Radiographic Evaluation of the Association between Foot Deformities and Ankle Medial Osteoarthritis.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-02-01 Epub Date: 2023-11-30 DOI:10.4055/cios22359

Ji Hye Choi, Kwon Seok Noh, Dong Yeon Lee, Yoon Hyo Choi, Taeyong Lee, Kyoung Min Lee

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引用次数: 0

Abstract

Background: Foot deformities can cause abnormal biomechanics of the ankle joint and the development of osteoarthritis. It was hypothesized that foot deformities would be related to medial ankle osteoarthritis, and this study investigated this relationship using radiographic measurements.

Methods: Seventy-six ankles of 76 patients (32 men and 44 women; mean age, 69.0 years) with medial ankle osteoarthritis were included. Eleven radiographic measurements evaluated ankle joint orientation (tibial plafond inclination [TPI], medial distal tibial angle [MDTA], and anterior distal tibial angle [ADTA]), ankle joint incongruency (tibiotalar tilt [TT]), foot deformities (lateral talo-first metatarsal angle [Lat talo-1MT], anteroposterior talo-first metatarsal angle [AP talo-1MT], and talonavicular coverage), talar body migration (medial talar center migration [MTCM] and anterior talar center migration [ATCM]), internal rotation (IR) of the talus, and mechanical tibiofemoral angle. All were statistically analyzed using Pearson's correlation coefficients and regression analyses.

Results: Ankle joint orientation to the ground (TPI, p = 0.002), increased foot arch (Lat talo-1MT, p < 0.001), and IR of the talus (p = 0.001) were significantly associated with ankle joint incongruency (TT) in linear regression analysis. Ankle joint incongruency (TT, p = 0.003), medial talar body migration (MTCM, p = 0.042), and increased foot arch (Lat talo-1MT, p = 0.022) were significantly associated with IR of the talus in the binary logistic regression analysis. MTCM was significantly correlated with TPI (r = 0.251, p = 0.029), TT (r = 0.269, p = 0.019), MDTA (r = 0.359, p = 0.001), ATCM (r = -0.522, p < 0.001), and AP talo-1MT (r = 0.296, p = 0.015). ATCM was significantly correlated with TPI (r = -0.253, p = 0.027), ADTA (r = 0.349, p = 0.002), and Lat talo-1MT (r = -0.344, p = 0.002).

Conclusions: Ankle joint orientation, foot deformities, and talar rotation were associated with ankle joint incongruency in medial ankle osteoarthritis when evaluated radiographically. These findings need to be considered during surgical treatment for medial ankle osteoarthritis. However, the biomechanical significance of these radiographic measurements requires further investigation.

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足部畸形与踝关节内侧骨关节炎关系的影像学评估

背景：足部畸形可导致踝关节生物力学异常和骨关节炎的发生。据推测，足部畸形与内踝骨关节炎有关，本研究采用放射学测量方法对这种关系进行了调查：研究纳入了 76 名内踝骨关节炎患者（32 名男性，44 名女性；平均年龄 69.0 岁）的 76 个脚踝。11项放射学测量评估了踝关节方向（胫骨平台倾斜[TPI]、胫骨远端内侧角[MDTA]和胫骨远端前侧角[ADTA]）、踝关节不协调（胫骨小头倾斜[TT]）、足部畸形（距外侧-第一跖骨角[Lat talo-1MT]、APtalo-1MT]和距骨覆盖）、距骨体移位（距骨中心内侧移位[MTCM]和距骨中心前侧移位[ATCM]）、距骨内旋（IR）和机械胫股角。所有数据均采用皮尔逊相关系数和回归分析进行统计分析：结果：在线性回归分析中，踝关节对地方向（TPI，p = 0.002）、足弓增加（Lat talo-1MT，p < 0.001）和距骨的IR（p = 0.001）与踝关节不协调（TT）显著相关。在二元逻辑回归分析中，踝关节不协调（TT，p = 0.003）、距骨内侧移位（MTCM，p = 0.042）和足弓增加（Lat talo-1MT，p = 0.022）与距骨内侧移位有明显相关性。MTCM 与 TPI（r = 0.251，p = 0.029）、TT（r = 0.269，p = 0.019）、MDTA（r = 0.359，p = 0.001）、ATCM（r = -0.522，p < 0.001）和 AP talo-1MT （r = 0.296，p = 0.015）明显相关。ATCM与TPI（r = -0.253，p = 0.027）、ADTA（r = 0.349，p = 0.002）和Lat talo-1MT（r = -0.344，p = 0.002）明显相关：结论：对内踝骨关节炎患者进行放射学评估时，踝关节方向、足部畸形和距骨旋转与踝关节不协调有关。在对内踝骨关节炎进行手术治疗时，需要考虑这些发现。然而，这些影像学测量结果的生物力学意义还需要进一步研究。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.