduced mobility of first metatarsophalangeal joint of less than 60° in nonweightbearing. From a weight bearing lateral x-ray it was analyzed: joint space alteration, dorsal osteophytosis in proximal phalanx and in first metatarsal. inclination angle of first metatarsal, inclination angle of calcaneus, Meary-Tomeno line and internal Costa Bartani angle. Results: 37 feet (37 patients) were analyzed with a mean age of 52 years (64.9 % women, 35.1 % men). Decreased joint space was associated with more plantar Meary-Tomeno line (8.4° ± 5.6 vs. 1.1° ± 5.4; p < 0.001), less calcaneal inclination (21.4° ± 4.8 vs. 25.5° ± 6.4; p = 0,032) and less inclination of first metatarsal (21.5° ± 2.5 vs. 23.8° ± 3.3; p = 0.018). Patients who presented dorsal osteophytosis of proximal phalanx had a lower calcaneal inclination (19.8° ± 4.4 vs. 24.5° ± 1.3; p = 0.021). Patients with any signs of hallux rigidus showed a Meary-Tomenon line with a more plantar apex (7.0° ± 7.0 vs. 2.7° ± 5.1; p = 0.041). Conclusions: Goniometric measurements representing values compatible with fl attening of the internal longitudinal arch are associated with signs of joint degeneration of the first metatarsophalangeal joint.

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Fuente de los datos: Dialnet