Hallux valgus and cartilage degeneration in the first metatarsophalangeal joint

Bock, P.; Kristen, K.-H.; Kröner, A.; Engel, A.

Affiliations

¹Department of Orthopaedic Surgery, Donauspital Wien, Langobardenstrasse 122, A-1220 Wien, Austria

Abstract

This study relates the extent of cartilage lesions within the first metatarsophalangeal joint to hallux valgus.

We prospectively examined 265 first metatarsophalangeal joints of 196 patients with a mean age of 54.2 years at operation for the existence of cartilage lesions.

Grade I lesions were found in 41 feet (15.5%), grade II in 82 (30.9%), grade III in 51 (19.3%), grade IV in 20 (7.5%). Only 71 (26.8%) showed no cartilage lesion. Cartilage lesions were found within the metatarsosesamoid and metatarsophalangeal compartments in 66 feet (34.0%), within the metatarsophalangeal compartment in 26 (13.4%) and within the metatarsosesamoid compartment in 102 (52.6%). A statistically significant correlation was found between the grade of cartilage lesion and the hallux valgus angle, both for the changes within the metatarsophalangeal and the metatarsosesamoid joints.

Links

DOI: 10.1302/0301-620X.86B5.14766

PubMed: 15274261

WoS: 000222730700010

Cited Works (3)

Year	Entry
1998	Athanasiou KA, Liu GT, Lavery LA, Lanctot DR, Schenck RC Jr. Biomechanical topography of human articular cartilage in the first metatarsophalangeal joint. Clin Orthop Relat Res. 1998;348:269-281.
1986	Shereff MJ, Bejjani FJ, Kummer FJ. Kinematics of the first metatarsophalangeal joint. J Bone Joint Surg. 1986;68A(3):392-398.
1994	Kitaoka HB, Alexander IJ, Adelaar RS, Nunley JA, Myerson MS, Sanders M. Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and lesser toes. Foot Ankle Int. July 1994;15(7):349-353.

Cited By (4)

Year	Entry
2014	Garras DN, Anderson RB. Turf toe. In: Philbin TM, ed. Sports Injuries of the Foot: Evolving Diagnosis and Treatment. New York, NY: Springer; 2014:23-33.
2012	Frimenko RE, Lievers WB, Coughlin MJ, Anderson RB, Crandall JR, Kent RW. Etiology and biomechanics of first metatarsophalangeal joint sprains (turf toe) in athletes. Crit Rev Biomed Eng. 2012;40(1):43-61.
2005	Kristen K-H, Berger K, Berger C, Kampla W, Anzböck W, Weitzel SH. The first metatarsal bone under loading conditions: a finite element analysis. Foot and Ankle Clinics. 2005;10(1):1-14.
2011	Dereymaeker G, Mulier T, Girisch P. The first metatarsophalangeal joint meniscus and its relation to hallux valgus deformity: an anatomical and clinical study. Foot Ankle Surg. December 2011;17(4):270-273.