Hallux rigidus affects lower limb kinematics assessed with the Gait Profile Score

Cansel, Anniina J.M.; Stevens, Jasper; Bijnens, Wouter; Witlox, Adhiambo M.; Meijer, Kenneth

doi:10.1016/j.gaitpost.2020.12.017

Cited by 4 publications

(4 citation statements)

References 25 publications

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Section: Anatomy and Biomechanicsmentioning

confidence: 99%

“…Subsequently, the loads are transferred lateral in the foot to the lesser metatarsals. 10 These changes can even affect the whole lower limb biomechanics through a smaller step length, higher ankle dorsiflexion, and to a lesser extent, compensatory pelvic rotation. 10 First MTPJ fusion, which is often considered the benchmark of treatment for severe compromise of first MTPJ, improves weight bearing across the medial column.…”

Section: Anatomy and Biomechanicsmentioning

confidence: 99%

“…10 These changes can even affect the whole lower limb biomechanics through a smaller step length, higher ankle dorsiflexion, and to a lesser extent, compensatory pelvic rotation. 10 First MTPJ fusion, which is often considered the benchmark of treatment for severe compromise of first MTPJ, improves weight bearing across the medial column. Although fusion does generate biomechanical changes that lead to a transfer of load from the hallux to the lesser metatarsals when compared with normal patients, it diminishes the load under the lesser metatarsals in patients with hallux valgus and HR.…”

Section: Anatomy and Biomechanicsmentioning

confidence: 99%

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Assessment and Management of Atraumatic First Metatarsophalangeal Joint Pain

Drago¹,

Nazaroff²,

Britton³

et al. 2023

J Am Acad Orthop Surg

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Nontraumatic pain in the first metatarsophalangeal joint is frequent and can be debilitating. The metatarsophalangeal joint complex comprises four articulating surfaces including the first metatarsal, the proximal phalanx, and tibial and fibular sesamoids, which are all contained within a synovial capsule. The most common causes of pain are hallux valgus and hallux rigidus. However, other diagnoses, such as functional hallux limitus, sesamoiditis, gout, and inflammatory autoimmune arthritis, need to be considered as well. A systematic approach is key to accurately diagnose the source of pain, which can sometimes be the result of more than one condition. The most important clinical information to obtain is a focused history, meticulous clinical examination based on understanding the precise anatomy and biomechanics of the first metatarsophalangeal joint, and analysis of the relevant imaging. Each pathology has a different treatment algorithm, as such, understanding the pathoanatomy and biomechanics is important in forming an effective treatment plan.

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Section: Anatomy and Biomechanicsmentioning

confidence: 99%

Section: Anatomy and Biomechanicsmentioning

confidence: 99%

Section: Anatomy and Biomechanicsmentioning

confidence: 99%

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Assessment and Management of Atraumatic First Metatarsophalangeal Joint Pain

Drago¹,

Nazaroff²,

Britton³

et al. 2023

J Am Acad Orthop Surg

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“…Pacienti s hallux rigidus mají vlivem bolestivého a omezeného pohybu I. MTP skloubení tendenci vytáčet nohu do supinace s výsledným přetěžováním laterální části nohy. Tato změna v dynamice chůze pak sekundárně ovlivňuje celou dolní končetinu a dochází k sekundárním změnám v hlezenním a kolenním kloubu (2,5,11). Změna v zatěžování nohy vede ke změně rozložení zátěže na chodidlo a celkový přenos sil v rámci krokového cyklu je alterován.…”

Section: úVodunclassified

Total Replacement of the First Metatarsophalangeal Joint by Medin PH-Flex and Its Effect on Forefoot Biomechanics in the Propulsion Phase of the Gait Cycle

POPELKA ML.,

BARTÁK,

MAZURA

et al. 2023

ACHOT

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PURPOSE OF THE STUDYTotal arthroplasty of the first metatarsophalangeal joint is one of the surgical treatment options for patients with advanced hallux rigidus. This study evaluates the pressure changes in the propulsion phase of the gait cycle using dynamic pedobaro graphy after the total arthroplasty of the first metatarsophalangeal joint by Medin PHFlex and their comparison with the control groups of patients with hallux rigidus and with asymptomatic patients.

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Three decades of gait index development: A comparative review of clinical and research gait indices

Gonçalves

Silva

2022

Clinical Biomechanics

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Hallux rigidus affects lower limb kinematics assessed with the Gait Profile Score

Cited by 4 publications

References 25 publications

Assessment and Management of Atraumatic First Metatarsophalangeal Joint Pain

Assessment and Management of Atraumatic First Metatarsophalangeal Joint Pain

Total Replacement of the First Metatarsophalangeal Joint by Medin PH-Flex and Its Effect on Forefoot Biomechanics in the Propulsion Phase of the Gait Cycle

Three decades of gait index development: A comparative review of clinical and research gait indices

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