Prevalence estimation and familial tendency of common forefoot deformities in Turkey: A survey of 2662 adults

Abstract

ObjectiveThis survey was designed to evaluate the prevalence estimations of HV, bunionette, hammertoe as well as their relations to shoe wearing and also familial tendency, in Turkey.Material and MethodsTwo thousand six hundred sixty two volunteers (1615 females and 1047 males) with a mean age of 34.15 ± 14.23 (range; 18 to 96) years were asked to answer the predetermined questionnaire between January and June, 2016. Hallux valgus, hammertoe and bunionette images were provided as references and every adult participant without any known forefoot problems or past forefoot surgery history was asked to rate his/her foot and to respond the questions about family history and shoe wearing habits. Responses were statistically analyzed.ResultsThe prevalence estimations of hallux valgus, bunionette and hammertoe were calculated as 54.3%, 13.8% and 8.9% and positive family history rates were 53.2%, 61.2% and 56.1%, respectively. All three deformities were more common in females than in males (p < 0.001). Nonetheless the older age group reported significantly higher prevalence rates for only HV (p < 0.001). Likewise, among the three deformities, females reported a higher rate of positive family history only in HV compared to men (p < 0.001). Constricting shoe wear was found to affect HV incidence in women (p < 0.001) and bunionette incidence in both sexes (p < 0.01).ConclusionThis study concludes that forefoot deformities are common with high familial tendency. Hence it is worthwhile to work on molecular genetics and this may enable the anticipation of forthcoming deformities in order to take early action in prevention, in nearly the half of the population.

Degree of Impact of Tailor’s Bunion on Quality of Life: A Case–Control Study

“…During the first visit, we analyzed the influence of different TB types in relation to general quality of life and foot health in an adult sample. This finding is normally related to women [ 9 , 36 ]. These problems or conditions tend to increase among older people [ 9 ], and women have significant foot health conditions that require costly forefoot surgeries [ 37 ].…”

“…Even though there is no direct relationship between symptomatic TB and gender, this condition seems to occur more frequently in women [ 38 ]. The type and characteristics of footwear affect TB development, which occurs most frequently in women [ 9 , 36 ]. The results of our study demonstrate that men with TB3 showed the lowest values on the foot-related FSHQ score, proving that men have a greater limitation in contrast to that found in women.…”

“…There is a specific lack of studies about TB and quality of life and foot health. Most of the research relates forefoot injuries, such as hallux valgus, hammer toes, TB, and metatarsal pain, with quality of life and foot health in general [ 9 , 42 , 43 ]. We have not found any scientific literature linking social well-being to foot health in patients with TB.…”

“…TB occurs frequently in adolescents and adults, and more frequently in Caucasian versus African American people [ 6 ]. The prevalence of TB in the population is 13.8%, with a mean age of 45 years, and has a higher incidence of 69% to 79.5% in women [ 5 , 7 , 8 , 9 ]. Although, TB etiology is not clear because it appears to be multifactorial and is caused by an increase in friction and pressure on the lateral broadside of the foot from wearing tight shoes [ 5 , 10 ], a prominent lateral condyle which produces the hypertrophy of soft tissue [ 11 ], lateral bending of the fifth metatarsal [ 12 ], a short fifth metatarsal [ 13 ], accessory ossicles between the fourth and fifth metatarsals [ 7 ], and a biphalangeal fifth toe [ 14 ].…”

Osteoarticular lesions of lesser toes as cause of dermatological problems within the foot

“…Początkowo zgięcie ma charakter elastyczny i odwracalny, jednak z upływem czasu staje się sztywne i niekorektywne za sprawą przykurczu torebki stawowej wraz z mięśniami zaopatrującymi staw, co może generować dolegliwości bólowe [4,5,6]. Autorzy badania przeprowadzonego w Turcji z udziałem 2662 dorosłych osób szacują częstość występowania deformacji palców na 8,9% [7]. Częstość ta wzra-sta z wiekiem, a większe predyspozycje do deformacji mają kobiety oraz osoby z obciążeniami rodzinnymi.…”