A Radiologic Triangle Sign for Percutaneous Adductor Tendon Release (PATR): Cadaveric Study and Case Series.

Autor:	Del Vecchio JJ; Head Foot and Ankle Section, Orthopaedics Department, Fundación Favaloro-Hospital Universitario, Ciudad Autónoma de Buenos Aires (CABA), Argentina.; Department of Kinesiology and Physiatry, Universidad Favaloro, CABA, Argentina.; MIFAS (Minimally Invasive Foot and Ankle Society) by GRECMIP, Merignac, France., Dealbera ED; Foot and Ankle Section, Fundación Favaloro-Hospital Universitario, Buenos Aires, Ciudad Autónoma de Buenos Aires (CABA), Argentina., Chemes LN; Foot and Ankle Section, Fundación Favaloro-Hospital Universitario, Buenos Aires, Ciudad Autónoma de Buenos Aires (CABA), Argentina., Slullitel G; Department of Foot and Ankle Surgery, Institute of Orthopedics 'Dr. Jaime Slullitel,' Santa Fe, Argentine., Calvi JP; Department of Foot and Ankle Surgery, Institute of Orthopedics 'Dr. Jaime Slullitel,' Santa Fe, Argentine., Dalmau-Pastor M; MIFAS (Minimally Invasive Foot and Ankle Society) by GRECMIP, Merignac, France.; Human Anatomy Unit, Department of Pathology and Experimental Therapeutics, School of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain.
Jazyk:	angličtina
Zdroj:	Foot & ankle orthopaedics [Foot Ankle Orthop] 2024 Mar 30; Vol. 9 (1), pp. 24730114241241269. Date of Electronic Publication: 2024 Mar 30 (Print Publication: 2024).
DOI:	10.1177/24730114241241269
Abstrakt:	Background: Combining osteotomies and soft tissue procedures is believed to reduce sesamoids in their anatomical position and maintain long-term correction when treating hallux valgus deformity. This study determines if a radiologic association exists between a radiolucent sign and a full percutaneous adductor tendon release (PATR), including a cadaveric study and a consecutive case series. Another aim was to determine the intra- and interobserver reliability of these observations. Methods: A prospective observational study was made between 2018 and 2019. First, a PATR was done on cadaveric specimens and, after the procedures, dissected to correlate what was seen fluoroscopically. The clinical group included 39 feet that presented mild-to-moderate HV deformity and were treated with percutaneous osteotomies associated with PATR. Results: Observers 1 and 2 saw a radioscopic radiolucent sign in 100% of cadavers and the patient population. They also observed a triangle-shaped image with an incidence of 75%, which we have named the "triangle sign." Conclusion: The triangle sign may be helpful in the intraoperative confirmation of PATR and latero-plantar capsule release using this percutaneous technique. Level of Evidence: Level II, development of diagnostic criteria. Competing Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. Disclosure forms for all authors are available online. (© The Author(s) 2024.)
Databáze:	MEDLINE
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