Relationship Between Angle of Metatarsophalangeal Joint and Abductor Hallucis in Hallux Valgus

젊은성인 엄지발가락가쪽휨증의 발허리발가락관절 각도와 엄지벌림근의 관계

  • Kang, Sun-Young (Dept. of Physical Therapy, The Graduate School, Yonsei University) ;
  • Choung, Sung-Dae (Dept. of Physical Therapy, The Graduate School, Yonsei University) ;
  • Kim, Moon-Hwan (Dept. of Rehabilitation Medicine, Wonju Severance Christian Hospital) ;
  • Jeon, Hye-Seon (Dept. of Physical Therapy, College of Health Science, Yonsei University, Dept. of Ergonomic Therapy, The Graduate School of Health and Environment, Yonsei University)
  • 강선영 (연세대학교 대학원 물리치료학과) ;
  • 정성대 (연세대학교 대학원 물리치료학과) ;
  • 김문환 (원주세브란스 기독병원 재활의학과) ;
  • 전혜선 (연세대학교 보건과학대학 물리치료학과, 보건환경대학원 인간공학치료학과)
  • Received : 2014.03.14
  • Accepted : 2014.04.09
  • Published : 2014.04.25

Abstract

Purpose: The aim of this study was to investigate relationship between the angle of the first metatarsophalangeal joint (1st MPJ) and the dimensions of the abductor hallucis; dorso-plantar (DP) thickness, medio-lateral (ML) width, and cross-sectional area (CSA), in subjects with and without hallux valgus. Methods: Sixty feet, mean (SD) age of 22.5 (2.1) years old, were included in this study (hallux valgus = 30; control = 30). An X-ray device was used for measurement of the angle of the 1st MPJ, and an ultrasound system was used for determination of mean (SD) DP thickness, ML width, and CSA of the abductor hallucis muscle in each foot from three trials. Results: The results showed the DP thickness, ML width, and CSA of the abductor hallucis did not differ significantly between subjects with and without hallux valgus. In addition, the correlations between the angle of the 1st MPJ and DP thickness, ML width, and CSA of the abductor hallucis showed poor correlation (Pearson r=-0.09, -0.20, and -0.18, respectively). Conclusion: Based on these findings, we speculate that morphological changes to the abductor hallucis muscle cannot be representative of the angle of the 1st MPJ, and also cannot be used in differentiation between subjects with and without hallux valgus.

Keywords

References

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