Roukis Thomas S
Reconstructive Foot and Ankle Surgery Service, Weil Foot and Ankle Institute, 1455 E Golf Rd, Ste 110, Des Plaines, IL 60016, USA.
J Am Podiatr Med Assoc. 2005 May-Jun;95(3):221-8. doi: 10.7547/0950221.
Two hundred seventy-five lateral weightbearing radiographs of isolated pathology were reviewed and stratified into hallux rigidus (n = 100), hallux valgus (n = 75), plantar fasciitis (n = 50), and Morton's neuroma (n = 50) groups. The patient population consisted of healthy individuals with no history of foot trauma or surgery. The first to second metatarsal head elevation, Seiberg index, first to second sagittal intermetatarsal angle, first to fifth metatarsal head distance, and hallux equinus angle were measured in each population. Statistically significant differences were found between the hallux valgus, plantar fasciitis, and Morton's neuroma populations and the hallux rigidus population, which showed greater elevation of the first metatarsal relative to the second for each radiographic measurement technique. In the hallux rigidus population, there was a statistically significant difference between grade II and grades I and III regarding the first to fifth metatarsal head distance (greater in grade II) and the hallux equinus angle (lower in grade II). A review of the literature and comparison with historical controls reveals that metatarsus primus elevatus exists in hallux rigidus and is greater than that found in hallux valgus, plantar fasciitis, and Morton's neuroma groups.
回顾了275张孤立性病变的负重位X线片，并将其分为僵硬性拇趾（n = 100）、拇外翻（n = 75）、足底筋膜炎（n = 50）和莫顿神经瘤（n = 50）组。患者群体为无足部创伤或手术史的健康个体。在每组人群中测量了第一跖骨头至第二跖骨头的抬高、塞伯格指数、第一至第二矢状面跖骨间角、第一至第五跖骨头距离以及拇趾马蹄足角。结果发现，拇外翻、足底筋膜炎和莫顿神经瘤人群与僵硬性拇趾人群之间存在统计学显著差异，对于每种X线测量技术，僵硬性拇趾人群的第一跖骨相对于第二跖骨的抬高更大。在僵硬性拇趾人群中，II级与I级和III级在第一至第五跖骨头距离（II级更大）和拇趾马蹄足角（II级更低）方面存在统计学显著差异。文献回顾及与历史对照的比较显示，僵硬性拇趾中存在第一跖骨抬高，且高于拇外翻、足底筋膜炎和莫顿神经瘤组。
