Association between subtalar articular surface typing and flat foot deformity: which type is more likely to cause flat foot deformity.

Association between subtalar articular surface typing and flat foot deformity: which type is more likely to cause flat foot deformity.
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DOI:
10.1186/s12891-021-04872-8
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发表时间:
2021-11-23
影响因子:
2.3
通讯作者:
Yang Y
Yang Y
中科院分区:
医学3区
文献类型:
--
作者:
Zhang L;Peng X;He S;Zhou X;Yi G;Tang X;Li B;Wang G;Zhao W;Yang Y

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先前的研究表明,人群中距下关节(STJ)的解剖学分类范围很广,这与足部的不同力线结构有关。距下关节面形态的不同可能影响扁平足畸形的发生和发展,这方面的研究较少。本研究的主要目的是确定不同距下关节面与扁平足畸形的发生和严重程度之间的关系。本文分析了289例STJ的影像学资料。计算不同类型距下关节面面积、Gissane角和Bohler角。通过测量足的Meary角来判断扁平足畸形在不同距下关节面的发生及严重程度。本文根据距下关节面的形态学特征,将289例距下关节面分为五型。根据Meary角,I型和IV型扁平足畸形明显大于II型(P < 0.05)。Ⅱ型(7.65 ± 1.38)cm ~ 2明显小于Ⅰ型(8.40 ± 1.79)cm ~ 2(P < 0.05)。Ⅲ型(9.15 ± 1.92)cm ~ 2小于Ⅰ型(8.40 ± 1.79)cm ~ 2、Ⅱ型(7.65 ± 1.38)cm ~ 2和Ⅳ型(7.81 ± 1.74)cm ~ 2(P < 0.05)。Bohler角Ⅱ型(28.81 ± 7.44 °)明显小于Ⅰ型(30.80 ± 4.61 °)和Ⅳ型(32.25 ± 5.02 °)(P < 0.05)。Ⅱ型(128.49 ± 6.74 °)小于Ⅰ型(131.58 ± 7.32 °)和Ⅳ型(131.94 ± 5.80 °)(P < 0.05)。经比较分析,形态学参数、关节面面积、距下关节面融合度的测量与扁平足畸形的严重程度密切相关,I型和IV型扁平足畸形发生率较高。III级,回顾性比较研究。
Previous studies have shown a wide range of anatomical classifications of the subtalar joint (STJ) in the population and this is related to the different force line structures of the foot. Different subtalar articular surface morphology may affect the occurrence and development of flat foot deformity, and there are fewer studies in this area. The main objective of our study was to determine the association of different subtalar articular surface with the occurrence and severity of flat foot deformity. We analyzed the imaging data of 289 cases of STJ. The articular surface area, Gissane’s angle and Bohler’s angle of subtalar articular surface of different types were counted. The occurrence and severity of flat foot deformity in different subtalar articular surface were judged by measuring the Meary angle of foot. We classified 289 cases of subtalar articular surface into five types according to the morphology. According to Meary angle, the flat foot deformity of Type I and Type IV are significantly severer than Type II (P < 0.05). Type II (7.65 ± 1.38 cm2) was significantly smaller than Type I (8.40 ± 1.79 cm2) in the total joint facet area(P < 0.05). Type III (9.15 ± 1.92 cm2) was smaller than Type I (8.40 ± 1.79 cm2), II (7.65 ± 1.38 cm2) and IV (7.81 ± 1.74 cm2) (P < 0.05). Type II (28.81 ± 7.44∘) was significantly smaller than Type I (30.80 ± 4.61 degrees), and IV (32.25 ± 5.02 degrees) in the Bohler’s angle (P < 0.05). Type II (128.49 ± 6.74 degrees) was smaller than Type I (131.58 ± 7.32 degrees), and IV (131.94 ± 5.80 degrees) in the Gissane’s angle (P < 0.05). After being compared and analyzed the measurement of morphological parameters, joint facet area and fusion of subtalar articular surface were closely related to the severity of flat foot deformity and Type I and IV were more likely to develop severer flat foot deformity. Level III, retrospective comparative study.
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