Abstract
To examine the influence of the configuration of the first and second metatarsal (MT) bones on the development of hallux valgus deformity. To determine the extent to which the difference in the lengths of the first and second MT bones, measured distal to the Maestro line, contribute to the severity of the hallux valgus (HV) deformity defined by the size of the hallux valgus angle (HVA) and inter-metatarsal angle (IMA). On a sample of 319 feet with HV deformity the difference of measured lengths R = d (I MT) − d (II MT) was calculated The influence of differences (R) on the values of IMA and HVA as well as on the severity of deformities according to the formed groups was investigated. The influence of age on the development of deformities was examined separately as well as in conjunction with the determined difference in lengths. In 203 feet or 63.7%, a shorter MT bone was measured, while in 80 feet or 25.1% the first MT bone was longer than second ones and only in 36 feet or 11.3% there is no difference in the length of the 1st and 2ndMT bones distal to the Maestro line. A statistically significant correlation was found between the difference between the measured lengths of 1st and 2nd MT bones and IMA, while this correlation with HVA was not statistically significant. There is no statistically significant correlation or the effect of the difference in measured lengths (R) on the severity of hallux valgus deformity classified into three groups. A statistically significant correlation and impact of the age on the intensity of the deformity are established. A shorter 1st MT bone in correlation to the 2nd MT bone is accompanied by an increase in IMA and this correlation and impact are statistically significant. It was not established that there was a statistically significant influence of the length of the first and second metatarsal bone measured distal from Maestro line upon the values of HVA and severity of HV deformity. Age significantly contributes to the severity of the deformity.
Highlights
To examine the influence of the configuration of the first and second metatarsal (MT) bones on the development of hallux valgus deformity
A special place in the study of endogenous etiological factors is occupied by the configuration of the front part of the foot, which is defined by digital and metatarsal formula[3,5]
They show that the measured lengths of the first (I MT) and second metatarsal (II MT) bones were analyzed as relative values
Summary
To examine the influence of the configuration of the first and second metatarsal (MT) bones on the development of hallux valgus deformity. It was not established that there was a statistically significant influence of the length of the first and second metatarsal bone measured distal from Maestro line upon the values of HVA and severity of HV deformity. A very small number of papers are devoted to the influence of bone and joint structure, which as such is genetically determined, on the development of hallux valgus deformity They show that the measured lengths of the first (I MT) and second metatarsal (II MT) bones were analyzed as relative values. The main goal of this study is to determine whether and to what extent the difference in the length of the first and second metatarsal bones distal to the Maestro line affects the severity of hallux valgus deformity or the size of the hallux valgus angle and inter-metatarsal angle and whether this influence in correlation to the age of the respondents
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