Forefoot Adduction Is a Risk Factor for Jones Fracture.
Forefoot Adduction Is a Risk Factor for Jones Fracture.
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前脚内收是琼斯断裂的危险因素。
DOI：
10.1053/j.jfas.2017.04.017
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发表时间：
2017-09
期刊：
影响因子：
--
通讯作者：
Weil LS Sr
中科院分区：
文献类型：
--
作者：
Fleischer AE;Stack R;Klein EE;Baker JR;Weil L Jr;Weil LS Sr
琼斯骨折是最常见的足部骨折之一，但其病因仍不清楚。本研究的目的是利用流行病学研究设计进一步检查前脚和后脚对齐对琼斯骨折的危险因素。我们采用了回顾性、匹配的病例对照研究设计。病例包括 2009 年 1 月至 2013 年 12 月在我们研究所看到的平片 X 光片证实的急性、孤立性琼斯骨折患者。表现出与跖骨骨折无关的疼痛的患者作为对照。对照组与年龄（+/- 2 岁）、性别和就诊年份的病例相匹配。由一位评估者对负重脚 X 射线的十三个角度关系进行评估。使用条件多变量逻辑回归来识别重要的风险因素。包括 50 名急性琼斯骨折患者和 200 名对照患者。最终多变量模型中唯一显着的变量是跖骨内收角（比值比 1.16 [95% CI 1.08 - 1.25]）和第四/第五跖骨间角（比值比 0.69 [95% CI 0.57 - 0.83]）——这两个指标都是静态前足内收的指标。足部X光片上跖骨内收（定义为>15°）的存在与琼斯骨折风险增加2.4倍相关（调整后的优势比为2.4 [95% CI 1.2至4.8]）。我们得出的结论是，琼斯骨折的风险随着前脚内收姿势的增加而增加。在我们的人群中，主要由跌倒（10/50，20%）或失步/内翻损伤（19/50，38%）后出现的患者组成，后足对齐似乎是一个不太重要的因素。 3、预后研究
Jones fractures are among the most common fractures of the foot, yet much remains unknown about their etiology. The purpose of this study was to further examine the risk factors of forefoot and hindfoot alignment on Jones fractures using an epidemiological study design. We used a retrospective, matched, case-control study design. Cases consisted of patients with acute, isolated Jones fractures confirmed on plain film radiographs that were seen at our institute from Jan. 2009 to Dec. 2013. Patients presenting with pain unrelated to metatarsal fractures served as controls. Controls were matched to cases on age (+/− 2 yrs), gender, and year of presentation. Weight bearing foot x-rays were assessed for thirteen angular relationships by a single rater. Conditional multivariable logistic regression was used to identify important risk factors. Fifty patients with acute Jones fractures and 200 controls were included. The only significant variables in the final multivariable model were metatarsus adductus angle (odds ratio 1.16 [95% CI 1.08 to 1.25]) and 4th/5th intermetatarsal angle (odds ratio 0.69 [95% CI 0.57 to 0.83])—both measures of static forefoot adduction. The presence of metatarsus adductus (defined as >15°) on foot radiographs was associated with a 2.4 times greater risk of Jones fracture (adjusted odds ratio 2.4 [95% CI 1.2 to 4.8]). We conclude that risk of Jones fracture increases with an adducted forefoot posture. In our population which consisted primarily of patients presenting after a fall (10/50, 20%) or misstep/inversion injury (19/50, 38%), hindfoot alignment appeared to be a less important factor. 3, Prognostic Study
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影响因子：
0.7
作者：
Darabos, Nikica;Obrovac, Karlo;Elabjer, Esmat
通讯作者：
Elabjer, Esmat
DOI：
10.1016/j.fas.2011.03.002
发表时间：
2012-03-01
期刊：
Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons
影响因子：
--
作者：
Dawoodi, Aryan I S;Perera, Anthony
通讯作者：
Perera, Anthony
影响因子：
2.7
作者：
O'Malley, Martin;DeSandis, Bridget;Williams, Riley
通讯作者：
Williams, Riley
DOI：
10.1177/107110079201300306
发表时间：
1992-03-01
期刊：
FOOT & ANKLE
影响因子：
--
作者：
SMITH, JW;ARNOCZKY, SP;HERSH, A
通讯作者：
HERSH, A
DOI：
10.1053/j.jfas.2005.10.014
发表时间：
2006-01-01
期刊：
The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons
影响因子：
--
作者：
Thomas, James L;Kunkel, Mark W;Sparks, Derrick
通讯作者：
Sparks, Derrick