Incidence and Progression of Hallux Valgus: A Prospective Cohort Study.

Autor: Menz HB; La Trobe University, Melbourne, Victoria, Australia, and Primary Care Centre Versus Arthritis, School of Medicine, Keele University, Keele, Staffordshire, UK., Marshall M; Primary Care Centre Versus Arthritis, School of Medicine, Keele University, Keele, Staffordshire, UK., Thomas MJ; Primary Care Centre Versus Arthritis, School of Medicine, Keele University, Keele, Staffordshire, UK and Midlands Partnership NHS Foundation Trust, Haywood Hospital, Burslem, Staffordshire, UK., Rathod-Mistry T; Primary Care Centre Versus Arthritis, School of Medicine, Keele University, Keele, Staffordshire, UK., Peat GM; Primary Care Centre Versus Arthritis, School of Medicine, Keele University, Keele, Staffordshire, UK., Roddy E; Primary Care Centre Versus Arthritis, School of Medicine, Keele University, Keele, Staffordshire, UK and Midlands Partnership NHS Foundation Trust, Haywood Hospital, Burslem, Staffordshire, UK.
Jazyk: angličtina
Zdroj: Arthritis care & research [Arthritis Care Res (Hoboken)] 2023 Jan; Vol. 75 (1), pp. 166-173. Date of Electronic Publication: 2022 Aug 31.
DOI: 10.1002/acr.24754
Abstrakt: Objective: Hallux valgus is a common and disabling condition. The objective of the present study was to identify factors associated with hallux valgus incidence and progression.
Methods: Participants were from a population-based prospective cohort study, the Clinical Assessment Study of the Foot. All adults ages ≥50 years who were registered at 4 general practices in North Staffordshire, UK, were invited to take part in a postal survey at baseline and at 7-year follow-up, which included health questionnaires and self-assessment of hallux valgus using line drawings.
Results: Complete baseline and follow-up data were available for 1,482 participants (739 women and 743 men, mean ± SD age 62.9 ± 8.1 years), of whom 450 (30.4%) had hallux valgus in at least 1 foot at baseline. Incident hallux valgus was identified in 207 (20.1%) participants (349 [15.4%] feet) and was associated with baseline age, poorer physical health, foot pain, and wearing shoes with a very narrow toe-box shape between the ages of 20 and 29 years. Hallux valgus progression was identified in 497 (33.6%) participants (719 [24.3%] feet) but was not associated with any baseline factors.
Conclusion: Incident hallux valgus develops in 1 in 5 adults ages ≥50 years over a 7-year period and is related to age, poorer physical health, foot pain, and previous use of constrictive footwear. Progression occurs in 1 in 3 adults. These findings suggest that changes in first metatarsophalangeal joint alignment may still occur beyond the age of 50 years.
(© 2022 American College of Rheumatology.)
Databáze: MEDLINE
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