Article ; Online: Correlation of Different Methods of Measuring Pronation of the First Metatarsal on Weightbearing CT Scans.
2021 Volume 42, Issue 8, Page(s) 1049–1059
Abstract: Background: There is no consensus in the foot and ankle literature regarding how to measure pronation of the first metatarsal in patients with hallux valgus. The primary purpose of this study was to compare 2 previously published methods for measuring ... ...
Abstract | Background: There is no consensus in the foot and ankle literature regarding how to measure pronation of the first metatarsal in patients with hallux valgus. The primary purpose of this study was to compare 2 previously published methods for measuring pronation of the first metatarsal and a novel 3-dimensional measurement of pronation to determine if different measurements of pronation are associated with each other. Methods: Thirty patients who underwent a modified Lapidus procedure for their hallux valgus deformity were included in this study. Pronation of the first metatarsal was measured on weightbearing computed tomography (WBCT) scans using the α angle with reference to the floor, a 3-dimensional computer-aided design (3D CAD) calculation with reference to the second metatarsal, and a novel method, called the triplanar angle of pronation (TAP), that included references to both the floor (floor TAP) and base of the second metatarsal (second TAP). Pearson's correlation coefficients were used to determine if the 3 calculated angles of pronation correlated to each other. Results: Preoperative and postoperative α angle and 3D CAD had no correlation with each other ( Conclusion: The calculation of first metatarsal pronation is affected by the reference and technique used, and further work is needed to establish a consistent measurement for the foot and ankle community. Level of evidence: Level III, retrospective cohort study. |
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MeSH term(s) | Hallux Valgus/diagnostic imaging ; Hallux Valgus/surgery ; Humans ; Metatarsal Bones/diagnostic imaging ; Metatarsal Bones/surgery ; Pronation ; Retrospective Studies ; Tomography, X-Ray Computed ; Weight-Bearing |
Language | English |
Publishing date | 2021-04-02 |
Publishing country | United States |
Document type | Journal Article |
ZDB-ID | 1183283-6 |
ISSN | 1944-7876 ; 1071-1007 |
ISSN (online) | 1944-7876 |
ISSN | 1071-1007 |
DOI | 10.1177/10711007211003090 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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