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

Abstract Background 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 o...

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Autores principales: Lei Zhang, Xiaoyao Peng, Siyuan He, Xin Zhou, Gang Yi, Xiaogao Tang, Bingkun Li, Guoyou Wang, Wanxue Zhao, Yuening Yang
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Publicado: BMC 2021
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spelling oai:doaj.org-article:424f2be45bcd4273ac607b1130ba0b672021-11-28T12:24:21ZAssociation between subtalar articular surface typing and flat foot deformity: which type is more likely to cause flat foot deformity10.1186/s12891-021-04872-81471-2474https://doaj.org/article/424f2be45bcd4273ac607b1130ba0b672021-11-01T00:00:00Zhttps://doi.org/10.1186/s12891-021-04872-8https://doaj.org/toc/1471-2474Abstract Background 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. Methods 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. Results 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). Conclusions 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 of evidence Level III, retrospective comparative study.Lei ZhangXiaoyao PengSiyuan HeXin ZhouGang YiXiaogao TangBingkun LiGuoyou WangWanxue ZhaoYuening YangBMCarticleFlat footMeary angleSubtalar jointDiseases of the musculoskeletal systemRC925-935ENBMC Musculoskeletal Disorders, Vol 22, Iss 1, Pp 1-7 (2021)
institution DOAJ
collection DOAJ
language EN
topic Flat foot
Meary angle
Subtalar joint
Diseases of the musculoskeletal system
RC925-935
spellingShingle Flat foot
Meary angle
Subtalar joint
Diseases of the musculoskeletal system
RC925-935
Lei Zhang
Xiaoyao Peng
Siyuan He
Xin Zhou
Gang Yi
Xiaogao Tang
Bingkun Li
Guoyou Wang
Wanxue Zhao
Yuening Yang
Association between subtalar articular surface typing and flat foot deformity: which type is more likely to cause flat foot deformity
description Abstract Background 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. Methods 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. Results 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). Conclusions 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 of evidence Level III, retrospective comparative study.
format article
author Lei Zhang
Xiaoyao Peng
Siyuan He
Xin Zhou
Gang Yi
Xiaogao Tang
Bingkun Li
Guoyou Wang
Wanxue Zhao
Yuening Yang
author_facet Lei Zhang
Xiaoyao Peng
Siyuan He
Xin Zhou
Gang Yi
Xiaogao Tang
Bingkun Li
Guoyou Wang
Wanxue Zhao
Yuening Yang
author_sort Lei Zhang
title Association between subtalar articular surface typing and flat foot deformity: which type is more likely to cause flat foot deformity
title_short Association between subtalar articular surface typing and flat foot deformity: which type is more likely to cause flat foot deformity
title_full Association between subtalar articular surface typing and flat foot deformity: which type is more likely to cause flat foot deformity
title_fullStr Association between subtalar articular surface typing and flat foot deformity: which type is more likely to cause flat foot deformity
title_full_unstemmed Association between subtalar articular surface typing and flat foot deformity: which type is more likely to cause flat foot deformity
title_sort association between subtalar articular surface typing and flat foot deformity: which type is more likely to cause flat foot deformity
publisher BMC
publishDate 2021
url https://doaj.org/article/424f2be45bcd4273ac607b1130ba0b67
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