Radiographic comparison of standing medial cuneiform arch height in adults with and without acquired flatfoot deformity
Radiographic comparison of standing medial cuneiform arch height in adults with and without acquired flatfoot deformity
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DOI：
10.1177/107110070602700813
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发表时间：
2006-08-01
影响因子：
2.7
通讯作者：
Rogman, Alberic
中科院分区：
文献类型：
--
作者：
Arangio, George A.;Wasser, Thomas;Rogman, Alberic
背景：成人获得性扁平足(AAF)的特点是足弓高度降低、距骨凹陷、弓弓内侧凹陷和伸展、前足外展。我们测量了AAF患者和对照组患者的站立牙弓高度，使用站立外侧楔形内侧牙弓高度的放射学测量。方法：选择15例(25足)临床诊断为症状性房颤的患者，无二次诊断。对照组包括36名(72英尺)无足畸形或既往足部手术的患者。牙弓高度以毫米为单位，使用侧位X线片上的站立内侧楔形高度测量。结果：对照组楔状内侧牙弓平均站立高度为18.38 mm。AAF组的平均牙弓高度为11.04 mm(p<；0.001)。对照组左右足无差异，AAF组有症状足与对侧足无差异。体重指数(BMI)对照组为26.17，AAF组为33.74。(P=0.007)。结论：这些数据为以内侧楔形为参照的牙弓高度提供了一个控制值。弓部高度的降低是AAF的一个强有力的指标。一项针对更多患者的研究是必要的。
Background: Adult acquired flatfoot (AAF) is characterized by decreased arch height, talar depression, medial arch depression and elongation, and forefoot abduction. We have measured standing arch height in AAF patients and in a control group of patients using the standing lateral medial cuneiform arch height radiographic measurement. Methods: Fifteen (25 feet) patients were selected with the clinical diagnosis of symptomatic AAF with no secondary diagnoses. A control group consisted of 36 (72 feet) patients with no foot deformities or prior foot surgeries. Arch height was measured in millimeters using the standing medial cuneiform height on the lateral radiographic view. Results: The mean standing medial cuneiform arch height in the control group was 18.38 mm. The mean arch height in the AAF group was 11.04 mm (p < 0.001). There were no differences between right and left feet in the control group or symptomatic and contralateral feet in the AAF group. Body mass index (BMI) in the control group was 26.17 and in the AAF 33.74. (p = 0.007). Conclusion: These data provide a control value for the arch height using the medial cuneiform as reference. The decrease in arch height is a strong indicator of AAF. A study with larger numbers of patients is necessary.