Role of medial capsule and transverse metatarsal ligament in hallux valgus deformity

Kura, Hideji; Luo, Zong-Ping; Kitaoka, Harold B.; An, Kai-Nan

Affiliations

¹Biomechanics Laboratory, Division of Orthopedic Research, Mayo Clinic Foundation, Rochester, MN

²Department of Orthopedics, Mayo Clinic Foundation, Rochester, MN

Abstract

The role of the medial capsule and transverse metatarsal ligament in hallux valgus deformity including stability of the first metatarsophalangeal and adjacent joint was investigated in vitro. The three-dimensional positions of the proximal phalanx, first metatarsal, and second metatarsal before and after sectioning the medial capsule and metatarsal ligament were measured using a magnetic tracking system. Valgus deformity of the hallux increased with medial capsule sectioning an average of 22.3° ± 6°. Valgus deformity of the hallux increased with medial capsule and metatarsal ligament sectioning an average of 27.4° ± 9.1°. Valgus deformity of the hallux did not change significantly after sectioning the metatarsal ligament only. No significant changes were found in varus and eversion of the first metatarsal, in valgus of the second metatarsal, in the distance between first and second metatarsal heads after sectioning the medial capsule, or in the metatarsal ligament. This study shows the importance of the medial capsule in hallux valgus deformity. The transverse ligament did not contribute substantially to cause the deformity.

Links

PubMed: 9755784

WoS: 000075898000028

Ovid: 00003086-199809000-00028

History

Received: 1997-05-05

Revised: 1997-12-05

Revised: 1998-03-30

Accepted: 1998-04-08

Cited Works (1)

Year	Entry
1998	Kura H, Luo Z-P, Kitaoka HB, An K-N. Role of medial capsule and transverse metatarsal ligament in hallux valgus deformity. Clin Orthop Relat Res. September 1998;354:235-240.

Cited By (5)

Year	Entry
2012	Gu YD, Rong M, Li ZY, Lake MJ, Ruan GQ. Finite element analysis of deep transverse metatarsal ligaments mechanical response during landing. Adv Mater Res. 2012;472-475:2558-2561.
2005	Khaw F-M, Mak P, Johnson GR, Briggs PJ. Distal ligamentous restraints of the first metatarsal: an in vitro biomechanical study. Clin Biomech (Bristol, Avon). 2005;20(6):653-658.
2008	Yu J, Cheung JT-M, Fan Y, Zhang Y, Leung AK-L, Zhang M. Development of a finite element model of female foot for high-heeled shoe design. Clin Biomech (Bristol, Avon). 2008;23(suppl 1):S31-S38.
1998	Kura H, Luo Z-P, Kitaoka HB, An K-N. Role of medial capsule and transverse metatarsal ligament in hallux valgus deformity. Clin Orthop Relat Res. September 1998;354:235-240.
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.