Inçel N Arinci, Genc H, Yorgancioglu Z R, Erdem H R
Department of Physical Medicine and Rehabilitation, Ankara Education and Research Hospital, Ankara, Turkey.
Kaohsiung J Med Sci. 2002 Jul;18(7):329-33.
Hallux valgus (HV) is a static subluxation of the first metatarsophalangeal joint with lateral deviation of the great toe and medial deviation of the first metatarsal. Our aim was to evaluate the interference of HV deformity with changes in lumbar lordosis and some foot deformities. Twenty HV patients and 20 healthy subjects were selected for the study. Hallux valgus angle, metatarsus primus varus (MPV), metatarsus omnis varus (MOV), first intermetatarsal (1.IMT), second metatarsal (2. MT) and hallux interphalangeal (HIP) angles were estimated from the anteroposterior foot X-rays. Lumbosacral (LSA) and sacrohorizontal angles (SHA) were measured from lateral lumbar x-rays and pes planus was detected from lateral and anteroposterior ankle and foot radiographs. There was a significant difference between HV angle mean values of two groups. MPV, MOV, 1.IMT, 2. MT and HIP angles did not show significant difference between groups. HV angle was found to be correlated with MPV. HIP angle was found to be correlated with LSA and SHA, indicating a relation with lordosis. HV and pes planus were correlated with each other. HV also showed weak correlation with hyperlordosis. Transmission of variations in body mechanics through pelvis and lower extremity plays an important role for certain foot deformities. Some factors affecting HV development are correctable; early diagnosis and treatment of MPV and pes planus, suggesting healthy rather than fashionable footwear and preventing obesity may lower HV incidence.
拇外翻（HV）是第一跖趾关节的静态半脱位，伴有拇趾向外侧偏斜和第一跖骨向内侧偏斜。我们的目的是评估HV畸形对腰椎前凸变化和一些足部畸形的影响。本研究选取了20例HV患者和20名健康受试者。通过足部前后位X线片测量拇外翻角、第一跖骨内翻（MPV）、全跖骨内翻（MOV）、第一跖骨间角（1.IMT）、第二跖骨（2.MT）和拇趾间角（HIP）。通过腰椎侧位X线片测量腰骶角（LSA）和骶骨水平角（SHA），并通过踝关节和足部的侧位及前后位X线片检测扁平足。两组的HV角平均值存在显著差异。MPV、MOV、1.IMT、2.MT和HIP角在两组之间未显示出显著差异。发现HV角与MPV相关。发现HIP角与LSA和SHA相关，表明与脊柱前凸有关。HV与扁平足相互相关。HV与脊柱前凸过度也显示出弱相关性。身体力学变化通过骨盆和下肢的传递对某些足部畸形起着重要作用。一些影响HV发展的因素是可以纠正的；早期诊断和治疗MPV和扁平足，建议选择健康而非时尚的鞋类并预防肥胖，可能会降低HV的发病率。
