Hallux valgus with and without metatarsalgia in women: a matched-cohort study of plantar pressure measurements

Roman, Carmen Verdu; Giménez, E. Martínez; Puga, David Bustamante Suarez de; Martínez, Jesús Más; Santias, Manuel Morales; Sanz-Reig, J.

doi:10.1007/s43465-021-00416-3

Cited by 6 publications

(8 citation statements)

References 33 publications

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“…The items relating to pain were all validated by the expert panel; the experts also added an item relating to pain location. This makes sense since hallux valgus may cause pain in areas other than the first metatarsophalangeal joint, such as the lateral metatarsals [ 27 ]. A precise analysis of the extent of preoperative pain is essential since the degree of preoperative pain may influence postoperative persistence of pain [ 56 ].…”

Section: Discussionmentioning

confidence: 99%

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Development of a preoperative questionnaire to improve satisfaction with hallux valgus repair: A Delphi study

Blouin

Genêt²,

Denormandie³

et al. 2022

PLoS ONE

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Background Satisfaction with hallux valgus repair is often poor, despite good surgical outcomes. Many tools have been developed to assess the outcome of the procedure; however none evaluate the association between the initial motive for repair and the reasons for post-surgical dissatisfaction. The aim of this study was to develop a new tool to analyse the subjective and objective expectations of individuals during a pre-operative consultation for hallux valgus repair in order to improve post-surgical satisfaction. Methods We first collected the reasons for dissatisfaction with repair from the medical files of dissatisfied individuals. Then, a steering committee of 4 French experts in the management of hallux valgus designed a questionnaire based on the reasons for dissatisfaction. We then used the DELPHI method to validate the questionnaire: we submitted the questionnaire to a panel of 34 francophone experts in hallux valgus repair for rating in 4 rounds. Results The medical files of 853 individuals were reviewed and a 52-item questionnaire relating to expectations from hallux valgus surgery was drafted. After the 4 rounds, a final 44 item questionnaire reached consensus. Thirteen items related to clinical and psychological profile, 5 to pain, 9 to physical activity, 4 to aesthetics and 13 to footwear. Conclusion This tool should facilitate gathering of individuals’ expectations from hallux valgus repair to ensure realistic goals and reduce post-surgical dissatisfaction.

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Section: Discussionmentioning

confidence: 99%

“…Baropodometry is also used as part of the routine clinical assessment of hallux valgus [25][26][27]. In particular, it provides a measurement of dynamic plantar pressures before and after the operation [28,29].…”

Section: Introductionmentioning

confidence: 99%

Development of a preoperative questionnaire to improve satisfaction with hallux valgus repair: A Delphi study

Blouin

Genêt²,

Denormandie³

et al. 2022

PLoS ONE

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show abstract

Section: Discussionmentioning

confidence: 99%

“…Whether static or dynamic, the pressure under the first metatarsal head of a hallux valgus foot is significantly lower than that of a normal foot, and the pressure under the second metatarsal head is significantly higher than that of a normal foot. 3 The above research shows that the occurrence of hallux valgus changes the pressure balance of the forefoot, resulting in an increase in pressure under the responsible metatarsal head, which manifests as pain under the metatarsal head upon loading. The multivariate logistic regression analysis showed that the peak pressure under the second metatarsal head (OR = 1.607, 95% CI [1.342, 1.925]) was one of the important risk factors for hallux valgus complicated with pain under the second metatarsal head.…”

Section: Internal Validationmentioning

confidence: 94%

“…2 Often, patients with hallux valgus also have metatarsalgia. 3,4 The preliminary investigation of this research group found that 61.7% (148/240) of patients with hallux valgus were complicated with metatarsal pain, the most common of which was pain in the secondlower metatarsal. 5 Patients with hallux valgus often complain of pain under the metatarsal head and seek medical treatment.…”

Section: Introductionmentioning

confidence: 95%

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Establishment and Validation of a Predictive Nomogram for Hallux Valgus with Pain Under the Second Metatarsal

Bai¹,

Cao²,

Yang³

et al. 2022

JPR

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To investigate the risk factors for hallux valgus complicated with pain under the second metatarsal and construct an effective model and method for predicting hallux valgus complicated with pain under the second metatarsal based on risk factors. Methods: A total of 545 patients with hallux valgus who were admitted to our hospital were divided randomly into a training set and a validation set. The demographic characteristics, imaging indices and gait test indices of the patients were collected. The risk factors were identified by univariate and multivariate logistic regression analyses. A risk prediction model for hallux valgus with pain under the second metatarsal was established, and the area under the curve (AUC) of the receiver operating characteristic and a decision curve analysis were used for verification and identification. The value of the model was tested in the verification group. Results: Second metatarsal length, second metatarsal peak pressure, hallux valgus angle (HVA), intermetatarsal angle 1-2 (IMA1-2) and weight were the risk factors for hallux valgus complicated with pain under the second metatarsal. Based on the weighting of these seven risk factors, a prediction model was established. The AUC of the prediction model was 0.84 (95% confidence interval [CI]: 0.802~0.898, P < 0.05), and the results of a Hosmer-Lemeshow test showed a good degree of calibration (χ 2 = 10.62, P > 0.05). The internal validation of the AUC was 0.83 (95% CI: 0.737-0.885, P < 0.05). The model had obvious net benefits when the threshold probability was 10%-70%. Conclusion: Second metatarsal length, second metatarsal peak pressure, HVA, IMA1-2 and weight were the risk factors for hallux valgus combined with second metatarsal pain. The risk prediction model for hallux valgus complicated with pain under the second metatarsal based on these seven variables was proven effective.

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Surgical interventions for treating hallux valgus and bunions

Dias,

Godoy-Santos,

Ferrari

et al. 2024

Cochrane Database of Systematic Reviews

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Hallux valgus with and without metatarsalgia in women: a matched-cohort study of plantar pressure measurements

Cited by 6 publications

References 33 publications

Development of a preoperative questionnaire to improve satisfaction with hallux valgus repair: A Delphi study

Development of a preoperative questionnaire to improve satisfaction with hallux valgus repair: A Delphi study

Establishment and Validation of a Predictive Nomogram for Hallux Valgus with Pain Under the Second Metatarsal

Surgical interventions for treating hallux valgus and bunions

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