Novel Ultrasonographic Method to Assess Metatarsal Heads Heights in Hallux Valgus Patients: Pre and Post-Surgical Evaluation after First Metatarsal Osteotomy

Stoppino  LP; Cassano A; Cleopazzo  E; Moffa  AP; Specchiulli  LP; Gallo  C; Vinci  R; Vittore  D; Macarini  L

Novel Ultrasonographic Method to Assess Metatarsal Heads Heights in Hallux Valgus Patients: Pre and Post-Surgical Evaluation after First Metatarsal Osteotomy

Stoppino LP¹^*, Cassano A², Cleopazzo E¹, Moffa AP¹, Specchiulli LP¹, Gallo C³, Vinci R¹, Vittore D² and Macarini L¹: ¹Section of Diagnostic Imaging, Department of Medical and Surgical Sciences, University of Foggia, Viale Pinto, Foggia, Italy; ²Section of Orthopaedic Surgery, Department of Clinical and Experimental Medicine, University of Foggia, Viale Pinto, Foggia, Italy; ³Section of Bioinformatics, Department of Clinical and Experimental Medicine, University of Foggia, Viale Pinto, Foggia, Italy

^*Corresponding Author : Stoppino LP, Section of Diagnostic Imaging, Department of Medical and Surgical Sciences, University of Foggia, Viale Pinto, Foggia, Italy, Tel: +39-0881-736089, Fax: +39-0881-733866, Email: luca.stoppino@unifg.it

Received Date: May 04, 2019 / Accepted Date: May 15, 2019 / Published Date: May 22, 2019

Abstract

Objective: Hallux valgus is a forefoot deformity usually revealed with a weight-bearing radiograph of the foot. The aim of this study is to describe a new ultrasonographic method to assess metatarsal heads in hallux valgus patients.

Methods: We enrolled 38 patients with hallux valgus candidates to surgery. We assessed the ultrasonographic distance between the inferior surface of all metatarsal heads and support plane, before and after surgery. Moreover, we assessed the American Orthopaedic Foot and Ankle Society (AOFAS) clinical score before and after surgery.

Results: Our results showed a decrease of ultrasound distance for the first metatarsal head before and after surgery and an increase in all other distances of the remaining metatarsal heads before and after surgery. Finally, we showed significant differences between preoperatively and postoperatively clinical values.

Conclusion: The first metatarsal osteotomy should be able to restore the normal distribution of forefoot loading forces, hence reducing the associated metatarsalgia, as confirmed in this study. We suggest that our ultrasonographic method represent an accurate diagnostic tool in the pre and post-surgical evaluation of patients with hallux valgus, thus allowing a direct and reproducible measurement of metatarsal heads.

Keywords: Hallux valgus; Ultrasonography; Metatarsal heads; Forefoot; First metatarsal osteotomy

View PDF Download PDF

Citation: Stoppino LP, Cassano A, Cleopazzo E, Moffa AP, Specchiulli LP, et al. (2019) Novel Ultrasonographic Method to Assess Metatarsal Heads Heights in Hallux Valgus Patients: Pre and Post-Surgical Evaluation after First Metatarsal Osteotomy. Clin Res Foot Ankle 7: 289.

Copyright: © 2019 Stoppino LP, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

黑料网

Clinical Research on Foot & Ankle
黑料网