Association between subtalar articular surface typing and flat foot deformity: which type is more likely to cause flat foot deformity
Autor: | Guo-You Wang, Bingkun Li, Xin Zhou, Yuening Yang, Si-Yuan He, Gang Yi, Wanxue Zhao, Xiaogao Tang, Lei Zhang, Xiaoyao Peng |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Foot Deformities
Population Diseases of the musculoskeletal system Imaging data Subtalar joint Facet joint Rheumatology medicine Humans Orthopedics and Sports Medicine education Foot deformity Retrospective Studies Meary angle Orthodontics education.field_of_study business.industry Research Flat foot Articular surface medicine.disease Flatfoot Calcaneus medicine.anatomical_structure Treatment Outcome RC925-935 Level iii business Foot (unit) |
Zdroj: | BMC Musculoskeletal Disorders, Vol 22, Iss 1, Pp 1-7 (2021) BMC Musculoskeletal Disorders |
ISSN: | 1471-2474 |
Popis: | Background Previous studies have shown a wide range of anatomical classifications of the subtalar joint (STJ) in the population and this is related to the different force line structures of the foot. Different subtalar articular surface morphology may affect the occurrence and development of flat foot deformity, and there are fewer studies in this area. The main objective of our study was to determine the association of different subtalar articular surface with the occurrence and severity of flat foot deformity. Methods We analyzed the imaging data of 289 cases of STJ. The articular surface area, Gissane’s angle and Bohler’s angle of subtalar articular surface of different types were counted. The occurrence and severity of flat foot deformity in different subtalar articular surface were judged by measuring the Meary angle of foot. Results We classified 289 cases of subtalar articular surface into five types according to the morphology. According to Meary angle, the flat foot deformity of Type I and Type IV are significantly severer than Type II (P ). Type II (7.65 ± 1.38 cm2) was significantly smaller than Type I (8.40 ± 1.79 cm2) in the total joint facet area(P ). Type III (9.15 ± 1.92 cm2) was smaller than Type I (8.40 ± 1.79 cm2), II (7.65 ± 1.38 cm2) and IV (7.81 ± 1.74 cm2) (P ). Type II (28.81 ± 7.44∘) was significantly smaller than Type I (30.80 ± 4.61 degrees), and IV (32.25 ± 5.02 degrees) in the Bohler’s angle (P ). Type II (128.49 ± 6.74 degrees) was smaller than Type I (131.58 ± 7.32 degrees), and IV (131.94 ± 5.80 degrees) in the Gissane’s angle (P ). Conclusions After being compared and analyzed the measurement of morphological parameters, joint facet area and fusion of subtalar articular surface were closely related to the severity of flat foot deformity and Type I and IV were more likely to develop severer flat foot deformity. Level of evidence Level III, retrospective comparative study. |
Databáze: | OpenAIRE |
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