Foot structure and lower limb function in individuals with midfoot osteoarthritis: a systematic review

Lithgow, Merridy J; Munteanu, Shannon E.; Buldt, Andrew K.; Arnold, John B.; Kelly, Luke A.; Menz, Hylton B.

doi:10.1016/j.joca.2020.08.012

Cited by 13 publications

(13 citation statements)

References 38 publications

(162 reference statements)

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“…A previous study also showed that people with medial compartment knee osteoarthritis revealed a more pronated foot than healthy controls, possibly due in part to genu varum malalignment of the knee, which causes compensatory overpronation of the pronated foot ( Levinger et al, 2010 ). Pronation with adduction of the talus with calcaneus eversion results in a greater compressive force in the medial midfoot, and this idea has been supported by several studies, reporting that people who have been diagnosed with midfoot osteoarthritis have a more pronated foot posture ( Menz et al, 2010 ; Arnold et al, 2019 ; Arnold et al, 2021 ; Lithgow et al, 2020 ). Older adults, who were diagnosed with radiographic osteoarthritis of the talonavicular joint and navicular–first cuneiform joint, presented flatter feet with greater loading of the midfoot during walking ( Menz et al, 2010 ).…”

Section: Foot Morphology Shape and Posture In Running Activitiesmentioning

confidence: 87%

“…That is, there would be less muscular control when the foot is overpronated, resulting in a lack of normal distribution of excessive force and instability of the foot/ankle ( Subotnick, 1985 ). This patho-mechanical alteration of foot posture, therefore, has been proposed to cause foot diseases such as plantar fasciitis ( Golightly et al, 2014 ), osteoarthritis ( Reilly et al, 2009 ; Lithgow et al, 2020 ), metatarsalgia ( Eustace et al, 1993 ), and stress fractures of the lower limb ( Lysholm and Wiklander, 1987 ).…”

Section: Foot Morphology Shape and Posture In Running Activitiesmentioning

confidence: 99%

See 1 more Smart Citation

Toward improved understanding of foot shape, foot posture, and foot biomechanics during running: A narrative review

Mei

Kim²,

Xiang³

et al. 2022

Front. Physiol.

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The current narrative review has explored known associations between foot shape, foot posture, and foot conditions during running. The artificial intelligence was found to be a useful metric of foot posture but was less useful in developing and obese individuals. Care should be taken when using the foot posture index to associate pronation with injury risk, and the Achilles tendon and longitudinal arch angles are required to elucidate the risk. The statistical shape modeling (SSM) may derive learnt information from population-based inference and fill in missing data from personalized information. Bone shapes and tissue morphology have been associated with pathology, gender, age, and height and may develop rapid population-specific foot classifiers. Based on this review, future studies are suggested for 1) tracking the internal multi-segmental foot motion and mapping the biplanar 2D motion to 3D shape motion using the SSM; 2) implementing multivariate machine learning or convolutional neural network to address nonlinear correlations in foot mechanics with shape or posture; 3) standardizing wearable data for rapid prediction of instant mechanics, load accumulation, injury risks and adaptation in foot tissue and bones, and correlation with shapes; 4) analyzing dynamic shape and posture via marker-less and real-time techniques under real-life scenarios for precise evaluation of clinical foot conditions and performance-fit footwear development.

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Section: Foot Morphology Shape and Posture In Running Activitiesmentioning

confidence: 87%

Section: Foot Morphology Shape and Posture In Running Activitiesmentioning

confidence: 99%

Toward improved understanding of foot shape, foot posture, and foot biomechanics during running: A narrative review

Mei

Kim²,

Xiang³

et al. 2022

Front. Physiol.

View full text Add to dashboard Cite

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“…Given that malalignment and altered loading are associated with the development of OA in other weightbearing joints, 5,6 it is plausible that structural foot characteristics could also be associated with the development of midfoot OA. A recent systematic review examining foot structure and lower limb function found that those with midfoot OA had a more pronated foot posture, greater first ray mobility, less range of motion in the subtalar joint and first metatarsophalangeal joints, longer central metatarsals, and elevated plantar pressures during walking 7 . However, radiographic measures of foot structure or alignment were only investigated in four studies from this review 8–11 .…”

Section: Introductionmentioning

confidence: 97%

Structural Foot Characteristics in People With Midfoot Osteoarthritis: Cross‐Sectional Findings From the Clinical Assessment Study of the Foot

Lithgow

Buldt

Munteanu

et al. 2023

Arthritis Care & Research

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ObjectiveTo compare radiographic measures of foot structure between people with and without symptomatic radiographic midfoot osteoarthritis (OA).MethodsThis was a cross‐sectional study of adults aged ≥50 years registered with four UK general practices who reported foot pain in the past year. Bilateral weightbearing dorsoplantar and lateral radiographs were obtained. Symptomatic radiographic midfoot OA was defined as midfoot pain in the last four weeks, combined with radiographic OA in one or more midfoot joints (first cuneometatarsal, second cuneometatarsal, navicular‐first cuneiform and talonavicular). Midfoot OA cases were matched 1:1 for sex and age to controls with a five‐year age tolerance. Eleven radiographic measures were extracted and compared between the groups using independent samples t‐tests and effect sizes (Cohen's d).ResultsWe identified 63 midfoot OA cases (mean age 66.8, SD 8.0, 32 males, 31 females) and matched these to 63 controls (mean age 65.9, SD 7.8). There were no differences in metatarsal lengths between the groups. However, those with midfoot OA had a higher calcaneal first metatarsal angle (d=0.43, small effect size, p=0.018) and lower calcaneal inclination angle (d=0.46, small effect size, p=0.011) compared with controls.ConclusionsPeople with midfoot OA have a flatter foot posture compared with controls. Although caution is required when inferring causation from cross‐sectional data, these findings are consistent with a pathomechanical pathway linking foot structure to the development of midfoot OA. Prospective studies are required to determine the temporal relationships between foot structure, function, and the development of this common and disabling condition.image

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“…Low-dose radiotherapy has been used for pain relief for foot and ankle osteoarthritis [14], however the mechanism of action is unknown [15]. As alterations in foot and lower limb biomechanics are likely to play an important role in the development and progression of midfoot OA [16], interventions such as FOs and footwear modifications that can alter midfoot joint movement and forces during gait [17][18][19] are speculated to be effective for midfoot OA [19][20][21][22]. Where these non-surgical interventions are unable to improve symptoms, surgery can be considered [9].…”

Section: Introductionmentioning

confidence: 99%

Efficacy of non-surgical interventions for midfoot osteoarthritis: a systematic review

et al. 2023

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This systematic review aims to investigate the efficacy of non-surgical interventions for midfoot osteoarthritis (OA). Key databases and trial registries were searched from inception to 23 February 2023. All trials investigating non-surgical interventions for midfoot OA were included. Quality assessment was performed using the National Institutes of Health Quality Assessment Tool. Outcomes were pain, function, health-related quality of life, and adverse events. Effects (mean differences, standardised mean differences, risk ratios) were calculated where possible for the short (0 to 12 weeks), medium (> 12 to 52 weeks), and long (> 52 weeks) term. Six trials (231 participants) were included (one feasibility trial and five case series) — all were judged to be of poor methodological quality. Two trials reported arch contouring foot orthoses to exert no-to-large effects on pain in the short and medium term, and small-to-very-large effects on function in the short and medium term. Two trials reported shoe stiffening inserts to exert medium-to-huge effects on pain in the short term, and small effects on function in the short term. Two trials of image-guided intra-articular corticosteroid injections reported favourable effects on pain in the short term, small effects on pain and function in the medium term, and minimal long term effects. Two trials reported minor adverse events, and none reported health-related quality of life outcomes. The current evidence suggests that arch contouring foot orthoses, shoe stiffening inserts and corticosteroid injections may be effective for midfoot OA. Rigorous randomised trials are required to evaluate the efficacy of non-surgical interventions for midfoot OA.

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Foot structure and lower limb function in individuals with midfoot osteoarthritis: a systematic review

Cited by 13 publications

References 38 publications

Toward improved understanding of foot shape, foot posture, and foot biomechanics during running: A narrative review

Toward improved understanding of foot shape, foot posture, and foot biomechanics during running: A narrative review

Structural Foot Characteristics in People With Midfoot Osteoarthritis: Cross‐Sectional Findings From the Clinical Assessment Study of the Foot

Efficacy of non-surgical interventions for midfoot osteoarthritis: a systematic review

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