The Biomechanical Relationship between Hallux Valgus Deformity and Metatarsal Pain
The Biomechanical Relationship between Hallux Valgus Deformity and Metatarsal Pain
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拇外翻畸形与跖骨疼痛的生物力学关系
DOI：
10.1155/2020/8929153
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发表时间：
2020-03
影响因子：
--
通讯作者：
Wen Jian-Min
中科院分区：
文献类型：
--
作者：
Chang Cheng;Wang Qing-Fu;Guo Jun-Chao;Li Duo-Duo;Fan Yu-Bo;Wen Jian-Min
跖痛是拇外翻(HV)畸形患者常见的病理结果。然而，HV畸形的程度和跖痛之间的关系还没有得到系统的研究。本研究的目的是探讨跟痛度与HV畸形程度之间的关系。2017年10月至2018年9月，512名HV患者(944英尺)参加了使用X射线图像评估其HV角度(HVA)。受试者根据其HVA分为四组(<；15°、15°至20°、21°至40°或>；40°)。使用RsScan系统测量负荷率、脉冲、接触时间和接触面积作为动态步态参数并记录下来。采用SPSS统计软件对数据进行统计分析。采用视觉模拟评分法(VAS)评定足底疼痛程度。在4个HV畸形组中，脉冲峰值和接触时间集中在第二、第三跖骨(Meta2和Meta3)(P<；0.05)，接触面积也显示在第1、2、5跖骨(P<；0.05)。Meta2的跖痛VAS评分最高(VAS：6.57)，其次是Meta3(平均VAS：5.72)。在HV >； 40°组中，Meta2上的载荷位置转移到Meta1上。在这组人中，归因于Meta2和Meta3的疼痛百分比也有所增加。这些结果表明，在不同程度的HV畸形中，跖痛主要位于Meta2和Meta3上。这些信息可以提供疼痛缓解的目标位置，并帮助指导进一步的康复。
Metatarsal pain is a common pathological outcome in patients with a hallux valgus (HV) deformity. However, the relationship between the degree of HV deformity and metatarsal pain has not been systematically examined. The purpose of the present study was to investigate the correlation between metatarsal pain and the degree of HV deformity. Between October 2017 and September 2018, 512 HV patients (944 feet) participated in an evaluation of their HV angle (HVA) using X-ray images. The participants were divided into four groups corresponding to their HVA (<15°, 15° to 20°, 21° to 40°, or >40°). Load rate, impulse, contact duration, and contact area were measured and recorded as dynamic gait parameters using the RsScan system. Data were evaluated using SPSS statistical software. The visual analog scale (VAS) was used to assess metatarsal pain. For the four HV deformity groups, the peak value of impulse and contact duration was concentrated on the second and third metatarsals (Meta2 and Meta3) (P < 0.05); contact area was also shown on metatarsals 1, 2, and 5 (P < 0.05). Metatarsal pain on Meta2 had the highest VAS score (VAS: 6.57), followed by Meta3 (Mean VAS: 5.72). In the HV > 40° group, the load location on Meta2 was transferred to Meta1. The percent of pain attributed to Meta2 and Meta3 was also increased in this group. These findings illustrated that metatarsal pain was primarily located on Meta2 and Meta3 in the different degrees of HV deformity. This information can provide the location to target for pain relief and help guide further rehabilitation.
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影响因子：
3.7
作者：
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通讯作者：
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影响因子：
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作者：
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DOI：
10.1515/bmt-2012-4368
发表时间：
2012-09
期刊：
--
影响因子：
--
作者：
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通讯作者：
V. Heizmann;F. Capanni;T. Engleder;A. Appelt
影响因子：
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