The curvature of the 1st metatarsal head was evaluated on 100 radiographs by calculating the functional angle of the joint surface. This measure of curvature varied positively with the degree of hallux abductovalgus (HAV). Using measures of correlation it was found that in males, the association was linear (r2=0.39, p<0.001). In females, a linear relationship was identified only after logarithmic transformation of the data (r2=0.25, p<0.001). Comparison of the functional angle between males and females showed a significant difference (t=−5.03, df=98, p<0.001).
Get full access to this article
View all access options for this article.
References
1.
BenvenutiF.FerrucciL.GuralnikJMGangemiS.BaroniA.: Foot pain and disability in older persons: an epidemiologic study. J. Am. Geriatrics Society1995; 43 (5): 479–484.
2.
BrahmSM: Shape of the first metatarsal head in hallux rigidus and hallux valgus. J. Am. Podiatr. Med. Assoc1988; 78 (6): 300–304.
3.
CoughlinMJMannRA: The pathophysiology of the juvenile bunion. Instructional course lectures, American Academy of Orthopaedic Surgeons1987: 123–136.
4.
EustaceS.O'BryneJ.StackJ.StephensMM: Radiographic features that enable assessment of first metatarsal rotation: the role of pronation in hallux valgus. Skeletal Radiology1993; 22: 153–156.
5.
FellnerD.MilsomPB: Relationship between hallux valgus and first metatarsal head shape. Journal of British Podiatric Medicine1995; 50 (4): 54–56.
6.
GouldN.SchneiderW.AshikagaT.: Epidemiological survey of foot problems in the continental United States1978–1979. Foot and Ankle 1980;1 (1): 8–10.
7.
Gutierrez-CarbonellP.ForcadaE. SebastiaBetoldolizerG.: Factores morfologicos que influyen en el hallux valgus. Revista de Orthpedia Traumaatologia1998; 42: 256–362.
8.
KelsoSFRichieDHCohenIRWeedJHRootM.: Direction and range of motion of the first ray. J. Am. Podiatr. Assoc.1982; 72 (12): 600–605.
9.
KilmartinTEWallaceWA: First metatarsal head shape in juvenile hallux abductovalgus. The Journal of Foot Surgery1991; 30 (5): 506–508.
10.
KilmartinTEBarringtonRLWallaceWA: A controlled prospective trial of a foot orthosis for juvenile hallux valgus. The Journal of Bone and Joint Surgery1994; 2 (76B): 210–213.
11.
LaPortaG.MelilloT.OlinskyD.: X-ray evaluation of hallux abducto valgus deformity. J. Am. Podiatr. Med. Assoc1974; 544–566.
12.
LatimerB.LovejoyCO: The calcaneus of Australopithecus afarensis and its implications for the evolution of bipedality. Am J Phys Anthroplogy1989; 78: 369–386.
13.
LatimerB.LovejoyCO: Metatarsophalangeal joints of Australopithecus afarensis. Am J Phys Anthroplogy1990; 83: 13–23.
14.
MortonDJ: The human foot:it's evolution, physiology and functional disorders. New York, Columbia University Press.1935; 186–195.
15.
SusmanRL: Evolution of the human foot: evidence from Pleistocene Hominids. Foot and Ankle1983; 3 (6): 366–375.