PMID- 15363374
OWN - NLM
STAT- MEDLINE
DCOM- 20041221
LR  - 20170214
IS  - 1071-1007 (Print)
IS  - 1071-1007 (Linking)
VI  - 25
IP  - 8
DP  - 2004 Aug
TI  - Hallux valgus and first ray mobility: a cadaveric study.
PG  - 537-44
AB  - BACKGROUND: Several studies have demonstrated that patients with hallux valgus 
      (HV) deformities have increased first ray sagittal mobility. However, the change 
      in mobility that occurs after surgical correction of HV deformities has not been 
      extensively evaluated. This study was done to determine if surgical realignment 
      of the first ray in cadaver specimens with a proximal crescentic osteotomy and 
      distal soft tissue reconstruction (DSTR) would reduce the first ray sagittal 
      motion as measured with an external-type micrometer (the Klaue device). METHODS: 
      Twelve fresh-frozen below-knee cadaver specimens with an HV deformity (HV angle > 
      15 degrees, 1-2 IM angle > 9 degrees) were used for the study. Standardized 
      simulated weightbearing radiographs were obtained before and after the surgical 
      correction of the deformity. The first ray sagittal motion was measured with an 
      external micrometer (Klaue device) before correction of the HV deformity and 
      after the procedure. All specimens had correction of the hallux valgus deformity 
      with a DSTR and proximal crescentic osteotomy. Internal fixation was applied to 
      secure the osteotomy site. RESULTS: The HV angle was corrected from a mean of 
      28.6 degrees to a mean of 11.0 degrees. The 1-2 IM angle was corrected from a 
      mean of 12.9 degrees to a mean of 6.8 degrees. The average preoperative first ray 
      sagittal motion was 11.0 mm (range, 8.5 mm to 13.5 mm). After the surgical 
      repair, the mean sagittal first ray motion was significantly decreased (p <.0005) 
      to a mean of 5.2 mm (range, 3.5 mm to 7.5 mm). CONCLUSION: After correction of HV 
      deformities with a DSTR and a proximal crescentic osteotomy, first ray mobility 
      in cadaver specimens was significantly reduced. The stabilization of first ray 
      mobility that occurred immediately after surgical correction despite leaving the 
      capsule of the first metatarsocuneiform (MC) joint undisturbed suggests that 
      extrinsic anatomic features may play a role in first ray mobility. Additionally, 
      stability of the first ray may be restored with a bunion procedure that does not 
      sacrifice the first MC joint.
FAU - Coughlin, Michael J
AU  - Coughlin MJ
AD  - University of Barcelona, Spain. footmd@aol.com
FAU - Jones, Carroll P
AU  - Jones CP
FAU - Viladot, Ramon
AU  - Viladot R
FAU - Golano, Pau
AU  - Golano P
FAU - Grebing, Brett R
AU  - Grebing BR
FAU - Kennedy, Michael J
AU  - Kennedy MJ
FAU - Shurnas, Paul S
AU  - Shurnas PS
FAU - Alvarez, Fernando
AU  - Alvarez F
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - United States
TA  - Foot Ankle Int
JT  - Foot & ankle international
JID - 9433869
SB  - IM
EIN - Foot Ankle Int. 2014 Jun;35(6):639. Glano, Pau [corrected to Golano, Pau]
MH  - Aged
MH  - Aged, 80 and over
MH  - Cadaver
MH  - Female
MH  - Foot Bones/physiopathology/surgery
MH  - Hallux Valgus/*physiopathology/*surgery
MH  - Humans
MH  - Male
MH  - Motion
EDAT- 2004/09/15 05:00
MHDA- 2004/12/22 09:00
CRDT- 2004/09/15 05:00
PHST- 2004/09/15 05:00 [pubmed]
PHST- 2004/12/22 09:00 [medline]
PHST- 2004/09/15 05:00 [entrez]
AID - 841419 [pii]
AID - 10.1177/107110070402500805 [doi]
PST - ppublish
SO  - Foot Ankle Int. 2004 Aug;25(8):537-44. doi: 10.1177/107110070402500805.