Surgical procedures and outcomes in the treatment of hallux valgus with metatarsus adductus

Abstract

To determine the severity of metatarsus adductus (MA) comparing with Bleck’s classification as a commonly acceptable method for assessing MA, static foot scan has been used. In this cross-sectional descriptive research study, 100 subjects were equally divided into four groups according to Bleck’s classification. The feet were scanned and MA severity (MAS) index was measured on the obtained foot scan images. The MAS index was the ratio of the transverse deviation of the forefoot from the lateral border heel line to the width of the ball of the foot. The mean of the MAS index in normal, mild, moderate, and severe MA was 0.02 ± 0.02, 0.1 ± 0.01, 0.159 ± 0.03, and 0.216 ± 0.025, respectively. The difference of MAS index between each group was significant (p < 0.001). The mean of MAS index in 4 groups was consistent with Bleck’s classification, with a significant increase from normal to severe MA (p < 0.05). Since the results of this method are consistent with Bleck’s classification and this novel foot scan assessment appears to be more objective than Bleck’s classification, the authors recommend this method to be used in examination of patients with MA. However, further studies should be conducted to define interobserver and intraobserver reliability.Level of evidence: III.