Relationship between pedographic analysis and the Manchester scale in hallux valgus

Yıl 2015, Cilt: 49 Sayı: 1, 75 - 79, 19.03.2015

Kalliopi Iliou George Paraskevas Panagiotis Kanavaros Christos Gekas Alexandra Barbouti Panagiotis Kitsoulis

Öz

Objective: The aim of this study was to evaluate the correlation between the Manchester scale and foot pressure distribution in patients with hallux valgus deformity.

Methods: The study included 152 feet of 87 patients with hallux valgus and a control group of 391 feet of 241 individuals without hallux valgus deformity. The severity of hallux valgus was determined using the Manchester scale grading system. Plantar loading patterns in 10 foot areas were determined for all participants.

Results: According to the Manchester scale, 72% of the participants had no, 12.9% mild, 10.7% moderate and 4.4% severe deformity. The Manchester scale grade was highly correlated with both hallux valgus angle and first intermetatarsal angle (p=0.00). Significant differences between the four grades were present for mean pressure under the hallux and the first and second metatarsal heads only (p=0.00). The load distribution under these areas was higher as the hallux valgus progressed from mild to more severe. In all groups, the highest pressure was observed under the second metatarsal head.

Conclusion: The Manchester scale was strongly associated with both the hallux valgus angle and the first intermetatarsal angle. The progression from mild to moderate and severe deformation is associated with peak pressure raise at the hallux, first and second metatarsal heads. The Manchester scale appears to be a useful tool to provide information for the degree of deformity and the pressure under painful foot areas.

Anahtar Kelimeler

Hallux valgus; hallux valgus severity; the Manchester scale; pedographic analysis.

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Öz

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Anahtar Kelimeler

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Kaynakça

• Coughlin MJ. Hallux valgus. J Bone Joint Surg Am 1996;78:932-66.
• Gould N, Schneider W, Ashikaga T. Epidemiological survey of foot problems in the continental United States: 1978-1979. Foot Ankle 1980;1:8-10. CrossRef
• Hardy Rh, Clapham Jc. Observations on hallux valgus; based on a controlled series. J Bone Joint Surg Br 1951;33- B:376-91.
• Mann R, Coughlin MJ. Adult Hallux Valgus. In: Mann RA, Coughlin MJ, editors. Surgery of the Foot and Ankle. Sixth edition. St. Louis: Mosby; 1993. p. 167-296.
• Ross FD. The relationship of abnormal foot pronation to hallux abducto valgus-a pilot study. Prosthet Orthot Int 1986;10:72-8.
• Resch S, Ryd L, Stenström A, Johnsson K, Reynisson K. Measuring hallux valgus: a comparison of conventional ra- diography and clinical parameters with regard to measure- ment accuracy. Foot Ankle Int 1995;16:267-70. CrossRef
• Garrow AP, Papageorgiou A, Silman AJ, Thomas E, Jayson MI, Macfarlane GJ. The grading of hallux valgus. The Man- chester Scale. J Am Podiatr Med Assoc 2001;91:74-8. CrossRef
• Waldecker U. Pedographic analysis of hallux valgus defor- mity. Foot Ankle Surg 2004;10:121-4. CrossRef
• Martínez-Nova A, Sánchez-Rodríguez R, Pérez-Soriano P, Llana-Belloch S, Leal-Muro A, Pedrera-Zamorano JD. Plantar pressures determinants in mild Hallux Valgus. Gait Posture 2010;32:425-7. CrossRef
• Waldecker U. Metatarsalgia in hallux valgus deformity: a pedographic analysis. J Foot Ankle Surg 2002;41:300-8.
• Blomgren M, Turan I, Agadir M. Gait analysis in hallux valgus. J Foot Surg 1991;30:70-1.
• D’Arcangelo PR, Landorf KB, Munteanu SE, Zammit GV, Menz HB. Radiographic correlates of hallux valgus severity in older people. J Foot Ankle Res 2010;3:20. CrossRef
• Menz HB, Munteanu SE. Radiographic validation of the Manchester scale for the classification of hallux valgus de- formity. Rheumatology (Oxford) 2005;44:1061-6. CrossRef
• Martínez-Nova A, Cuevas-García JC, Sánchez-Rodríguez R, Pascual-Huerta J, Sánchez-Barrado E. Study of plan- tar pressure patterns by means of instrumented insoles in subjects with hallux valgus. Rev Esp Cir Ortop Traumatol 2008;52:94-8. CrossRef
• Plank MJ. The pattern of forefoot pressure distribution in hallux valgus. Foot 1995;5:8-14. CrossRef
• Ferrari J, Watkinson D. Foot pressure measurement dif- ferences between boys and girls with reference to hal- lux valgus deformity and hypermobility. Foot Ankle Int 2005;26:739-47.
• Cho NH, Kim S, Kwon DJ, Kim HA. The prevalence of hallux valgus and its association with foot pain and func- tion in a rural Korean community. J Bone Joint Surg Br 2009;91:494-8. CrossRef