دورية أكاديمية

Does the Sagittal Radiographic Morphology of Subtalar Joint Affect the Alignment of Foot?

التفاصيل البيبلوغرافية
العنوان: Does the Sagittal Radiographic Morphology of Subtalar Joint Affect the Alignment of Foot?
المؤلفون: Xu Y; Department of orthopedics, Shanghai Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China., Zhu Y; Department of orthopedics, Shanghai Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China., Cao YX; Department of orthopedics, Shanghai Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China., Chen G; Department of orthopedics, Shanghai Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China., Xu XY; Department of orthopedics, Shanghai Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
المصدر: Orthopaedic surgery [Orthop Surg] 2024 Jun; Vol. 16 (6), pp. 1269-1276. Date of Electronic Publication: 2024 Apr 15.
نوع المنشور: Journal Article; Comparative Study
اللغة: English
بيانات الدورية: Publisher: Wiley on behalf of the Chinese Orthopedic Association Country of Publication: Australia NLM ID: 101501666 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1757-7861 (Electronic) Linking ISSN: 17577853 NLM ISO Abbreviation: Orthop Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: 2013- : Richmond, Vic. Wiley on behalf of the Chinese Orthopedic Association
Original Publication: Richmond, Vic. : Tianjin : Blackwell Pub. Asia ; Tianjin Hospital, 2009-
مواضيع طبية MeSH: Subtalar Joint*/diagnostic imaging , Flatfoot*/diagnostic imaging , Flatfoot*/physiopathology , Radiography*, Humans ; Retrospective Studies ; Female ; Male ; Adult ; Adolescent ; Talipes Cavus/diagnostic imaging ; Talipes Cavus/physiopathology ; Young Adult ; Middle Aged
مستخلص: Objectives: The etiology of flatfoot and cavus foot is multicausal and controversial. So far, no literature reports the relationship between the sagittal morphology of subtalar joint and the alignment of foot. The purpose of this study was to explore whether the subtalar alignment would influence the configuration of foot.
Methods: From January 2017 to January 2020, we included 109 feet in the flatfoot group, 95 feet in the cavus group, and 104 feet in the control group in this retrospective comparative study. The Gissane angle and calcaneal posterior articular surface inclination angle represented the sagittal morphology of the subtalar joint. Meary's angle, calcaneal pitch angle, and talar pitch angle reflected the alignment of foot. They were measured in the weightbearing foot X-rays. The angles in different groups were compared via Mann-Whitney U test. We calculated the correlation between the sagittal alignment of subtalar joint and the alignment of foot using Spearman's correlation analysis. Interobserver and intraobserver reliability were calculated.
Results: The Gissane angle, calcaneal posterior articular surface inclination angle, Meary's angle, talar pitch angle, and calcaneal pitch angle were significantly different in the three groups. The Gissane angle had an excellent correlation with the Meary's angle (r = 0.850, p < 0.0001), and the talar pitch angle (r = -0.825, p < 0.0001), and a good correlation with the calcaneal pitch angle (r = 0.638, p < 0.0001). The calcaneal posterior articular surface inclination angle had an excellent correlation with the Meary's angle (r = -0.902, p < 0.001), and the talar pitch angle (r = 0.887, p < 0.0001), and a good correlation with the calcaneal pitch angle (r = -0.702, p < 0.0001). The interobserver and intraobserver reliability for all radiographic measurements was good to excellent.
Conclusion: A subtalar joint with a larger Gissane angle and a more horizontal calcaneal posterior articular surface angle tended to have a higher foot arch and vice versa. The inspiration from this study was that the deformities of flatfoot and cavus foot may relate to the subtalar deformity.
(© 2024 The Authors. Orthopaedic Surgery published by Tianjin Hospital and John Wiley & Sons Australia, Ltd.)
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فهرسة مساهمة: Keywords: Alignment; Cavus foot; Flatfoot; Gissane angle; Subtalar joint
تواريخ الأحداث: Date Created: 20240415 Date Completed: 20240602 Latest Revision: 20240604
رمز التحديث: 20240604
مُعرف محوري في PubMed: PMC11144509
DOI: 10.1111/os.14054
PMID: 38618706
قاعدة البيانات: MEDLINE
الوصف
تدمد:1757-7861
DOI:10.1111/os.14054