Journal of Orthopaedic Surgery最新文献_第7页

The frequency of os acromiale in 751 shoulder MRI of Saudi population 沙特人 751 例肩关节 MRI 中肩峰突起的频率

IF 1.6 4区医学

Journal of Orthopaedic Surgery Pub Date : 2024-04-29 DOI: 10.1177/10225536241248708

Wassim Aldebeyan, Mohammed Alzahim, Ismail Almogbil, Fahad AlShayhan, Abdullah Alshunaifi, Abdulaziz Alhowaimel, Nizar A. Al-Nakshabandi

引用次数: 0

Tumours of the foot: A 10 years retrospective analysis 足部肿瘤10 年回顾性分析

IF 1.6 4区医学

Journal of Orthopaedic Surgery Pub Date : 2024-04-25 DOI: 10.1177/10225536241248706

Vivek Ajit Singh, Vinesh Sandhu, Choo Tze Yong, Nor Faissal Yasin

{"title":"Tumours of the foot: A 10 years retrospective analysis","authors":"Vivek Ajit Singh, Vinesh Sandhu, Choo Tze Yong, Nor Faissal Yasin","doi":"10.1177/10225536241248706","DOIUrl":"https://doi.org/10.1177/10225536241248706","url":null,"abstract":"IntroductionThe foot is a complex structure composed of several tissues, each of which can be the origin of the proliferation and development of the tumour. Most lesions about the foot are reactive or inflammatory, but some are true neoplasms.MethodThis is a retrospective analysis of 4997 patient records treated in the Orthopaedic Oncology Unit of University Malaya Medical Centre, Malaysia, between 1 January 2010 to 31 December 2020. Demographic data of 195 patients with foot tumours were analysed out of 4997 neoplasm patients.ResultsThere were 195 cases of foot tumours: 148 were benign, and 47 were malignant. 47 were bone tumours, 4 were metastases, and 144 were soft tissue tumours. Six patients succumbed to the disease, two cases of giant cell tumour (GCT) and one patient with synovial sarcoma had a recurrence. Treatment of foot tumours was wide resection in general. However, in metastasis cases, amputation was done. The majority of tumours were in the toes and dorsum of the foot. Soft tissue tumours of the foot occur in the elderly population in contrast to bone tumours, mainly in the second decade of life. The gender distribution was almost equal for foot tumours. Ganglion and Giant Cell Tumour of the bone are the commonest benign soft tissue and bone tumours. The most common malignant soft tissue and bone tumours are malignant melanoma and chondrosarcoma. The amputation rate is 5.64% the recurrence rate is 1.54%. Mortality rate is 3.08%. The MSTS score is 79%, and the TESS score is 76.23%.ConclusionFoot tumours are relatively rare, mostly originating from soft tissue and exhibiting a benign nature. Nonetheless, a noteworthy proportion—approximately a quarter of these tumours—demonstrate malignancy. The surgical interventions undertaken in managing these tumours and associated functional outcomes generally yield acceptable results.","PeriodicalId":16608,"journal":{"name":"Journal of Orthopaedic Surgery","volume":"1 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140805556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of single-radius design on in vivo kinematics during stair activities after total knee arthroplasty 单弧度设计对全膝关节置换术后上下楼梯时体内运动学的影响

IF 1.6 4区医学

Journal of Orthopaedic Surgery Pub Date : 2024-04-23 DOI: 10.1177/10225536241246326

Kenichi Kono, Takaharu Yamazaki, Masashi Tamaki, Teruya Ishibashi, Sakae Tanaka, Tetsuya Tomita

{"title":"Effect of single-radius design on in vivo kinematics during stair activities after total knee arthroplasty","authors":"Kenichi Kono, Takaharu Yamazaki, Masashi Tamaki, Teruya Ishibashi, Sakae Tanaka, Tetsuya Tomita","doi":"10.1177/10225536241246326","DOIUrl":"https://doi.org/10.1177/10225536241246326","url":null,"abstract":"BackgroundThe single-radius design is one of the major total knee arthroplasty (TKA) designs and widely used all over the world. The objective of this study was to compare in vivo kinematics between the anteroposterior (AP) single-radius design with mediolateral (ML) single-radius (Non Restricted Geometry; NRG) and ML dual-radius (Triathlon) during stair activities.MethodsA total of 21 knees in 18 patients (NRG group: 10 knees in 7 patients, Triathlon group: 11 knees in 11 patients) with a clinically successful posterior stabilized TKA were examined. Under fluoroscopic surveillance, each patient performed stair ascending and descending motions. In vivo kinematics were analyzed using 2D/3D registration technique. The knee flexion angle, rotation angle, varus-valgus angle, AP translation of the femorotibial contact point for both the medial and lateral sides of the knee, and post-cam engagement were evaluated.ResultsThere were no significant differences between the two groups in rotation angle and AP translation at each flexion angle. Examining the varus-valgus angle, the NRG group showed varus position at an early flexion angle during both stair activities. Post-cam engagement was observed in both groups during both stair activities. The mean flexion angle of engagement in the NRG group, the post of which was located anterior to the Triathlon, was larger than that in the Triathlon group during both stair activities.ConclusionDespite the same AP single-radius TKA, ML single-radius might affect varus motion at an early flexion angle.","PeriodicalId":16608,"journal":{"name":"Journal of Orthopaedic Surgery","volume":"32 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140805382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Half of the adolescent idiopathic scoliosis patients may have lumbar adjacent segment degeneration following spinal fusion: A systemic review and meta-analysis 半数青少年特发性脊柱侧凸患者在脊柱融合术后可能出现腰椎邻近节段退化：系统回顾与荟萃分析

IF 1.6 4区医学

Journal of Orthopaedic Surgery Pub Date : 2024-04-22 DOI: 10.1177/10225536241248711

Fuze Liu, Fuhui Liu, Hai Wang

{"title":"Half of the adolescent idiopathic scoliosis patients may have lumbar adjacent segment degeneration following spinal fusion: A systemic review and meta-analysis","authors":"Fuze Liu, Fuhui Liu, Hai Wang","doi":"10.1177/10225536241248711","DOIUrl":"https://doi.org/10.1177/10225536241248711","url":null,"abstract":"ObjectiveThis study aims to assess the impact of surgical approaches and other factors on the incidence of Adjacent Segment Degeneration (ASD) following Spinal Fusion for Adolescent Idiopathic Scoliosis (AIS).MethodsWe conducted a comprehensive search of four electronic databases from their inception until March 30, 2023. Two independent reviewers screened titles, abstracts, and full texts and evaluated the methodological quality of the studies. A random-effects model was used to calculate the incidence of ASD.ResultsOur analysis included 14 studies involving 651 individuals. The overall incidence of ASD was 47% (95%CI: 0.37, 0.56). Subgroup analyses revealed that the prevalence of ASD increased with postoperative time (53% (95%CI: 0.31, 0.75) versus 48% (95%CI: 0.36, 0.60) versus 39% (95%CI: 0.22, 0.56)). For the number of fused segments, a group with more than 10 segments had a higher prevalence (49% (95%CI: 0.38, 0.60) versus 44% (95%CI: 0.21, 0.69)). In terms of regions, East Asia had the highest prevalence, followed by Occident and West Asia (52% (95%CI: 0.41, 0.62) versus 43% (95%CI: 0.20, 0.68) versus 37% (95%CI: 0.17, 0.59)). However, the surgical approach, male ratio, and the position of the lowest instrumented vertebra (LIV) did not show significant differences between groups. Funnel plots and Egger’s test did not reveal any significant publication bias (Egger’s test: t = 1.62, p-value = .1274).ConclusionThis meta-analysis found that nearly half of AIS patients following spinal fusion surgery experienced ASD. Long-term follow-up, regular screening, and timely interventions are essential to reduce the prevalence of ASD.","PeriodicalId":16608,"journal":{"name":"Journal of Orthopaedic Surgery","volume":"5 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140637325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Robot-assisted retractor in spine surgery: Preliminary evaluation of its feasibility and two operation mode in beagles 脊柱手术中的机器人辅助牵引器：初步评估其在小猎犬身上的可行性和两种操作模式

IF 1.6 4区医学

Journal of Orthopaedic Surgery Pub Date : 2024-04-22 DOI: 10.1177/10225536241248712

Yuzhen Jiang, Lei Xiang, Da He, Wei Tian

{"title":"Robot-assisted retractor in spine surgery: Preliminary evaluation of its feasibility and two operation mode in beagles","authors":"Yuzhen Jiang, Lei Xiang, Da He, Wei Tian","doi":"10.1177/10225536241248712","DOIUrl":"https://doi.org/10.1177/10225536241248712","url":null,"abstract":"ObjectiveTo assess the feasibility of the robot-assisted retractor. To compare the muscle injury of the two operation modes, intermittent retraction mode and continuous retraction mode in the robot-assisted retractor to find a better robot operation mode.MethodsA new robot-assisted retractor experimental platform was developed. Three incisions were made on the backs of three beagles. The robot-assisted retractor was used to retract the muscle on both sides of the incisions in intermittent retraction mode and continuous retraction mode, and the operation of the robot system was observed. The muscle samples were stained with hematoxylin-eosin (HE) to observe the muscle injury. The difference between the muscle injuries of the two groups was statistically compared using paired t test.ResultsThe robot-assisted retractor can precisely retract to the specified position without malfunction or dangerous actions. Histologic evaluation showed that fewer muscle injury was found in the intermittent retraction mode group of the robot-assisted retractor compared to the continuous retraction mode group.ConclusionThe robot-assisted retractor offers a certain degree of feasibility and safety. The robot-assisted retractor is able to effectively reduce muscle injury with the intermittent retraction mode.","PeriodicalId":16608,"journal":{"name":"Journal of Orthopaedic Surgery","volume":"7 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140637225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Correlation of serum anti-Mullerian hormone and Inhibin-B levels with osteoporosis of menopausal woman in Chinese Daur ethnic group 血清抗穆勒氏管激素和抑制素-B 水平与中国达斡尔族绝经妇女骨质疏松症的相关性

IF 1.6 4区医学

Journal of Orthopaedic Surgery Pub Date : 2024-04-18 DOI: 10.1177/10225536241248707

Xiaorui Ma, Le Tang, Hanyu Wang, Na Chi, Yanhua Wang, Xiuqing Wang

{"title":"Correlation of serum anti-Mullerian hormone and Inhibin-B levels with osteoporosis of menopausal woman in Chinese Daur ethnic group","authors":"Xiaorui Ma, Le Tang, Hanyu Wang, Na Chi, Yanhua Wang, Xiuqing Wang","doi":"10.1177/10225536241248707","DOIUrl":"https://doi.org/10.1177/10225536241248707","url":null,"abstract":"PurposeTo investigate the diagnostic value of anti-Mullerian hormone (AMH) and Inhibin B (InhB) in menopausal women with osteoporosis from the Chinese Daur ethnic group.MethodsA total of 175 menopausal women were selected and divided into the osteoporosis group ( N = 90) and the control group ( N = 85). BMD was measured by dual-energy X-ray absorptiometry, and laboratory indicators of osteoporosis, for example, serum osteocalcin (OC), β-collagen special sequence (β-CTX), and procollagen type I amino-terminal propeptide (PINP), bone alkaline phosphatase (BALP), AMH, and InhB were measured by commercial kits. The relationship between osteoporosis and AMH or InhB was analyzed. The predictive values of AMH and InhB were reflected by the ROC curve and logistic regression.ResultsThe level of BMD was decreased and the levels of OC, β-CTX, PINP, and BALP of the menopausal osteoporosis group were increased. The concentration of AMH and InhB in the menopausal osteoporosis group was decreased and they had connections with each other. AMH and InhB could be used as independent indicators for the occurrence of osteoporosis in menopausal women and their combination had a higher diagnostic value.ConclusionAMH and InhB measurements in menopausal women had a certain clinical significance in the detection of osteoporosis. The occurrence of osteoporosis was related to BMD, OC, β-CTX, BALP, AMH, and InhB.","PeriodicalId":16608,"journal":{"name":"Journal of Orthopaedic Surgery","volume":"201 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140626786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Plasma serotonin precursors and metabolite are correlated with bone mineral density and bone turnover markers in patients with postmenopausal osteoporosis 血浆血清素前体和代谢物与绝经后骨质疏松症患者的骨矿物质密度和骨转换标志物有关

IF 1.6 4区医学

Journal of Orthopaedic Surgery Pub Date : 2024-04-13 DOI: 10.1177/10225536231187181

Qinying Feng, Xiaoyu Song, Li Liu, Xinzhong Zhou, Zhihao Chen

{"title":"Plasma serotonin precursors and metabolite are correlated with bone mineral density and bone turnover markers in patients with postmenopausal osteoporosis","authors":"Qinying Feng, Xiaoyu Song, Li Liu, Xinzhong Zhou, Zhihao Chen","doi":"10.1177/10225536231187181","DOIUrl":"https://doi.org/10.1177/10225536231187181","url":null,"abstract":"BackgroundSerotonin (5-HT) precursors regulate bone remodeling. This study aims to investigate the correlation of plasma 5-HT precursors and metabolite with bone mineral density (BMD) and bone turnover markers in postmenopausal osteoporosis (PMOP) patients.MethodsThe age, body mass index (BMI), and years since menopause (YSM) were documented for 348 postmenopausal women in normal/osteopenia/osteoporosis (OP) groups, with lumbar spine and femoral neck BMD measured. Serum bone turnover markers (PINP/β-CTX) and plasma 5-HT, 5-HT precursors (Trp/5-HTP) and metabolite (5-HIAA) were measured by ELISA. OP patients were allocated to high/low expression groups following ROC analysis of 5-HT/Trp/5-HTP/5-HIAA. The relationship of plasma 5-HT/Trp/5-HTP/5-HIAA, BMD, and bone turnover markers with PMOP was analyzed using logistic regression analysis. The correlation of plasma 5-HT/Trp/5-HTP/5-HIAA with BMD and bone turnover markers was analyzed using Pearson’s correlation analysis, followed by logistic regression analysis of the relationship between plasma 5-HT/Trp/5-HTP/5-HIAA and BMD, bone turnover markers and PMOP.ResultsBMI, YSM, BMD and PINP, and β-CTX levels differed among groups. Levels of plasma 5-HT precursors/metabolite were increased in OP patients. Individuals with high 5-HT precursors/metabolite levels had low BMD and high PINP/β-CTX levels. The 5-HT precursors/metabolite negatively-correlated with BMD and positively-correlated with PINP/β-CTX. BMI, YSM, BMD, and PINP/β-CTX/Trp/5-HTP/5-HT related to PMOP and were independent risk factors for OP.ConclusionPlasma 5-HT precursors and metabolite negatively-correlate with BMD and positively-correlate with PINP/β-CTX in PMOP patients. Peripheral 5-HT precursors and metabolite level may be a new direction of treatment of PMOP and bone metabolism-related disorders.","PeriodicalId":16608,"journal":{"name":"Journal of Orthopaedic Surgery","volume":"40 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140564517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Total ankle replacement versus ankle fusion for end-stage ankle arthritis: A meta-analysis 全踝关节置换术与踝关节融合术治疗终末期踝关节炎：荟萃分析

IF 1.6 4区医学

Journal of Orthopaedic Surgery Pub Date : 2024-04-12 DOI: 10.1177/10225536241244825

Taiyi Li, Li Zhao, Yan Liu, Li Huang, Jin Zhu, Jie Xiong, Junfeng Pang, Lina Qin, Zonggui Huang, Yinglong Xu, Hai Dai

{"title":"Total ankle replacement versus ankle fusion for end-stage ankle arthritis: A meta-analysis","authors":"Taiyi Li, Li Zhao, Yan Liu, Li Huang, Jin Zhu, Jie Xiong, Junfeng Pang, Lina Qin, Zonggui Huang, Yinglong Xu, Hai Dai","doi":"10.1177/10225536241244825","DOIUrl":"https://doi.org/10.1177/10225536241244825","url":null,"abstract":"PurposeThis study aims to systematically review the efficacy and safety of total ankle replacement (TAR) and ankle fusion (AF) as treatment options for end-stage ankle arthritis.MethodsA comprehensive literature search was conducted on data from multiple databases, including PubMed, The Cochrane Library, Construction and Building Materials, Embase, Web of Science, and Scopus for RCTs and prospective cohort studies comparing TAR and AF in patients with end-stage ankle arthritis from inception up to June, 2023. Our primary outcomes of interest included patients’ clinical function scores and complications. We employed Review Manager 5.4 and Stata/MP 14.0 software for the meta-analysis.ResultsOur analysis incorporated 13 comparative studies, including 11 prospective studies, one pilot RCT, and one RCT. The pooled results revealed no significant difference in postoperative Short Form-36 scores between the TAR and AF groups (MD = −1.19, 95% CI: −3.89 to 1.50, p = .39). However, the postoperative Foot and Ankle Ability Measure scores in the AF group were significantly higher than in the TAR group (MD = 8.30, 95% CI: 1.01–15.60, p = .03). There was no significant difference in postoperative complication rates between the TAR and AF groups (RR = 0.95, 95% CI: 0.59 to 1.54, p = .85).ConclusionCurrently available evidence suggests no significant disparity in postoperative outcomes between TAR and AF. In the short term, TAR demonstrates better clinical scores than AF and lower complication rates. Conversely, in the long term, AF exhibits superior clinical scores and lower complication rates, although this difference is not statistically significant.","PeriodicalId":16608,"journal":{"name":"Journal of Orthopaedic Surgery","volume":"247 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140564443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A pilot study exploring the use of hyaluronic acid in treating insertional achilles tendinopathy 探索使用透明质酸治疗插入性跟腱病的试点研究

IF 1.6 4区医学

Journal of Orthopaedic Surgery Pub Date : 2024-04-09 DOI: 10.1177/10225536241242086

Nissim Ohana, David Segal, Eugene Kots, Viktor Feldman, Meir Nyska, Ezequiel Palmanovich, Omer Slevin

{"title":"A pilot study exploring the use of hyaluronic acid in treating insertional achilles tendinopathy","authors":"Nissim Ohana, David Segal, Eugene Kots, Viktor Feldman, Meir Nyska, Ezequiel Palmanovich, Omer Slevin","doi":"10.1177/10225536241242086","DOIUrl":"https://doi.org/10.1177/10225536241242086","url":null,"abstract":"PurposeThis study explores the use of ultrasound-guided Hyaluronic Acid (HA) injections for Insertional Achilles Tendinopathy (IAT).MethodsA cohort of 15 ankles diagnosed with IAT received three weekly ultrasound-guided HA injections. The Victorian Institute of Sport Assessment – Achilles (VISA-A) questionnaire scored the severity of symptoms and functional impairment before treatment, and at one and six months post-treatment.ResultsSignificant improvement was observed in VISA-A scores post-treatment, rising from an average baseline of 34.8 ± 15.2 (11-63) to 53.6 ± 20.9 (15-77) after one month, and then to 50.7 ± 18.6 (20-75) after six months. No adverse reactions were noted, underscoring the safety of the intervention.ConclusionThe pilot study presents HA injections as a potentially effective treatment for IAT, while interpretation of these findings must take into account the variability in results, indicating a range of patient responses. It encourages further research to confirm these findings and to explore HA’s full potential in managing IAT, despite the limitations of a small sample size and lack of control group.","PeriodicalId":16608,"journal":{"name":"Journal of Orthopaedic Surgery","volume":"156 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140603397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Are sesamoids and proximal phalanx of metatarsus primus varus deformity of hallux valgus feet displaced? A radiological study. 拇指外翻畸形足的趾骨和跖骨近节是否移位？一项放射学研究。

IF 1.6 4区医学

Journal of Orthopaedic Surgery Pub Date : 2024-01-01 DOI: 10.1177/10225536241233474

Daniel Yiang Wu, Eddy Kwok Fai Lam

{"title":"Are sesamoids and proximal phalanx of metatarsus primus varus deformity of hallux valgus feet displaced? A radiological study.","authors":"Daniel Yiang Wu, Eddy Kwok Fai Lam","doi":"10.1177/10225536241233474","DOIUrl":"10.1177/10225536241233474","url":null,"abstract":"Background: The hallux valgus deformity is made up of misaligned first metatarsal, hallux, and sesamoids. Their angular deformities are well-studied, but not their positional displacements. A few available reports claimed the proximal end of the proximal phalanx and sesamoids were not shifted medially along with the first metatarsal head. However, the general observation is otherwise. This study revisits the issue.Methods: A radiological study of 189 feet with and without the hallux valgus deformity was carried out to analyze the first metatarsal, hallux, and sesamoid positional changes in relation to the second metatarsal and among themselves. A total of 194 X-ray images with all relevant measurements that formed the raw database for this study were submitted for online viewing and reference.Results: There was a statistically significant change in the first metatarsal, hallux, and sesamoid positions of feet with hallux valgus deformity compared to normal feet. All have migrated medially but to different degrees. It was contrary to the past findings of no change in sesamoid and hallux positions.Conclusions: We agree with past findings that the metatarsus primus varus deformity is directly related to the failed medial metatarsosesamoid ligament. We also believe in the failure of the deep 1-2 transverse metatarsal ligament responsible for the sesamoid migration.","PeriodicalId":16608,"journal":{"name":"Journal of Orthopaedic Surgery","volume":"32 1","pages":"10225536241233474"},"PeriodicalIF":1.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139900068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0