An investigation of relationship between hallux valgus angle and health related quality of life and functional status

Abstract

Purpose: The aim of this study was to investigate the relationship between radiographic measurement and American Orthopaedic Foot and Ankle Society’s-Hallux Metatarsophalangeal-Interphalangeal Joint Scale, and Short Form-36 results in hallux valgus deformity assessment. Methods: Forty patients diagnosed the bilateral hallux valgus between ages of 17 and 74 years with 80 feet were evaluated. The first metatarsophalangeal abduction and intermetatarsal angles obtained via antero-posterior radiography for each individual were recorded. The American Orthopaedic Foot and Ankle Society’s-Hallux Metatarsophalangeal-Interphalangeal Joint Scale was applied to all individuals for functional status assessment. The Short Form-36 was applied to assess relationship between deformity and health related quality of life. Results: Results of the present study showed that while there was negative significant relationship between the first metatarsophalangeal angle and Short Form-36 subscores such as physical function, physical role limitation and pain; there was a positive correlation with mental health subscore of Short Form-36. There was a negative correlation between the first metatarsophalangeal, intermetatarsal angle values and Physical Component Score of SF-36. While there was a negative correlation between Mental Component Score of SF-36 and the first metatarsophalangeal angle and there was positively relationship with intermetatarsal angle. Coclusion: In this study, it is demonstrated that increases in angle values are especially directly related with pain and functional level rather than mental health

Keywords

• Hallux valgus, Pain, Quality of life

Halluks valgus açısı ile sağlıkla ilişkili yaşam kalitesi ve fonksiyonel durum arasındaki ilişkinin incelenmesi

Abstract

Amaç: Çalışmanın amacı, halluks valgus deformitesinde oluşan eklemsel değişikliklerin değerlendirilmesinde kullanılan radyografik ölçüm, Amerikan Ortopedik Cerrahları Ayak ve Ayak Bileği Derneği - Halluks Metatarsofalangeal-Interfalangeal Eklemler Skalası ve Kısa Form-36 ile elde edilen sonuçların birbirleriyle ilişkilerinin incelenmesidir. Yöntem: 17-74 yaş aralığında bilateral halluks valgus tanılı 40 bireyde 80 ayak değerlendirildi. Her bir bireyin ön-arka radyografilerle elde edilen 1. Metatarsofalangeal abduksiyon ve intermetatarsal açı değerleri kaydedildi. Fonksiyonel durumun belirlenmesi için Amerikan Ortopedik Cerrahları Ayak ve Ayak Bileği Derneği-Halluks MetatarsofalangealInterfalangeal Eklemler skalası uygulandı. Deformitenin sağlıkla ilişkili yaşam kalitesiyle olan ilişkisini değerlendirebilmek için Kısa Form-36 uygulandı. Bulgular: I. Metatarsofalangeal açısal değerleri ile Kısa Form-36 ölçeğinin fiziksel fonksiyon, fiziksel rol kısıtlılığı ve ağrı alt başlıkları arasında negatif yönde anlamlı ilişki bulunurken; Kısa Form-36 ölçeğinin mental sağlık alt başlığı ile pozitif yönde ilişki bulundu. İntermetatarsal açı ile Kısa Form-36 fiziksel fonksiyon alt başlığı ile negatif yönde ilişki; yaşamsallık ve mental sağlık alt başlıklarıyla ise pozitif ilişki vardı. Kısa Form-36’nın Mental Bileşen Özet skoru ile I. Metatarsofalangeal açı arasında negatif ilişki bulunurken, intermetatarsal açı ile arasında ise pozitif ilişki bulundu (p

Keywords

• Halluks valgus, Ağrı, Yaşam kalitesi

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