Comparison of radiographic and anatomic distal metatarsal articular angle in cadaver feet.

Abstract:

BACKGROUND:A few studies report correlations between radiographic and anatomic measurements of the distal metatarsal articular angle (DMAA). However, little is known about how the DMAA correlates with the hallux valgus angle (HVA) and with anatomic and clinical radiographic measurements. METHODS:We dissected, measured, and radiographed 39 cadaveric feet for evidence of hallux valgus and the DMAA. We then correlated these values with paired clinical radiographic measurements made by physician evaluators. RESULTS:Physician measurement of DMAA and anatomic measurement of DMAA were significantly correlated with a mean r = 0.64 (evaluator range, 0.44-0.66). Pairwise correlation between physician evaluators ranged from r = 0.63 to 0.84. Sixty-six percent of physician-measured DMAAs were within 5 degrees of anatomic DMAA. CONCLUSION:The percentage of radiographic DMAAs that were within 5 degrees of anatomic DMAAs was only 66%. Additionally, the DMAA was increased in the specimens with moderate and severe hallux valgus compared with those with normal or mild hallux valgus angles. CLINICAL RELEVANCE:The DMAA is an important consideration in patients with hallux valgus. While it is less reliable than other radiographic measures, it was correlated to deformity severity in specimen with hallux valgus.

journal_name

Foot Ankle Int

authors

Jastifer JR,Coughlin MJ,Schutt S,Hirose C,Kennedy M,Grebing B,Smith B,Cooper T,Golano P,Viladot R,Doty JF

doi

10.1177/1071100714522027

subject

Has Abstract

pub_date

2014-04-01 00:00:00

pages

389-93

issue

4

eissn

1071-1007

issn

1944-7876

pii

1071100714522027

journal_volume

35

pub_type

杂志文章
  • Functional Outcomes Following Anterior Transfer of the Tibialis Posterior Tendon for Foot Drop Secondary to Peroneal Nerve Palsy.

    abstract:BACKGROUND:This retrospective comparative study reports the practical function in daily and sports activities after tibialis posterior tendon transfer for foot drop secondary to peroneal nerve palsy. METHODS:Seventeen patients were followed for a minimum of 3 years after tibialis posterior tendon transfer for foot dro...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100717695508

    authors: Cho BK,Park KJ,Choi SM,Im SH,SooHoo NF

    更新日期:2017-06-01 00:00:00

  • Hallux valgus correction with metatarsal osteotomy: effect of a lateral distal soft tissue procedure.

    abstract::The purpose of this study was to compare the results of hallux valgus correction using a proximal metatarsal osteotomy with or without a lateral distal metatarsophalangeal soft tissue procedure. This procedure included release of the lateral joint capsule and transfer of the adductor tendon into the neck of the metata...

    journal_title:Foot & ankle international

    pub_type: 临床试验,杂志文章

    doi:10.1177/107110079501600305

    authors: Granberry WM,Hickey CH

    更新日期:1995-03-01 00:00:00

  • Scandinavian Total Ankle Replacement: 15-Year Follow-up.

    abstract:BACKGROUND:Over the past decade, total ankle arthroplasty (TAA) has become a mainstay in the treatment of end-stage ankle arthritis. Currently in its fourth generation, the Scandanavian Total Ankle Replacement (STAR) is the only 3-piece mobile bearing ankle prosthesis available in the United States. Our current study r...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100717738747

    authors: Palanca A,Mann RA,Mann JA,Haskell A

    更新日期:2018-02-01 00:00:00

  • An Anatomic and Clinical Study of the Innervation of the Dorsal Midfoot Capsule.

    abstract:BACKGROUND:Dorsal pain from osteoarthritic midfoot joints is thought to be relayed by branches of the medial and lateral plantar, sural, saphenous, and deep peroneal nerves (DPN). However, there is no consensus on the actual number or pathways of the nervous branches for midfoot joint capsular innervation. This study e...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100719858143

    authors: Shi GG,Williams MA,Whalen JL,Wilke BK,C Kraus J

    更新日期:2019-10-01 00:00:00

  • How to reduce the cost of hindfoot fusion.

    abstract::The purpose of this study was to determine whether modification of a surgical practice by using regional anesthesia and local bone grafting would yield the same surgical results as traditional anesthesia and iliac crest bone graft, with a cost reduction. All patients were matched by preoperative disease and were asses...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110079801901104

    authors: Luber MJ,Nunley JA

    更新日期:1998-11-01 00:00:00

  • Lower Bone Density on Preoperative Computed Tomography Predicts Periprosthetic Fracture Risk in Total Ankle Arthroplasty.

    abstract:BACKGROUND::The effect of bone mineral density (BMD) on outcomes from total ankle arthroplasty (TAA) has not been studied. BMD can be estimated by measuring Hounsfield units (HU) on standard computed tomography (CT), which is frequently performed prior to TAA. We aimed to identify whether tibial and talar HU measured f...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100718799102

    authors: Cody EA,Lachman JR,Gausden EB,Nunley JA 2nd,Easley ME

    更新日期:2019-01-01 00:00:00

  • Limb Salvage After Failed Initial Operative Management of Bimalleolar Ankle Fractures in Diabetic Neuropathy.

    abstract:BACKGROUND:Ankle fractures in patients with diabetes mellitus (DM) can be difficult to manage, especially in the presence of peripheral neuropathy. In patients who fail initial operative management, attempts at limb salvage can be challenging, and no clear treatment algorithm exists. This study examined outcomes of dif...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100716676063

    authors: Vaudreuil NJ,Fourman MS,Wukich DK

    更新日期:2017-03-01 00:00:00

  • Etiology and Treatment Outcomes for Sural Neuroma.

    abstract:BACKGROUND:Neuroma results from disorganized regeneration following nerve injury and may be symptomatic. The aim of this study was to investigate the causes, treatment, and outcomes of operatively treated sural neuromas, and to describe the factors associated with persistent or unchanged postoperative pain symptoms. M...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100719828375

    authors: Lans J,Gamo L,DiGiovanni CW,Chen NC,Eberlin KR

    更新日期:2019-05-01 00:00:00

  • Circular external fixator-assisted ankle arthrodesis following failed total ankle arthroplasty.

    abstract:BACKGROUND:Failed total ankle arthroplasty (TAA) often results in significant bone loss and requires salvage arthrodesis. This study quantified the bone loss following failed TAA and reports the outcome of seven arthrodesis reconstructions using the Ilizarov method. METHODS:A retrospective review of ankle fusions was ...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI.2012.0947

    authors: McCoy TH,Goldman V,Fragomen AT,Rozbruch SR

    更新日期:2012-11-01 00:00:00

  • Postoperative cast necessity after a lapidus arthrodesis.

    abstract:BACKGROUND:The incidence of non union following a first tarsometatarsal arthrodesis (Lapidus procedure) has decreased significantly with modern techniques of minimal bone resection, meticulous bone surface preparation and rigid internal fixation. We evaluated whether a postoperative wedge shoe would increase our non-un...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI.2009.0746

    authors: Kazzaz S,Singh D

    更新日期:2009-08-01 00:00:00

  • Three-dimensional analysis of foot motion after uphill walking with mobilization with movement using tape applied to the talocrural joint in women with limited ankle dorsiflexion.

    abstract:BACKGROUND:Previous studies that investigated mobilization with movement (MWM) treatment assessed only improvements in passive range of motion (ROM). No information is currently available regarding the efficacy of modified MWM by application of tape. Therefore, we investigated the effect of uphill walking with modified...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100714543797

    authors: Yoon JY,Oh JS,An DH

    更新日期:2014-11-01 00:00:00

  • Risk Factors Associated With Foot and Ankle Insufficiency Fractures in Postmenopausal Sedentary Women.

    abstract:BACKGROUND:Insufficiency fractures occur in bones with low elastic resistance. In contrast to stress fractures, which affect normal bones and have been extensively studied, insufficiency fractures of the foot and ankle have been the subject of little research. The objective of this study was to identify risk factors as...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100720969654

    authors: Pereira Filho MV,Stéfani KC,Ferreira GF,Nogueira MP

    更新日期:2020-11-17 00:00:00

  • Functional evaluation of the Scandinavian Total Ankle Replacement.

    abstract::The purpose of this study was to evaluate the function of the ankle joint during walking before and after Scandinavian Total Ankle Replacement (STAR). Nine patients (six males and three females) with an average age of 65 years, scheduled for unilateral total ankle replacement for osteoarthritis and rheumatoid arthriti...

    journal_title:Foot & ankle international

    pub_type: 临床试验,杂志文章

    doi:10.1177/107110070402500602

    authors: Dyrby C,Chou LB,Andriacchi TP,Mann RA

    更新日期:2004-06-01 00:00:00

  • Necessity of Interfragmentary Lag Screws in Precontoured Lateral Locking Plate Fixation for Supination-External Rotation Lateral Malleolar Fractures.

    abstract:BACKGROUND:Interfragmentary lag screws, protected by a plate, have been applied for many years in the treatment of supination-external rotation (SER) ankle fractures. Recently, similar biomechanical stability was found between fixation completed with a plate and lag screw and a plate alone. The aim of this study was to...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100720917645

    authors: Park YH,Cho HW,Choi GW,Kim HJ

    更新日期:2020-07-01 00:00:00

  • Prospective, randomized, blinded, comparative study of injectable micronized dehydrated amniotic/chorionic membrane allograft for plantar fasciitis--a feasibility study.

    abstract:BACKGROUND:Specialized treatment of plantar fasciitis that can reduce inflammation and promote healing may be a possible alternative prior to surgical intervention. We report the results of a randomized clinical trial examining the efficacy of micronized dehydrated human amniotic/chorionic membrane (mDHACM) injection a...

    journal_title:Foot & ankle international

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/1071100713502179

    authors: Zelen CM,Poka A,Andrews J

    更新日期:2013-10-01 00:00:00

  • Experience with the vacuum assisted closure negative pressure technique in the treatment of non-healing diabetic and dysvascular wounds.

    abstract::The purpose of this study is to report our experience with the Vacuum Assisted Closure (VAC) negative pressure technique in patients with non-healing wounds of the foot, ankle, and lower limb. We retrospectively reviewed 17 patients with non-healing wounds of the lower extremity who underwent treatment using the Vacuu...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070202301002

    authors: Clare MP,Fitzgibbons TC,McMullen ST,Stice RC,Hayes DF,Henkel L

    更新日期:2002-10-01 00:00:00

  • An anatomical basis for the degree of displacement of the distal chevron osteotomy in the treatment of hallux valgus.

    abstract::The purpose of this study was to define the amount of lateral displacement of the chevron osteotomy to obtain a 50% displacement of the capital fragment. While mathematical analyses exist to predict the degree of correction of the intermetartarsal 1-2 angle with a distal metatarsal osteotomy, no guidelines exist regar...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110079701800405

    authors: Badwey TM,Dutkowsky JP,Graves SC,Richardson EG

    更新日期:1997-04-01 00:00:00

  • Treatment of stage II posterior tibial tendon deficiency with flexor digitorum longus tendon transfer and calcaneal osteotomy.

    abstract:BACKGROUND:To assess the efficacy of surgical correction of stage II tibial tendon deficiency with medial translational calcaneus osteotomy and flexor digitorum longus tendon transfer to the navicular, the authors retrospectively reviewed results of treatment of stage II posterior tibial tendon deficiency in 129 patien...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070402500701

    authors: Myerson MS,Badekas A,Schon LC

    更新日期:2004-07-01 00:00:00

  • Effectiveness of Extracorporeal Shockwave Therapy in the Treatment of Chronic Insertional Achilles Tendinopathy.

    abstract:BACKGROUND:Extracorporeal shockwave therapy (ESWT) has been proposed as a conservative treatment for insertional Achilles tendinopathy from limited evidence without placebo controls. Our objective was to assess the effectiveness of ESWT compared with sham controls in chronic insertional Achilles tendinopathy. METHODS:...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100719898461

    authors: Pinitkwamdee S,Laohajaroensombat S,Orapin J,Woratanarat P

    更新日期:2020-04-01 00:00:00

  • A comparison of the effect of shoes on human tibial axial strains recorded during dynamic loading.

    abstract::Percutaneous axial extensometers were mounted on the medial cortex of the midtibial diaphysis in seven male volunteers and the effect of three different shoes on in vivo peak-to-peak axial compression-tension strains measured during dynamic loading. Zohar shoes had lower axial strains and strain rates during treadmill...

    journal_title:Foot & ankle international

    pub_type: 临床试验,杂志文章

    doi:10.1177/107110079801900206

    authors: Milgrom C,Burr D,Fyhrie D,Hoshaw S,Finestone A,Nyska M,Davidson R,Mendelson S,Giladi M,Liebergall M,Lehnert B,Voloshin A,Simkin A

    更新日期:1998-02-01 00:00:00

  • An outcomes analysis of surgical treatment of tarsal tunnel syndrome.

    abstract::Sixty patients (68 feet) underwent tarsal tunnel release for the tarsal tunnel syndrome and were re-examined objectively and clinically after they had reached maximum medical benefits and returned to their usual and customary lifestyle and employment. All of the patients demonstrated both a positive tinel sign and an ...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:

    authors: Gondring WH,Shields B,Wenger S

    更新日期:2003-07-01 00:00:00

  • Endomedullary screw fixation for first metatarsophalangeal arthrodesis.

    abstract:BACKGROUND:The purpose of this study was to evaluate the clinical and radiological results in a group of patients who underwent first metatarsophalangeal joint arthrodesis with an endomedullary screw fixation technique (MPA-E). METHODS:Between 2003 and 2009, 101 metatarsophalangeal arthrodesis were performed in 76 pat...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100713483113

    authors: Migues A,Calvi J,Sotelano P,Carrasco M,Slullitel G,Conti L

    更新日期:2013-08-01 00:00:00

  • Minimally invasive Morton's intermetatarsal neuroma decompression.

    abstract:BACKGROUND:We present the results of an alternative technique for decompression of a Morton intermetatarsal neuroma that is minimally invasive and does not require endoscopic instrumentation. METHODS:Seventeen nerve decompressions were performed in 14 patients using an instrument designed to release the transverse car...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI.2007.0263

    authors: Zelent ME,Kane RM,Neese DJ,Lockner WB

    更新日期:2007-02-01 00:00:00

  • Incidence of plantar lateral foot pain before and after the use of trial metal wedges in lateral column lengthening.

    abstract:BACKGROUND:One of the major concerns with lateral column lengthening (LCL) in symptomatic flatfoot deformity treatment is the risk of postoperative plantar lateral foot discomfort. We evaluated whether this risk can be minimized by using trial metal wedges. Using our study's evaluation tools, the incidence of postopera...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI.2011.0665

    authors: Ellis SJ,Williams BR,Garg R,Campbell G,Pavlov H,Deland JT

    更新日期:2011-07-01 00:00:00

  • Mini-invasive mitchell-kramer method in the operative treatment of hallux valgus deformity.

    abstract:BACKGROUND:The mini-invasive Mitchell-Kramer procedure is a new method of operative correction of mild to moderate hallux valgus deformity. The aim of this study was to describe the technique and evaluate the results of the procedure. METHODS:We evaluated 54 patients who underwent mini-invasive distal metatarsal osteo...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100713475356

    authors: Gądek A,Liszka H

    更新日期:2013-06-01 00:00:00

  • Validation of the foot and ankle outcome score for ankle ligament reconstruction.

    abstract::We studied the validity and reliability of the Foot and Ankle Outcome Score (FAOS) when used to evaluate the outcome of 213 patients (mean age 40 years, 85 females) who underwent anatomical reconstruction of the lateral ankle ligaments with an average postoperative follow-up of 12 years (range, three to 24 years). The...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070102201004

    authors: Roos EM,Brandsson S,Karlsson J

    更新日期:2001-10-01 00:00:00

  • Predictors of peroneal pathology in Broström-Gould ankle ligament reconstruction for lateral ankle instability.

    abstract:BACKGROUND:Chronic ankle instability has a well-known association with intra- and extraarticular ankle pathologies, including peroneal tendonitis and subluxation. Patients with peroneal pathology are at risk for failure of conservative treatment for their ankle instability, thus identifying these patients is important ...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100714556759

    authors: Burrus MT,Werner BC,Hadeed MM,Walker JB,Perumal V,Park JS

    更新日期:2015-03-01 00:00:00

  • Achilles tendon torsion has no effect on percutaneous triple-cut tenotomy results.

    abstract:BACKGROUND:Achilles tendon lengthening is an important part of the operative management of numerous foot and ankle disorders. The most commonly used percutaneous technique involves three hemitenotomies: medial, lateral, and medial. The discovery that Achilles tendon fibers may undergo external torsion created concern t...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070602701116

    authors: Hoffman B,Nunley J

    更新日期:2006-11-01 00:00:00

  • Calcaneal lengthening: investigation of deformity correction in a cadaver flatfoot model.

    abstract:BACKGROUND:Evans showed that lengthening the lateral column by inserting structural bone graft into the anterior calcaneus could correct abduction and valgus deformity in flatfoot. To better understand the mechanism of correction and the three-dimensional effect of this procedure a cadaver study was done. METHODS:Thre...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070502600209

    authors: Dumontier TA,Falicov A,Mosca V,Sangeorzan B

    更新日期:2005-02-01 00:00:00

  • Clinical tips: retrograde drilling of talar osteochondral defects.

    abstract::Contemporary methods of bone grafting osteochondral defects, in which the remaining overlying cartilage is relatively well preserved, have inherent problems. The bony defects are often saucer-shaped and the cylindrical graft may not fill the void, leaving areas of cartilage with no underlying scaffold and obviating ea...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI.2008.0616

    authors: Kennedy JG,Suero EM,O'Loughlin PF,Brief A,Bohne WH

    更新日期:2008-06-01 00:00:00