000 03328nam a22004097a 4500
008 241030s20242024 xxu||||| |||| 00| 0 eng d
022 _a1071-1007
040 _aOvid MEDLINE(R)
099 _a39080928
245 _aQuantification of First Metatarsal Joint Surface Interactions in Hallux Rigidus Using Distance and Coverage Mapping: A Case-Control Study.
251 _aFoot & Ankle International. :10711007241258447, 2024 Jul 30
252 _aFoot Ankle Int. :10711007241258447, 2024 Jul 30
253 _aFoot & ankle international
260 _c2024
260 _fFY2025
260 _p2024 Jul 30
265 _saheadofprint
265 _tPublisher
266 _d2024-10-30
266 _z2024/07/31 01:23
501 _aAvailable online from MWHC library: 1999 - present, Available in print through MWHC library: 1999 - 2006
520 _aBACKGROUND: Weightbearing cone-beam computed tomography (WBCT) has proven useful for analysis of structural changes of the foot and ankle when compared to conventional radiographs. WBCT allows for extraction of distance and coverage mapping metrics, which may provide novel insight into hallux rigidus (HR). This study retrospectively assessed HR joint space using distance and coverage mapping in a case-control study.
520 _aCONCLUSION: Distance and coverage mapping serve as a complementary option to current techniques of quantifying HR changes. These metrics can expand the scope of future work investigating joint articulation changes in HR.
520 _aMETHODS: WBCT images of the foot and ankle for 20 symptomatic HR and 20 control patients were obtained. Three-dimensional models were created and analyzed using a custom semiautomatic measurement algorithm. Distance and coverage mapping metrics for the first metatarsophalangeal and metatarsosesamoid joints were extracted from the models and compared between cohorts. Relationships between these metrics and visual analog scale (VAS) scores, a patient-reported outcome of pain, were assessed in HR patients.
520 _aRESULTS: Overall first metatarsophalangeal joint space narrowing was noted in HR patients when compared to controls by an average of 11.8% (P = .02). However, no significant changes in the overall coverage of the joint were noted. Decreased joint space width and increased surface-to-surface coverage were only and particularly observed at the plantar medial quadrant of the first metatarsal head in HR patients relative to controls. VAS score was significantly but weakly correlated with dorsolateral quadrant coverage (R2 = 0.26, P = .03).
546 _aEnglish
650 _zAutomated
650 _aIN PROCESS -- NOT YET INDEXED
651 _aMedStar Union Memorial Hospital
656 _aFoot and Ankle Surgery Fellowship
657 _aJournal Article
700 _aBarbachan Mansur, Nacime Salomao
_bMUMH
_cFoot and Ankle Surgery Fellowship
_dMD, PhD
790 _aJones MT, Braza S, Mallavarapu V, Behrens A, Jasper R, Stebral H, Carvalho KAM, Barbachan Mansur NS, Dibbern K, de Cesar Netto C
856 _uhttps://dx.doi.org/10.1177/10711007241258447
_zhttps://dx.doi.org/10.1177/10711007241258447
858 _yBarbachan Mansur, Nacime Salomao
_uhttps://orcid.org/0000-0003-1067-727X
_zhttps://orcid.org/0000-0003-1067-727X
942 _cART
_dArticle
999 _c14706
_d14706