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评价成年女性足部 X 光片中拇外翻与足部测量值的关系。

Evaluation of the relationship between hallux valgus and foot measurements in radiographic images of adult female.

机构信息

Department of Anatomy, Faculty of Medicine, Çukurova University, 01330, Adana, Turkey.

Department of Midwifery, Faculty of Health Sciences, Cukurova University, Adana, Turkey.

出版信息

Surg Radiol Anat. 2022 Sep;44(9):1281-1288. doi: 10.1007/s00276-022-03012-8. Epub 2022 Sep 9.

Abstract

PURPOSE

In the present study, we aimed to determine the relationship of HV angle with angles and measurements obtained from lateral and anteroposterior (AP) radiological images of the foot in individuals with HV.

METHODS

The present study had a retrospective design, and the participants consisted of 66 female patients between the ages of 19 and 64 who applied to Orthopedics and Traumatology and were diagnosed with Hallux valgus. Metatarsus adductus angle, metatarsus primus adductus angle, hallux valgus angle, hallux interphalangeal angle, metatarsal break angle, first metatarsal protrusion distance, metatarsal width, talocalcaneal angle, AP Meary's angle were measured on AP view and calcaneal inclination angle, talar declination angle, lateral talocalcaneal angle, first metatarsal declination angle, fifth metatarsal declination angle, navicular height, lateral Meary's angle, tibiotalar angle were measured on a lateral radiograph. The IBM SPSS 21.0. program was used for statistical analysis, and the level of significance was taken as p < 0.05.

RESULTS

There were statistically significant differences between the right and left feet in MPA and AMA measurements. The results showed that HV angle (HVA) had a weak relationship with MAA and MW, as well as a moderately positive relationship with MPA. However, it had a moderately negative relationship with AMA and a weak negative relationship with HIPA.

CONCLUSION

We believe that in addition to the HVA angle, MPA and AMA angles should be considered in the diagnosis of HV, especially as the HVA angle is moderately positively correlated with the MPA angle and moderately negatively correlated with the AMA angle.

摘要

目的

在本研究中,我们旨在确定 HV 角与 HV 个体的足部侧位和前后位(AP)影像学上获得的角度和测量值之间的关系。

方法

本研究采用回顾性设计,参与者为 66 名年龄在 19 岁至 64 岁之间的女性患者,他们因拇外翻就诊于骨科和创伤科。在 AP 视图上测量跖骨内收角、第一跖骨内收角、拇外翻角、跖趾关节角、跖骨骨折角、第一跖骨突出距离、跖骨宽度、跟距角、AP Meary 角,在侧位片上测量跟骨倾斜角、距骨倾斜角、侧跟距角、第一跖骨倾斜角、第五跖骨倾斜角、舟骨高度、侧 Meary 角、距下关节角。使用 IBM SPSS 21.0 程序进行统计分析,显著性水平设为 p<0.05。

结果

在 MPA 和 AMA 测量值方面,左右脚之间存在统计学差异。结果表明,HV 角(HVA)与 MAA 和 MW 呈弱相关,与 MPA 呈中度正相关。然而,它与 AMA 呈中度负相关,与 HIPA 呈弱负相关。

结论

我们认为,除了 HVA 角之外,还应考虑 MPA 和 AMA 角在 HV 的诊断中,特别是因为 HVA 角与 MPA 角呈中度正相关,与 AMA 角呈中度负相关。

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