The Effect of Gastrocnemius Tightness on the Pathogenesis of Juvenile Hallux Valgus

Barouk, Louis Samuel

doi:10.1016/j.fcl.2014.08.005

Cited by 40 publications

(19 citation statements)

References 24 publications

(18 reference statements)

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“…On the other hand, the tightening of plantar fascia, which passes medially from the first metatarsophalangeal joint in an oblique route, may lead to increased deformity in HV. 11 In this study, we hypothesized that HV and plantar fasciitis, which are among the most common disorders of the foot, may both affect and aggravate each other by the windlass mechanism. According to the present results in a large study population, the incidence rates of plantar fasciitis and heel spur were significantly increased in correlation with the severity of HV deformity.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Association Between Plantar Fasciitis and Hallux Valgus

Cobden

Çamurcu

Sofu

et al. 2020

Journal of the American Podiatric Medical Association

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Background The windlass mechanism, first described by John Hicks in 1954, defines the anatomical and biomechanical relationship between the hallux and the plantar fascia. Hallux valgus (HV) and plantar fasciitis are the most common foot disorders, and, to date, no study has evaluated the relationship between these disorders. The purpose of this study was to determine the incidence of and factors associated with plantar fasciitis in patients with HV deformity. Methods In this prospective observational study, 486 patients with HV were divided into three groups according to stage of HV deformity. Patient sex, age, and body mass index were recorded. Presence of accompanying plantar fasciitis and heel spur was investigated by physical and radiographic examination. First metatarsophalangeal joint dorsiflexion of the affected side was measured. Patients with or without plantar fasciitis were also compared to evaluate factors associated with plantar fasciitis. Results Mean age and body mass index of the patients were significantly different among the three HV groups. The incidence of plantar fasciitis and heel spur significantly increased in correlation with the severity of HV deformity. Increased age and HV stage and decreased first metatarsophalangeal joint dorsiflexion were significantly associated with presence of plantar fasciitis in HV. Conclusions In this study, the incidence of plantar fasciitis was significantly increased in correlation with the severity of HV deformity. Significant association was found between plantar fasciitis and HV, which are anatomically and biomechanically related to each other by the windlass mechanism.

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Section: Discussionmentioning

confidence: 99%

Evaluation of the Association Between Plantar Fasciitis and Hallux Valgus

Cobden

Çamurcu

Sofu

et al. 2020

Journal of the American Podiatric Medical Association

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“…Barouk et al [8] reported that these structural abnormalities were observed in almost all hallux valgus cases occurring before the age of 12. The patient in this study showed the second and third brachymetatarsia in addition to these characteristics of juvenile hallux valgus.…”

Section: Discussionmentioning

confidence: 99%

“…The structural abnormalities presenting in patients with juvenile hallux valgus have been reported to be a rounded metatarsal head, the loss of the sesamoid crest, the increased DMAA, a long first metatarsus, the high HVA, and the low IMA [7][8][9]. Barouk et al [8] reported that these structural abnormalities were observed in almost all hallux valgus cases occurring before the age of 12.…”

Section: Discussionmentioning

confidence: 99%

“…Many authors reported that hallux valgus in males was more difficult to treat surgically and was associated with other deformities, such as pes planus and metatarsus adductus [7,8,10]. Nery et al [12] reported that hallux valgus in males is commonly hereditary (transmitted on the maternal side) in nature, and shows early onset and higher severity when compared with females.…”

Section: Discussionmentioning

confidence: 99%

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Simultaneous Surgical Correction for Severe Hallux Valgus Deformity Secondary to Lessor Brachymetatarsia

Cho¹

2017

ASS

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Progression to severe hallux valgus following the second and third brachymetatarsia is a rare deformity. This condition is a challenging problem because the entire correction of hallux valgus deformity and metatarsal length discrepancy is necessary to prevent a recurrence of deformity. Metatarsal length discrepancy between the first and second ray in early adolescent patient can be aggravated with the course of time and result in a failed hallux valgus correction. Because there are few references in the literature on the operative procedures for this type of combined deformity, we report a case of 11-year-old boy treated with lesser metatarsals lengthening and the first metatarsal corrective osteotomy.

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“…Procurar uma retração do gastrocnêmio deve ser uma parte essencial do exame do pé e tornozelo para todos os ortopedistas, não apenas para cirurgiões da referida especialidade. Porém, apenas alguns rotineiramente procuram por essa alteração (3,4) . O teste clínico para avaliar a contratura isolada do gastrocnêmico foi descrito por Silverskiold (5,6) .…”

Section: Introductionunclassified

Short gastrocnemius

et al. 2018

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Objective: To determine the prevalence of short gastrocnemius in orthopaedic patients treated in the emergency room and the foot and ankle outpatient clinic of a public hospital and to evaluate the relationship between prevalence and certain specific symptoms. Methods: This was an observational cross-sectional study conducted using a questionnaire completed by patients treated in February 2018. Results: Of the 160 patients studied, 21 (13.1%) had a diagnosis of shortening of the gastrocnemius. The condition was more prevalent in females than in males, with no differences in race, age, laterality or occupation. The most commonly associated symptoms were calf pain, back pain, equinism and metatarsalgia, which were all present in more than 2/3 of cases. Conclusion: Shortening of the gastrocnemius is a fairly common pathology that deserves greater attention in orthopaedic practice. Additional studies are needed to better correlate epidemiological findings with this pathology. Level of Evidence II; Diagnostics Studies.

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The Effect of Gastrocnemius Tightness on the Pathogenesis of Juvenile Hallux Valgus

Cited by 40 publications

References 24 publications

Evaluation of the Association Between Plantar Fasciitis and Hallux Valgus

Evaluation of the Association Between Plantar Fasciitis and Hallux Valgus

Simultaneous Surgical Correction for Severe Hallux Valgus Deformity Secondary to Lessor Brachymetatarsia

Short gastrocnemius

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