Is a keystone Bone Anomaly the Main Cause of Flatfoot (Pes Planus)?

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-10-01 Epub Date: 2024-06-26 DOI:10.1097/BPO.0000000000002760

Ahmet Payas, Sabri Batin

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Abstract

Background: Flatfoot (pes planus) is a decrease or loss of longitudinal medial arch height. The cause of symptomatic flatfoot occurring in adolescents is still unclear. In this study, the relationship between adolescent pes planus and foot bone shape was investigated. For this purpose, the volume and superficial area data of the foot bones of adolescent individuals with flatfoot deformity and individuals without any foot deformity were compared.

Methods: Between September 2022 and June 2023, 30 individuals with adolescent pes planus with a medial arch angle greater than 145 degrees and 30 individuals without any foot deformity were included in the study. Computed tomography (CT) images of the participants' feet were obtained with a General Electric brand IQ model 32 detector CT device with a section thickness of 0.625 mm in accordance with the bone protocol. Using the 3D Slicer program on CT images, foot bones were segmented and the volume and surface area ratios of each foot bone were determined.

Results: Cuneiforme mediale and cuneiforme intermediale volume ratios in individuals with flatfoot deformity decreased by 14% and 24%, respectively, compared with the control group ( P <0.05). Cuneiforme mediale and cuneiforme intermediale superficial area ratios were found to be 10% and 30% lower in the flatfoot group compared with the control group, respectively ( P <0.05). There was no difference in the volume and superficial area ratios of other foot bones between the groups ( P >0.05).

Conclusions: The study results suggest that symptomatic adolescent flatfoot deformity may be associated with developmental anomalies of the os cuneiforme mediale and os cuneiforme intermedium.

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关键骨异常是导致扁平足（Pes Planus）的主要原因吗？

背景：扁平足（pes planus）是指足弓纵向内侧高度降低或丧失。青少年出现症状性扁平足的原因尚不清楚。本研究调查了青少年扁平足与足骨形状之间的关系。为此，对患有扁平足畸形的青少年和无任何足部畸形的青少年的足骨体积和表层面积数据进行了比较：方法：在 2022 年 9 月至 2023 年 6 月期间，研究对象包括 30 名内侧足弓角度大于 145 度的青少年扁平足患者和 30 名无任何足部畸形的患者。研究人员的足部计算机断层扫描（CT）图像是使用通用电气品牌的 IQ 32 型探测器 CT 设备按照骨协议获取的，切片厚度为 0.625 毫米。在 CT 图像上使用 3D Slicer 程序对足部骨骼进行分割，并确定每块足部骨骼的体积和表面积比率：结果：与对照组相比，扁平足畸形患者的楔骨内侧和楔骨内侧的体积比分别下降了14%和24%（P0.05）：研究结果表明，有症状的青少年扁平足畸形可能与楔骨内侧骨和楔骨中间骨的发育异常有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.