Objective: Translate, culturally adapt and validate the Manchester-Oxford Foot Questionnaire (MOXFQ) into Brazilian Portuguese. Methods: The translation followed the guidelines standardized in the literature, including initial translation, back-translation, committee review, pre-test phase, and application of the final questionnaire in 50 patients. Intraobserver reproducibility was evaluated by reapplying the final version of the questionnaire 14 days after the first application. The validation of the final MOXFQ translation was assessed by conjoint application with the SF-36 Quality of Life questionnaire; similar domain scores of the two questionnaires were compared and analyzed. Results: Excellent reproducibility was observed for three domains with statistical significance, the intra-class correlation coefficient (ICC) values were: pain 0.98, walking/standing 0.99, and social interaction 0.98. Internal consistency/reliability obtained excellent values: pain 0.992, walking/standing 0.997, and social interaction 0.992, all with statistical significance (p<0.001). In the MOXFQ validation compared to the SF-36, the highest correlations of the study were found between the SF36 physical functioning domain and the MOXFQ walking/standing (-0.72) and social interaction domains (-0.73). Comparing the MOXFQ walking/standing domain, a good correlation was obtained with the SF-36 physical functioning (-0.41), bodily pain (-0.42), vitality (-0.45), and mental health (-0.40) domains. Also a good correlation was obtained on MOXFQ pain domain with the SF-36 physical functioning (-0.45) and social functioning (-0.43). Conclusion: The MOXFQ Brazilian version proved reliable, valid, and reproducible in measuring the symptoms and functional limitations of patients affected by foot and ankle diseases. Level of Evidence IV; Therapeutic Studies; Case Series.
Introduction: The term “floating metatarsal” refers to a rare injury pattern characterized by metatarsal dislocation in both the Lisfranc and metatarsophalangeal joints. The term “turf toe” refers to the rupture of the plantar capsular-ligamentous complex of the first metatarsophalangeal joint. Objective: To report a rare case of floating metatarsal associated with turf toe and comminuted calcaneocuboid joint fracture causing a midfoot abduction deformity. Method: To report the case of a patient who suffered a motorcycle accident and progressed with this rare combination of associated injuries. Results: The patient underwent surgical cleaning, reconstruction of the plantar capsular-ligamentous injury and reduction with Kirschner wire fixation of the first metatarsal and calcaneal fracture, with a local graft for lateral column and calcaneocuboid joint lengthening. The patient progressed well in the 18-month follow-up; fracture union and good joint stability with a slight limitation in range of motion were achieved. Discussion: Floating metatarsal is an injury poorly described in the literature, and its association with turf toe is due to trauma with metatarsophalangeal hyperextension. The patient may postoperatively develop postraumatically acquired hallux rigidus and hallux valgus. Conclusion: The identification of these injuries and a good clinical evaluation are crucial for adequate treatment and the prevention of possible complications.
Introduction: The McBride test was created to assess hallux valgus reduction and is also used to assess capsular and lateral soft-tissue tension indicating the need for lateral capsular release after the bone procedure in the first metatarsal bone. The flowcharts for lateral soft-tissue release remain unclear and lack consensus among surgeons. Objective: To propose a modified version of the test for the complementary preoperative assessment of hallux valgus reduction. Methods: We describe a method in which the examiner supinates the first metatarsal head medially to manually correct the pronation of the first metatarsal and then applies varus force to the hallux to test the lateral capsular tension of the metatarsophalangeal joint. Results: A significant reduction in lateral capsular tension was observed in the metatarsal head lifting and rotating maneuver compared with the conventional McBride test. Discussion: Hallux valgus reduction is greater with manual correction of the deformity than with the classic McBride test, most likely because of the resulting rotational bone repositioning and soft-tissue balancing. These changes seem to decrease the lateral tension that limits the correction of the deformity in the metatarsophalangeal angular plane. Conclusion: We believe that this modified version of the McBride test can be used as a more reliable predictor of the need for lateral metatarsophalangeal release after the metatarsal position is corrected through osteotomy or cuneometatarsal arthrodesis.
Introduction: Hallux valgus involves, in addition to I/II intermetatarsal angle deviation, a rotational deformity of the first metatarsal bone and its sesamoids in relation to the ground. The correction of the rotation is the objective of new and recently developed surgical techniques. Objective: To describe a radiographic method that can help predict changes resulting from metatarsal rotational correction and facilitate surgical planning. Methods: We acquired radiographs in a weight-bearing anteroposterior position in patients with flexible hallux valgus while asking the patient to actively extend the toes. We compared the weight-bearing radiographs with and without the toe extension maneuver. In addition to radiography, we performed computed tomography (CT) of the nonweight-bearing active toe extension maneuver using a support platform. To measure the changes, we used the classification of Coughlin and Smith et al. Results: We observed clinical and radiographic correction, both angular and rotational, by measuring the intermetatarsal angle and sesamoid position. The changes were confirmed by CT, which showed improvement in the intermetatarsal angle, sesamoid position and metatarsophalangeal range. Discussion: The toe extension maneuver was described as a peroneus longus tendon activation test by Klemola et al., who used it to demonstrate rotational clinical correction of hallux valgus. Here, we described a radiographic method based on this principle to observe the correction power of and factors involved in metatarsal derotation using a preoperative radiographic technique. Conclusion: The method clearly demonstrated the capacity for the correction of preoperative hallux derotation in various planes, thus helping to predict the clinical, angular and rotational outcomes of surgical treatment.
Introduction: The os peroneum is a round or oval sesamoid bone located distally within the substance of the peroneus longus tendon near the cuboid bone. Peacock et al. suggested that the presence of the os peroneum might be associated with tendon rupture due to friction at the junction with the bone; in turn, Brigido et al. developed radiographic criteria that associate sesamoid fracture with mechanical failure of the peroneus longus tendon. Objective: To report an unusual case of peroneus longus tendon injury associated with the presence of os peroneum in a patient with hindfoot varus. Methods: A 55-year-old male patient who engaged in physical activity 3 times a week developed pain on the lateral side of the ankle resulting in decreased physical functioning and sports performance. Radiography showed the presence of os peroneum associated with a proximal injury of the peroneus longus tendon detected by magnetic resonance imaging. Results: The patient was treated conservatively with an analgesic physical therapy program followed by functional rehabilitation. The patient progressed from a score of 9 on the visual analog scale for pain in the first month to a score of 0 at 6 months, with grade 5 final eversion force and a return to sports performance at the preinjury level. Conclusion: Treatment options for this injury range from tendon debridement, fixation or excision of the os peroneum to tenodesis or tendon anchorage to the cuboid or calcaneus. Nonsurgical treatment, including immobilization and the use of anti-inflammatory medication, followed by physical therapy is the initial treatment of choice and, as in the reported case, may provide an excellent outcome.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.