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

Öz

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

Anahtar Kelimeler

• Hallux valgus, Pain, Quality of life

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

Öz

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

Anahtar Kelimeler

• Halluks valgus, Ağrı, Yaşam kalitesi

Kaynakça

1. Coughlin MJ, Jones CP. Hallux valgus: demographics, etiology, and radiographic assessment. Foot Ankle Int. 2007;28:759-777.
2. Mann RA, Coughlin MJ. Adult hallux valgus. In: Mann RA, Coughlin MJ, Editors. Surgery of the Foot and Ankle. 7rd, St. Louis: C.V. Mosby; 1999:159-269.
3. Bock P, Kristen KH, Kröner A, Engel A. Hallux valgus and cartilage degeneration in the first metatarsophalangeal joint. J Bone Joint Surg. 2004;86:669-673.
4. Mark E, Trnka HJ. Current Concepts review: hallux valgus part 1: pathomechanics, clinical assessment and nonoperative management. Foot Ankle Int. 2007;28:654-659.
5. Roukis TS, Landsman AS. Hypermobility of the first ray: A critical review of the literature. J Foot Ankle Surg. 2003;42:377-390.
6. Srivastava S, Chockalingam N, El Fakhri T. Radiographic angles in hallux valgus: comparison between manual and computerassisted measurements. J Foot Ankle Surg. 2010;49:523-528.
7. LaPorta GA, Nasser EM, Mulhern JL, Malay DS. The Mechanical Axis of the First Ray: A Radiographic Assessment in Hallux Abducto Valgus Evaluation. J Foot Ankle Surg. 2015:1-7. (article in press)
8. Baumhauer JF, Nawoczenski DA, DiGiovanni BF, et al. Reliability and validity of the American Orthopaedic Foot and Ankle Society Clinical Rating Scale: a pilot study for the hallux and lesser toes. Foot Ankle Int. 2006;27:1014-1019.

9. Kınıklı Gİ, Coşkun G, Gür G, et al. Halluks valguslu olgularda ayağa ilişkin sorunlar sağlıkla ilişkili yaşam kalitesini etkiler mi? Turk J Physiother Rehabil. 2014;25:23.
10. Kocyigit H, Aydemir O, Fisek G, et al. Validity and reliability of Turkish version of Short form 36: A study of a patients with romatoid disorders. İlaç ve Tedavi Derg. 1999;12:102-106.
11. Ware JE, Sherborne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992;30:473-83.
12. Bek N, Coşkun G, Kınıklı G, et al. Çok boyutlu halluks valgus derecelendirme ölçeğinin geliştirilmesi: Nil Halluks Valgus Derecelendirme Ölçeği. Acta Orthop Traumatol Turc. 2014;48:52.
13. Gajdosik RL, Bohannon RW. Clinical measurement of range of motion. Review of goniometry emphasizing reliability and validity. Phys Ther. 1987;67:1867-1872.
14. Hardy RH, Clapham JC. Observations on hallux valgus; based on a controlled series. J Bone Joint Surg Br. 1951;33-B:376-91.
15. Baumhauer JF, Nawoczenski DA, DiGiovanni BF, et al. Reliability and validity of the American Orthopaedic Foot and Ankle Society Clinical Rating Scale: a pilot study for the hallux and lesser toes. Foot Ankle Int. 2006;27:1014-1019.
16. Coughlin MJ, Shurnas PS. Hallux valgus in men. Part II: First ray mobility after bunionectomy and factors associated with hallux valgus deformity. Foot Ankle Int. 2003;24:73-78.
17. Karabicak GO, Bek N, Tiftikci U. Short-Term Effects of Kinesiotaping on Pain and Joint Alignment in Conservative Treatment of Hallux Valgus. J Manipulative Physiol Ther. 2015;38:564-571.
18. Lazarides SP, Hildreth A, Prassanna V, et al. Association amongst angular deformities in halluks valgus and impact of the deformity in health-related quality of life. J Foot Ankle Surg. 2005;11:193-196.
19. Menz HB, Roddy E, Thomas E, et al. Impact of hallux valgus severity on general and foot specific health-related quality of life. Osteoarthritis Cartilage. 2010;18;374 suppl:129.
20. Thordarson DB, Ebramzadeh E, Rudicel SA, et al. Age adjusted baseline data for women with hallux valgus undergoing corrective surgery. J Bone Joint Surg Am. 2005;87:66-75.
21. Parker J, Nester CJ, Long AF, et al. The problem with measuring patient perceptions of outcome with existing outcome measures in foot and ankle surgery. Foot Qual Life Res. 2007;16:731-73