Degenerative osteoarthrosis of tarsometatarsal joints in hallux valgus: a radiographic study

Ito, Katsuya; Tanaka, Yasuhito; Takakura, Yoshinori

doi:10.1007/s00776-003-0691-1

Cited by 20 publications

(24 citation statements)

References 8 publications

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“…Although there is one report [12] suggesting that metatarsus adductus has a relationship to the development of osteoarthritis of the second tarsometatarsal joint, there was no significant difference in the metatarsus adductus angle between the study group and control group in our study.…”

Section: Discussioncontrasting

confidence: 86%

Degenerative osteoarthritis of the second metatarsophalangeal joint: second toe rigidus

Cho

Kim

Lee

2013

International Orthopaedics (SICOT)

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Purpose The purpose of this study was to evaluate the radiographic characteristics and structural configurations of a series of patients with a primary degenerative arthritis of the second metatarsophalangeal joint. Methods We studied 37 feet that had undergone surgical treatment for primary degenerative arthritis of the second metatarsophalangeal joint. The patients were compared with a randomly selected control group, without arthritis of the second metatarsophalangeal joint. The first, second, and fourth metatarsal lengths, and the size of the second metatarsal head were measured on weight-bearing anteroposterior radiographs. The patients were classified on the basis of joint-space narrowing, subchondral sclerosis, osteophyte formation, and subchondral cystic change. Results The average second metatarsal length was significantly longer in the study group (P=0.01). The average length of the first metatarsal relative to the fourth metatarsal was significantly shorter (P=0.02) in the study group, while the average length of the second metatarsal relative to the fourth metatarsal was significantly longer (P=0.01) in the study group. The average diameter of the second metatarsal head was significantly larger in the study group (P=0.00), and the average ratio of this diameter relative to the length of the fourth metatarsal was significantly higher in the study group (P=0.00). A total of four feet were classified as grade 0, nine as grade 1, 17 as grade 2, and seven as grade 3. Conclusions Second toe rigidus should be considered as a diagnosis in patients with painful limited dorsiflexion of the second metatarsophalangeal joint without evidence of Freiberg's infraction or trauma.

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Section: Discussioncontrasting

confidence: 86%

Degenerative osteoarthritis of the second metatarsophalangeal joint: second toe rigidus

Cho

Kim

Lee

2013

International Orthopaedics (SICOT)

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“…This may explain our finding of an association between higher MAA and TMT OA, which held even after controlling for other variables. Ito et al 12 identified the same association. However, their study included patients with TMT OA with unknown symptomatology; our study went farther by including only patients who required surgery for symptomatic TMT OA.…”

Section: Discussionmentioning

confidence: 73%

“…While a long second ray has been anecdotally associated with hammertoe or crossover toe formation, previous authors have not found a definitive relationship between second metatarsal length and second toe deformity. 13,20 However, Ito et al 12 found that hallux valgus patients with TMT joint OA had significantly longer second, third, and fourth metatarsal lengths compared with those without TMT OA. Our study failed to support that finding.…”

Section: Discussionmentioning

confidence: 99%

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Relationship of Radiographic and Clinical Parameters With Hallux Valgus and Second Ray Pathology

et al. 2016

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“…Accordingly, the mapping system has proven to be a useful analytical method, as it enables anatomic quantitative measurements of the foot structure. 9,12,15,20,23-25,31 The influence of the foot structure on the center of foot pressure was reported in previous studies. 7,14 Yoho et al 32 reported an increase in metatarsus adductus angle as an anatomic feature of Jones fractures and the stress of the metaphyseal-diaphyseal junction of the fifth metatarsal created by the anatomic construct of the fifth metatarsal acting as a lever arm.…”

Section: Discussionmentioning

confidence: 78%

Pathoanatomy of the Jones Fracture in Male University Soccer Players

et al. 2019

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Background: Jones fractures are relatively common in soccer players and require an extended recovery period because this type of fracture has a high incidence of delayed union, nonunion, and refracture. There has been some previous research on risk factors for Jones fracture, but no study has yet investigated the effect of the length of the fifth metatarsal bone and the positional relationship of the articular surface of the fifth metatarsal bones and the tarsal bones. Clarification of the characteristics of the foot structure that predispose soccer players to Jones fracture may aid in the prevention of this injury. Purpose: To investigate the association between Jones fracture and foot structure as assessed with a mapping system on weightbearing dorsoplantar and lateral foot radiographs. Study Design: Cohort study; Level of evidence, 3. Methods: We used a mapping system to evaluate the radiographs of 60 feet from 30 university soccer players with Jones fractures and a control group of 60 feet from 60 male university soccer players without Jones fracture. The groups were compared regarding the length of the fifth metatarsal and the positions of the metatarsal and tarsal bones. Results: Analysis of weightbearing dorsoplantar foot radiographs showed that the fifth metatarsal was significantly longer and that its proximal tip was positioned more proximally in the Jones fracture group as compared with the control group. Analysis of weightbearing lateral foot radiographs showed that the reference points for the medial arch were significantly higher in the Jones fracture group than in the control group. Conclusion: This study indicated that the proximally longer fifth metatarsal may cause greater stress at the base of the fifth metatarsal bone because the lever arm becomes long. In addition, high medial longitudinal arch may contribute to increased load on the lateral side of the foot. Thus, these anatomic features may be useful to identify soccer players at high risk of Jones fracture at medical checkup.

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Degenerative osteoarthrosis of tarsometatarsal joints in hallux valgus: a radiographic study

Cited by 20 publications

References 8 publications

Degenerative osteoarthritis of the second metatarsophalangeal joint: second toe rigidus

Degenerative osteoarthritis of the second metatarsophalangeal joint: second toe rigidus

Relationship of Radiographic and Clinical Parameters With Hallux Valgus and Second Ray Pathology

Pathoanatomy of the Jones Fracture in Male University Soccer Players

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