Prevalence of Hallux Rigidus in Patients With End-Stage Ankle Arthritis
Autor: | James A. Nunley, Elizabeth A. Cody, Lorena Bejarano-Pineda |
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Rok vydání: | 2019 |
Předmět: |
Adult
Metatarsophalangeal Joint medicine.medical_specialty Population Ankle arthritis Arthritis 03 medical and health sciences Hallux rigidus 0302 clinical medicine Internal medicine Hallux Rigidus medicine Prevalence Humans Orthopedics and Sports Medicine In patient Stage (cooking) education Foot arthritis Retrospective Studies 030203 arthritis & rheumatology Aged 80 and over education.field_of_study business.industry 030229 sport sciences medicine.disease Surgery Treatment Outcome Ankle business Foot (unit) Follow-Up Studies |
Zdroj: | The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons. 60(1) |
ISSN: | 1542-2224 |
Popis: | Arthritis of the foot is a significant cause of pain and disability. The prevalence of foot arthritis in adults aged ≥50 has been reported to be 17%. Of those, 25% are estimated to be radiographic arthritis of the first metatarsophalangeal joint. The purposes of this study were to (1) identify the prevalence of radiographic hallux rigidus (HR) in a population of patients with end-stage ankle arthritis relative to that reported in the general population and (2) identify associations between the presence of HR and demographic and clinical factors. A total of 870 feet in 809 subjects with end-stage ankle arthritis who underwent primary total ankle arthroplasty between November 2006 and November 2017 were included. Feet were stratified by patient age:40, 40 to 59, 60 to 79, and ≥80 years. Etiology of ankle arthritis was classified as inflammatory, post-traumatic, primary, and other. The prevalence of HR in the study group was 72.9%. The prevalence of HR was slightly higher in patients with inflammatory arthritis (odds ratio 1.31, 95% confidence interval 0.73 to 2.32) and primary arthritis (odds ratio 1.18, 95% confidence interval 0.86 to 1.63). The prevalence of HR increased with age (p = .01). In conclusion, the prevalence of radiographic HR in a population with end-stage ankle arthritis was significantly higher relative to patients without documented comorbidities in the foot and ankle. Increasing age was associated with a higher prevalence of the disease. |
Databáze: | OpenAIRE |
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