Risk factors for the progression of hallux valgus angle on radiography in Japanese adults

IF 1.4 4区医学 Q3 ORTHOPEDICS

Journal of Orthopaedic Science Pub Date : 2026-05-01 Epub Date: 2025-11-29 DOI:10.1016/j.jos.2025.11.004

Akinobu Nishimura , Yoshiyuki Senga , Yuki Fujikawa , Chihiro Konno , Akihiro Sudo , Masahiro Hasegawa

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引用次数: 0

Abstract

Objectives

Hallux valgus (HV) is common in middle-aged and older adults. However, previous studies that linked HV to factors such as sex, knee osteoarthritis, footwear, and aging were mostly cross-sectional. This longitudinal study aimed to investigate HV risk factors and progression.

Materials and methods

Serial radiographs were assessed in Japanese mountain villagers aged ≥50 years who underwent at least two health checkups within an interval of 4 or more years. Demographic data, medical history, and radiographic measurements were collected.

Results

We included 271 participants (542 feet; mean age: 69.6 years); the mean follow-up period was 6.7 years. The average annual change in the HV angle (HVA) was 0.19°. In 16.1 % of the feet, the HVA increased by ≥ 1°/year. Lateral tibial sesamoid bone positioning was a significant risk factor for HV.

Conclusions

HVA progression was less likely in adults aged ≥50 years without tibial sesamoid bone malposition.

查看原文本刊更多论文

日本成人拇外翻角影像学进展的危险因素分析。

目的：拇外翻（HV）常见于中老年人。然而，之前将HV与性别、膝关节骨关节炎、鞋类和年龄等因素联系起来的研究大多是横断面的。这项纵向研究旨在调查艾滋病毒的危险因素和进展。材料和方法：对年龄≥50岁的日本山区村民进行系列x线片评估，这些村民在4年或更长时间内至少进行了两次健康检查。收集了人口统计资料、病史和放射学测量数据。结果：我们纳入了271名参与者（542英尺，平均年龄：69.6岁）；平均随访时间为6.7年。HV角（HVA）年平均变化为0.19°。16.1%的足部HVA升高≥1°/年。胫骨外侧籽骨定位是HV的重要危险因素。结论：在年龄≥50岁且无胫骨籽骨错位的成人中，HVA进展的可能性较小。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Orthopaedic Science 医学-整形外科

CiteScore

3.00

自引率

0.00%

发文量

290

审稿时长

90 days

期刊介绍： The Journal of Orthopaedic Science is the official peer-reviewed journal of the Japanese Orthopaedic Association. The journal publishes the latest researches and topical debates in all fields of clinical and experimental orthopaedics, including musculoskeletal medicine, sports medicine, locomotive syndrome, trauma, paediatrics, oncology and biomaterials, as well as basic researches.