Prevalence of midfoot arthritis and lesser toe deformities.

Epidemiology Lesser toe deformity Midfoot arthritis Weight-bearing computed tomography

Journal

Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons
ISSN: 1460-9584
Titre abrégé: Foot Ankle Surg
Pays: France
ID NLM: 9609647

Informations de publication

Date de publication:
05 Mar 2024
Historique:
received: 10 09 2023
revised: 23 12 2023
accepted: 04 03 2024
medline: 16 3 2024
pubmed: 16 3 2024
entrez: 15 3 2024
Statut: aheadofprint

Résumé

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). 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. 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. The prevalence of MA and LTD increased with age and increasing obesity groups for both genders. Level III, Retrospective Comparative Study.

Sections du résumé

BACKGROUND 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 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 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 CONCLUSIONS
The prevalence of MA and LTD increased with age and increasing obesity groups for both genders.
LEVEL OF EVIDENCE METHODS
Level III, Retrospective Comparative Study.

Identifiants

pubmed: 38490924
pii: S1268-7731(24)00044-4
doi: 10.1016/j.fas.2024.03.001
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2024 European Foot and Ankle Society. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of Competing Interest The authors declare no competing interests.

Auteurs

Ki Chun Kim (KC)

Department of Orthopaedic Surgery, Seoul Medical Center, Seoul, South Korea. Electronic address: 711000e@naver.com.

Eli Schmidt (E)

Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, IA, USA.

Kepler Alencar Mendes de Carvalho (KAM)

Department of Orthopedic Surgery, Duke University, Durham, NC, USA.

Matthieu Lalevee (M)

Department of Orthopedic Surgery, Rouen University Hospital, 37 Boulevard Gambetta, 76000 Rouen, France.

Nacime Mansur (N)

Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, IA, USA.

Kevin Dibbern (K)

Orthopaedic and Rehabilitation Engineering Center, Marquette and Medical College of Wisconsin, Milwaukee, WI, USA.

Elijah Auch (E)

Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, IA, USA.

Andrew Behrens (A)

Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, IA, USA.

Cesar De Cesar Netto (CC)

Department of Orthopedic Surgery, Duke University, Durham, NC, USA.

Classifications MeSH