Prevalence of midfoot arthritis and lesser toe deformities

IF 1.9 3区医学 Q2 ORTHOPEDICS Foot and Ankle Surgery Pub Date : 2024-07-01 DOI:10.1016/j.fas.2024.03.001

Ki Chun Kim , Eli Schmidt , Kepler Alencar Mendes de Carvalho , Matthieu Lalevee , Nacime Mansur , Kevin Dibbern , Elijah Auch , Andrew Behrens , Cesar De Cesar Netto

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Abstract

Background

The aim of this study was to investigate the epidemiology of Midfoot Arthritis (MA) and Lesser toe deformity (LTD) using Weight-Bearing Computed Tomography (WBCT).

Methods

606 cases (247 male, 359 female) among 1316 consecutive cases with WBCT data from September 2014 to April 2022 were retrospectively reviewed at a single referral institution. The Cochran-Armitage test was performed to evaluate the trend of prevalence with respect to age group and obesity classification.

Results

139 male (56.3%) and 210 female cases (58.5%) showed MA. 157 male (63.6%) and 222 female cases (61.6%) showed LTD. 115 male (19.0%) and 157 female cases (25.9%) showed both MA and LTD. The prevalence of MA and LTD increased with age in both genders. The incidence of MA in males showed an increasing tendency until obesity class II and then was slightly decreased in obesity class III. This is contrary to females whose prevalence increased with increasing obesity groups. LTD had a similar pattern in both genders to obesity classification.

Conclusions

The prevalence of MA and LTD increased with age and increasing obesity groups for both genders.

Level of evidence

Level III, Retrospective Comparative Study.

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中足关节炎和小趾畸形的发病率

本研究旨在利用负重计算机断层扫描（WBCT）研究中足关节炎（MA）和小趾畸形（LTD）的流行病学。在一家转诊机构中，对2014年9月至2022年4月期间连续1316例有WBCT数据的病例中的606例（男247例，女359例）进行了回顾性研究。采用 Cochran-Armitage 检验来评估不同年龄组和肥胖分类的患病率趋势。139例男性病例（56.3%）和210例女性病例（58.5%）显示患有MA。157例男性（63.6%）和222例女性（61.6%）表现为LTD。115名男性（19.0%）和 157 名女性（25.9%）同时表现为 MA 和 LTD。随着年龄的增长，MA和LTD的发病率在男女患者中均有所上升。男性 MA 的发病率在肥胖 II 级之前呈上升趋势，在肥胖 III 级时略有下降。这与女性的情况相反，女性的发病率随着肥胖等级的增加而增加。肥胖性肢痛症在男女两性中的发病模式与肥胖分级相似。随着年龄的增长和肥胖组别的增加，男性和女性的 MA 和 LTD 患病率都在增加。三级，回顾性比较研究。

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来源期刊

Foot and Ankle Surgery ORTHOPEDICS-

CiteScore

4.60

自引率

16.00%

发文量

202

期刊介绍： Foot and Ankle Surgery is essential reading for everyone interested in the foot and ankle and its disorders. The approach is broad and includes all aspects of the subject from basic science to clinical management. Problems of both children and adults are included, as is trauma and chronic disease. Foot and Ankle Surgery is the official journal of European Foot and Ankle Society. The aims of this journal are to promote the art and science of ankle and foot surgery, to publish peer-reviewed research articles, to provide regular reviews by acknowledged experts on common problems, and to provide a forum for discussion with letters to the Editors. Reviews of books are also published. Papers are invited for possible publication in Foot and Ankle Surgery on the understanding that the material has not been published elsewhere or accepted for publication in another journal and does not infringe prior copyright.