A relação do ângulo da articulação metatarsofalangeana e de medidas antropométricas com a postura dos pés de idosos

Ap, Castro; Rebelatto,; Tr, Aurichio

doi:10.1590/s1413-35552009005000004

Cited by 5 publications

(1 citation statement)

References 23 publications

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“…The radiographic study followed the technical standardization described in previous studies. 10,18 The angles were assessed on the printed radiographs of the feet using a goniometer. The angles were measured between the first and second metatarsals -formed by the intersection of the longitudinal axes of the diaphyses of these two bones -and hallux valgus angle -formed by the intersection of the longitudinal axes of the first metatarsal diaphysis and the proximal phalanx diaphysis 2,11,19 .…”

Section: Methodsmentioning

confidence: 99%

Hallux Valgus Anatomical Alterations and Its Correlation With the Radiographic Findings

et al. 2020

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Objective: To describe the anatomical and pathological osteoarticular, muscular and tendinous variations in feet of cadavers with hallux valgus and to correlate them with the degree of radiographic deformity. Methods: Dissections and radiographs were conducted in the feet of 22 cadavers with halux valgus, aged between 20 and 70 years. The feet affected were compared with 5 normal feet in order to document the anatomical and pathological, myotendinous and articular variations found. Results: The extensor hallucis longus and brevis tendons were arched in all degrees of deformity, causing a lateral deviation that forms the arc chord of the metatarsophalangeal angle of the hallux. We also observed a deviation to the plantar face of the abductor muscle tendon and lateral deviation of the flexor hallucis muscle tendon. In the moderate deformities, the medial deviation of the first metatarsal head was observed, sliding out of the sesamoid apparatus, pronation of this head, and formation of medial exostoses. In severe deformities, in addition to all other deformities, we found the extensor hallucis longus tendon with two distal insertions, rather than just one. Conclusion: The anatomical alterations found in the hallux valgus may be related to the degree of radiographic deformity . Level of Evidence IV, Case series.

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