Hindfoot Alignment in Flexible Cavovarus Deformity Under Orthostatic and Coleman Block Test Positions: A Weightbearing Computed Tomography Study. (Record no. 14710)

MARC details
000 -LEADER
fixed length control field 04269nam a22004457a 4500
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fixed length control field 241030s20242024 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 1071-1007
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 39056577
245 ## - TITLE STATEMENT
Title Hindfoot Alignment in Flexible Cavovarus Deformity Under Orthostatic and Coleman Block Test Positions: A Weightbearing Computed Tomography Study.
251 ## - Source
Source Foot & Ankle International. :10711007241258180, 2024 Jul 26
252 ## - Abbreviated Source
Abbreviated source Foot Ankle Int. :10711007241258180, 2024 Jul 26
253 ## - Journal Name
Journal name Foot & ankle international
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2024
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Manufacturer FY2025
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Publication date 2024 Jul 26
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status aheadofprint
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Medline status Publisher
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Date added to catalog 2024-10-30
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Date Medline record created 2024/07/26 08:22
501 ## - WITH NOTE
Local holdings Available online from MWHC library: 1999 - present, Available in print through MWHC library: 1999 - 2006
520 ## - SUMMARY, ETC.
Abstract BACKGROUND: Flexible cavovarus deformity is prevalent and the Coleman block test is frequently used to assess the first ray plantarflexion malpositioning in the overall deformity as well as the flexibility of the hindfoot. The objective was to assess and compare the weightbearing computed tomography (WBCT) 3-dimensional (3D) changes in clinical and bone alignment in flexible cavovarus deformity patients when performing the Coleman block test when compared to normal standing position and to controls.
520 ## - SUMMARY, ETC.
Abstract CONCLUSION: In this study, we observed improvement in the overall 3D WBCT alignment (FAO), axial plane adduction deformity (TNCA), as well as CT simulated clinical hindfoot alignment (WBCT-CHAA) in flexible cavovarus deformity patients when performing a Coleman block test. However, we did not find improvement in measures of coronal alignment of the hindfoot, indicating continued varus positioning of the hindfoot in these patients.
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Abstract LEVEL OF EVIDENCE: Level III, retrospective comparative study.
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Abstract METHODS: Twenty patients (40 feet) with flexible cavovarus deformity and 20 volunteer controls (40 feet) with normal foot alignment underwent WBCT imaging of the foot and ankle. Cavovarus patients were assessed in normal orthostatic and Coleman block test positions. Foot and ankle offset (FAO), hindfoot alignment angle (HAA), talocalcaneal angle (TCA), subtalar vertical angle (SVA) and talonavicular coverage angle (TNCA) and a CT-simulated soft tissue envelope image, WBCT clinical hindfoot alignment angle (WBCT-CHAA), were evaluated by 2 readers. Measurements were compared between cavovarus nonstressed and stressed positions and to controls. P values of .05 or less were considered significant.
520 ## - SUMMARY, ETC.
Abstract RESULTS: The intra- and interobserver intraclass correlation coefficient were good or excellent for all WBCT measurements. Cavovarus patients demonstrated significant correction of WBCT-CHAA (9.7 +/- 0.4 degrees), FAO (2.6 +/- 0.4%), and TNCA (8.8 +/- 1.8 degrees) when performing the Coleman block test (all P values <.0001). However, WBCT-CHAA and FAO measurements were still residually deformed and significantly different from controls (P values of .001 and <.0001, respectively). TNCA values corrected to values similar to healthy controls (P = .29). No differences were observed in cavovarus patients during Coleman block test for the coronal measures: HAA, TCA, and SVA measurements.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Indexing Automated
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Union Memorial Hospital
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Department Foot and Ankle Surgery Fellowship
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Medline publication type Journal Article
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Local Authors Barbachan Mansur, Nacime Salomao
Institution Code MUMH
Program Foot and Ankle Surgery Fellowship
Degree MD, PhD
790 ## - Authors
All authors Pires EA, Lobo CFT, Fonseca FC, Sposeto RB, Barbachan Mansur NS, Easley ME, de Cesar Netto C, Godoy-Santos AL
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1177/10711007241258180">https://dx.doi.org/10.1177/10711007241258180</a>
Public note https://dx.doi.org/10.1177/10711007241258180
858 ## - ORCID
ORCID text Barbachan Mansur, Nacime Salomao
Orcid <a href="https://orcid.org/0000-0003-1067-727X">https://orcid.org/0000-0003-1067-727X</a>
Name https://orcid.org/0000-0003-1067-727X
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ORCID text de Cesar Netto, Cesar
Orcid <a href="https://orcid.org/0000-0001-6037-0685">https://orcid.org/0000-0001-6037-0685</a>
Name https://orcid.org/0000-0001-6037-0685
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ORCID text Pires, Eduardo Araujo
Orcid <a href="https://orcid.org/0000-0001-6008-8671">https://orcid.org/0000-0001-6008-8671</a>
Name https://orcid.org/0000-0001-6008-8671
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
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              10/30/2024   39056577 39056577 10/30/2024 10/30/2024 Journal Article

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