Predictors of Deformity in Patients with Progressive Collapsing Foot Deformity and Valgus of the Ankle

Category: Ankle; Hindfoot Introduction/Purpose: Markers of diagnosis and severity are well studied in patients with Progressive Collapsing Foot Deformity (PCFD). Medial facet subluxation (MFS) in weight-bearing computerized tomography (WBCT) has been established as an indicator of peritalar subluxat...

Full description

Saved in:
Bibliographic Details
Published in:Foot & ankle orthopaedics 2022-01, Vol.7 (1), p.2473011421S00343
Main Authors: Mansur, Nacime S., Lalevee, Matthieu, Vivtcharenko, Victoria, Dibbern, Kevin N., Ellis, Scott J., Deland, Jonathan T., Godoy-Santos, Alexandre L., Femino, John E., Auch, Elijah, Netto, Cesar de Cesar
Format: Article
Language:English
Subjects:
Ankle
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by
cites
container_end_page
container_issue 1
container_start_page 2473011421S00343
container_title Foot & ankle orthopaedics
container_volume 7
creator Mansur, Nacime S.
Lalevee, Matthieu
Vivtcharenko, Victoria
Dibbern, Kevin N.
Ellis, Scott J.
Deland, Jonathan T.
Godoy-Santos, Alexandre L.
Femino, John E.
Auch, Elijah
Netto, Cesar de Cesar
description Category: Ankle; Hindfoot Introduction/Purpose: Markers of diagnosis and severity are well studied in patients with Progressive Collapsing Foot Deformity (PCFD). Medial facet subluxation (MFS) in weight-bearing computerized tomography (WBCT) has been established as an indicator of peritalar subluxation and an earlier detector of the disease. When the disease affects the ankle leading to a valgus talar tilt (class E), structures distal to this topography may behavior differently, trying to compensate proximal deformity. The aim of this study is to assess predictors of deformity in PCFD patients with and without valgus of the ankle. Our hypothesis is that MFS could not be used in class E patients as an accurate value for estimation and staging of PCFD. Methods: In this IRB-approved retrospective case-control study we analyzed WBCT acquisitions of 21 consecutive patients with PCFD presenting valgus of the ankle and 64 controls (flexible PCFD with no ankle involvement). MFS (percentage of uncoverage), middle facet incongruence angle, middle cuneiform-to-floor distance, forefoot arch angle, talonavicular uncoverage angle, hindfoot moment arm (HMA), Foot and Ankle Offstet (FAO) and talar tilt angle (TTA) were obtained and compared between groups using oneway ANOVA. A multivariate regression analysis was performed to evaluate which of the measurements influenced the alignment. A partition prediction model was also constructed to find how the variables contributed to the deformity and its aspects. Statistical significancy was set in p values
doi_str_mv 10.1177/2473011421S00343
format article
fullrecord <record><control><sourceid>proquest_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_206cce3717c1483cbe94f6d00f036e47</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_2473011421S00343</sage_id><doaj_id>oai_doaj_org_article_206cce3717c1483cbe94f6d00f036e47</doaj_id><sourcerecordid>2651992456</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3633-a16995c68f149a27de8da446aca2f71fd141f42b859725b878c9884de1ee86d03</originalsourceid><addsrcrecordid>eNp1kUtvEzEUhS0EolXonhWyxHrAr_Fjg1QFCpUqNRKPreXY1xOHyTjYk6L-eyZNaVMkVrauz_mu7z0IvabkHaVKvWdCcUKpYPQrIVzwZ-h0X2r2tedH9xN0VuuaEEJVa4zWL9EJb4lRmrNTFBcFQvJjLhXniD9CzGWTxlucBrxwY4JhrPh3Gld4UXJXoNZ0A3ie-95taxo6fJHzeGRzQ8A_XN_t7nDjCvD58LOHV-hFdH2Fs_tzhr5ffPo2_9JcXX--nJ9fNZ5LzhtHpTGtlzpSYRxTAXRwQkjnHYuKxkAFjYItdWsUa5daaT8NJAJQAC0D4TN0eeCG7NZ2W9LGlVubXbJ3hVw668qYfA-WEek9cEWVp0JzvwQj4sQgkXAJ0_Jm6MOBtd0tNxD8tIri-ifQpy9DWtku31itDG-FmQBv7wEl_9pBHe0678owzW-ZbKkxTLRyUpGDypdca4H40IESuw_a_hv0ZHlz_LMHw99YJ0FzEFTXwWPX_wL_AGFlsDo</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2651992456</pqid></control><display><type>article</type><title>Predictors of Deformity in Patients with Progressive Collapsing Foot Deformity and Valgus of the Ankle</title><source>SAGE Open Access</source><source>PubMed Central (PMC)</source><source>Publicly Available Content (ProQuest)</source><creator>Mansur, Nacime S. ; Lalevee, Matthieu ; Vivtcharenko, Victoria ; Dibbern, Kevin N. ; Ellis, Scott J. ; Deland, Jonathan T. ; Godoy-Santos, Alexandre L. ; Femino, John E. ; Auch, Elijah ; Netto, Cesar de Cesar</creator><creatorcontrib>Mansur, Nacime S. ; Lalevee, Matthieu ; Vivtcharenko, Victoria ; Dibbern, Kevin N. ; Ellis, Scott J. ; Deland, Jonathan T. ; Godoy-Santos, Alexandre L. ; Femino, John E. ; Auch, Elijah ; Netto, Cesar de Cesar</creatorcontrib><description>Category: Ankle; Hindfoot Introduction/Purpose: Markers of diagnosis and severity are well studied in patients with Progressive Collapsing Foot Deformity (PCFD). Medial facet subluxation (MFS) in weight-bearing computerized tomography (WBCT) has been established as an indicator of peritalar subluxation and an earlier detector of the disease. When the disease affects the ankle leading to a valgus talar tilt (class E), structures distal to this topography may behavior differently, trying to compensate proximal deformity. The aim of this study is to assess predictors of deformity in PCFD patients with and without valgus of the ankle. Our hypothesis is that MFS could not be used in class E patients as an accurate value for estimation and staging of PCFD. Methods: In this IRB-approved retrospective case-control study we analyzed WBCT acquisitions of 21 consecutive patients with PCFD presenting valgus of the ankle and 64 controls (flexible PCFD with no ankle involvement). MFS (percentage of uncoverage), middle facet incongruence angle, middle cuneiform-to-floor distance, forefoot arch angle, talonavicular uncoverage angle, hindfoot moment arm (HMA), Foot and Ankle Offstet (FAO) and talar tilt angle (TTA) were obtained and compared between groups using oneway ANOVA. A multivariate regression analysis was performed to evaluate which of the measurements influenced the alignment. A partition prediction model was also constructed to find how the variables contributed to the deformity and its aspects. Statistical significancy was set in p values &lt;0.05. Results: We found differences among groups only for MFS, HMA, FAO and TTA, with a lower mean value of MFS in patients with valgus of the ankle. An inverse relation between MFS and TTA was obtained in this group, demonstrated by increase in the talar tilt and decrease in middle facet uncoverage. MFS affected FAO values in the control group (R2: 0.25) but not in the ankle valgus group (R2: 0.001), being that this last one was influenced mainly by the TTA (R2: 0.53). A FAO value higher than 12.14 was found to be a strong predictor of deformity at the ankle. Conclusion: MFS was lower in patients with PCFD and valgus of the ankle, demonstrated as a weak predictor of deformity severity. In this group of patients (class E), talar tilt angle and Foot and Ankle Offset should be used as disease markers. A FAO value above 12.14 must be appreciated as a possible sign of ankle involvement in PCFD patients.</description><identifier>ISSN: 2473-0114</identifier><identifier>EISSN: 2473-0114</identifier><identifier>DOI: 10.1177/2473011421S00343</identifier><identifier>PMID: 35097832</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Ankle</subject><ispartof>Foot &amp; ankle orthopaedics, 2022-01, Vol.7 (1), p.2473011421S00343</ispartof><rights>The Author(s) 2022</rights><rights>The Author(s) 2022. This work is licensed under the Creative Commons Attribution – Non-Commercial License https://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2022 2022 American Orthopaedic Foot &amp; Ankle Society, unless otherwise noted. Manuscript content on this site is licensed under Creative Commons Licenses.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8793549/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2651992456?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,21966,25753,27853,27924,27925,37012,44590,44945,45333,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35097832$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mansur, Nacime S.</creatorcontrib><creatorcontrib>Lalevee, Matthieu</creatorcontrib><creatorcontrib>Vivtcharenko, Victoria</creatorcontrib><creatorcontrib>Dibbern, Kevin N.</creatorcontrib><creatorcontrib>Ellis, Scott J.</creatorcontrib><creatorcontrib>Deland, Jonathan T.</creatorcontrib><creatorcontrib>Godoy-Santos, Alexandre L.</creatorcontrib><creatorcontrib>Femino, John E.</creatorcontrib><creatorcontrib>Auch, Elijah</creatorcontrib><creatorcontrib>Netto, Cesar de Cesar</creatorcontrib><title>Predictors of Deformity in Patients with Progressive Collapsing Foot Deformity and Valgus of the Ankle</title><title>Foot &amp; ankle orthopaedics</title><addtitle>Foot Ankle Orthop</addtitle><description>Category: Ankle; Hindfoot Introduction/Purpose: Markers of diagnosis and severity are well studied in patients with Progressive Collapsing Foot Deformity (PCFD). Medial facet subluxation (MFS) in weight-bearing computerized tomography (WBCT) has been established as an indicator of peritalar subluxation and an earlier detector of the disease. When the disease affects the ankle leading to a valgus talar tilt (class E), structures distal to this topography may behavior differently, trying to compensate proximal deformity. The aim of this study is to assess predictors of deformity in PCFD patients with and without valgus of the ankle. Our hypothesis is that MFS could not be used in class E patients as an accurate value for estimation and staging of PCFD. Methods: In this IRB-approved retrospective case-control study we analyzed WBCT acquisitions of 21 consecutive patients with PCFD presenting valgus of the ankle and 64 controls (flexible PCFD with no ankle involvement). MFS (percentage of uncoverage), middle facet incongruence angle, middle cuneiform-to-floor distance, forefoot arch angle, talonavicular uncoverage angle, hindfoot moment arm (HMA), Foot and Ankle Offstet (FAO) and talar tilt angle (TTA) were obtained and compared between groups using oneway ANOVA. A multivariate regression analysis was performed to evaluate which of the measurements influenced the alignment. A partition prediction model was also constructed to find how the variables contributed to the deformity and its aspects. Statistical significancy was set in p values &lt;0.05. Results: We found differences among groups only for MFS, HMA, FAO and TTA, with a lower mean value of MFS in patients with valgus of the ankle. An inverse relation between MFS and TTA was obtained in this group, demonstrated by increase in the talar tilt and decrease in middle facet uncoverage. MFS affected FAO values in the control group (R2: 0.25) but not in the ankle valgus group (R2: 0.001), being that this last one was influenced mainly by the TTA (R2: 0.53). A FAO value higher than 12.14 was found to be a strong predictor of deformity at the ankle. Conclusion: MFS was lower in patients with PCFD and valgus of the ankle, demonstrated as a weak predictor of deformity severity. In this group of patients (class E), talar tilt angle and Foot and Ankle Offset should be used as disease markers. A FAO value above 12.14 must be appreciated as a possible sign of ankle involvement in PCFD patients.</description><subject>Ankle</subject><issn>2473-0114</issn><issn>2473-0114</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>AFRWT</sourceid><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNp1kUtvEzEUhS0EolXonhWyxHrAr_Fjg1QFCpUqNRKPreXY1xOHyTjYk6L-eyZNaVMkVrauz_mu7z0IvabkHaVKvWdCcUKpYPQrIVzwZ-h0X2r2tedH9xN0VuuaEEJVa4zWL9EJb4lRmrNTFBcFQvJjLhXniD9CzGWTxlucBrxwY4JhrPh3Gld4UXJXoNZ0A3ie-95taxo6fJHzeGRzQ8A_XN_t7nDjCvD58LOHV-hFdH2Fs_tzhr5ffPo2_9JcXX--nJ9fNZ5LzhtHpTGtlzpSYRxTAXRwQkjnHYuKxkAFjYItdWsUa5daaT8NJAJQAC0D4TN0eeCG7NZ2W9LGlVubXbJ3hVw668qYfA-WEek9cEWVp0JzvwQj4sQgkXAJ0_Jm6MOBtd0tNxD8tIri-ifQpy9DWtku31itDG-FmQBv7wEl_9pBHe0678owzW-ZbKkxTLRyUpGDypdca4H40IESuw_a_hv0ZHlz_LMHw99YJ0FzEFTXwWPX_wL_AGFlsDo</recordid><startdate>20220101</startdate><enddate>20220101</enddate><creator>Mansur, Nacime S.</creator><creator>Lalevee, Matthieu</creator><creator>Vivtcharenko, Victoria</creator><creator>Dibbern, Kevin N.</creator><creator>Ellis, Scott J.</creator><creator>Deland, Jonathan T.</creator><creator>Godoy-Santos, Alexandre L.</creator><creator>Femino, John E.</creator><creator>Auch, Elijah</creator><creator>Netto, Cesar de Cesar</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><general>SAGE Publishing</general><scope>AFRWT</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20220101</creationdate><title>Predictors of Deformity in Patients with Progressive Collapsing Foot Deformity and Valgus of the Ankle</title><author>Mansur, Nacime S. ; Lalevee, Matthieu ; Vivtcharenko, Victoria ; Dibbern, Kevin N. ; Ellis, Scott J. ; Deland, Jonathan T. ; Godoy-Santos, Alexandre L. ; Femino, John E. ; Auch, Elijah ; Netto, Cesar de Cesar</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3633-a16995c68f149a27de8da446aca2f71fd141f42b859725b878c9884de1ee86d03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Ankle</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mansur, Nacime S.</creatorcontrib><creatorcontrib>Lalevee, Matthieu</creatorcontrib><creatorcontrib>Vivtcharenko, Victoria</creatorcontrib><creatorcontrib>Dibbern, Kevin N.</creatorcontrib><creatorcontrib>Ellis, Scott J.</creatorcontrib><creatorcontrib>Deland, Jonathan T.</creatorcontrib><creatorcontrib>Godoy-Santos, Alexandre L.</creatorcontrib><creatorcontrib>Femino, John E.</creatorcontrib><creatorcontrib>Auch, Elijah</creatorcontrib><creatorcontrib>Netto, Cesar de Cesar</creatorcontrib><collection>SAGE Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>Health &amp; Medical Collection (ProQuest Medical &amp; Health Databases)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Publicly Available Content (ProQuest)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Foot &amp; ankle orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mansur, Nacime S.</au><au>Lalevee, Matthieu</au><au>Vivtcharenko, Victoria</au><au>Dibbern, Kevin N.</au><au>Ellis, Scott J.</au><au>Deland, Jonathan T.</au><au>Godoy-Santos, Alexandre L.</au><au>Femino, John E.</au><au>Auch, Elijah</au><au>Netto, Cesar de Cesar</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predictors of Deformity in Patients with Progressive Collapsing Foot Deformity and Valgus of the Ankle</atitle><jtitle>Foot &amp; ankle orthopaedics</jtitle><addtitle>Foot Ankle Orthop</addtitle><date>2022-01-01</date><risdate>2022</risdate><volume>7</volume><issue>1</issue><spage>2473011421S00343</spage><pages>2473011421S00343-</pages><issn>2473-0114</issn><eissn>2473-0114</eissn><abstract>Category: Ankle; Hindfoot Introduction/Purpose: Markers of diagnosis and severity are well studied in patients with Progressive Collapsing Foot Deformity (PCFD). Medial facet subluxation (MFS) in weight-bearing computerized tomography (WBCT) has been established as an indicator of peritalar subluxation and an earlier detector of the disease. When the disease affects the ankle leading to a valgus talar tilt (class E), structures distal to this topography may behavior differently, trying to compensate proximal deformity. The aim of this study is to assess predictors of deformity in PCFD patients with and without valgus of the ankle. Our hypothesis is that MFS could not be used in class E patients as an accurate value for estimation and staging of PCFD. Methods: In this IRB-approved retrospective case-control study we analyzed WBCT acquisitions of 21 consecutive patients with PCFD presenting valgus of the ankle and 64 controls (flexible PCFD with no ankle involvement). MFS (percentage of uncoverage), middle facet incongruence angle, middle cuneiform-to-floor distance, forefoot arch angle, talonavicular uncoverage angle, hindfoot moment arm (HMA), Foot and Ankle Offstet (FAO) and talar tilt angle (TTA) were obtained and compared between groups using oneway ANOVA. A multivariate regression analysis was performed to evaluate which of the measurements influenced the alignment. A partition prediction model was also constructed to find how the variables contributed to the deformity and its aspects. Statistical significancy was set in p values &lt;0.05. Results: We found differences among groups only for MFS, HMA, FAO and TTA, with a lower mean value of MFS in patients with valgus of the ankle. An inverse relation between MFS and TTA was obtained in this group, demonstrated by increase in the talar tilt and decrease in middle facet uncoverage. MFS affected FAO values in the control group (R2: 0.25) but not in the ankle valgus group (R2: 0.001), being that this last one was influenced mainly by the TTA (R2: 0.53). A FAO value higher than 12.14 was found to be a strong predictor of deformity at the ankle. Conclusion: MFS was lower in patients with PCFD and valgus of the ankle, demonstrated as a weak predictor of deformity severity. In this group of patients (class E), talar tilt angle and Foot and Ankle Offset should be used as disease markers. A FAO value above 12.14 must be appreciated as a possible sign of ankle involvement in PCFD patients.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>35097832</pmid><doi>10.1177/2473011421S00343</doi><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 2473-0114
ispartof Foot & ankle orthopaedics, 2022-01, Vol.7 (1), p.2473011421S00343
issn 2473-0114
2473-0114
language eng
recordid cdi_doaj_primary_oai_doaj_org_article_206cce3717c1483cbe94f6d00f036e47
source SAGE Open Access; PubMed Central (PMC); Publicly Available Content (ProQuest)
subjects Ankle
title Predictors of Deformity in Patients with Progressive Collapsing Foot Deformity and Valgus of the Ankle
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-07T23%3A47%3A18IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Predictors%20of%20Deformity%20in%20Patients%20with%20Progressive%20Collapsing%20Foot%20Deformity%20and%20Valgus%20of%20the%20Ankle&rft.jtitle=Foot%20&%20ankle%20orthopaedics&rft.au=Mansur,%20Nacime%20S.&rft.date=2022-01-01&rft.volume=7&rft.issue=1&rft.spage=2473011421S00343&rft.pages=2473011421S00343-&rft.issn=2473-0114&rft.eissn=2473-0114&rft_id=info:doi/10.1177/2473011421S00343&rft_dat=%3Cproquest_doaj_%3E2651992456%3C/proquest_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c3633-a16995c68f149a27de8da446aca2f71fd141f42b859725b878c9884de1ee86d03%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2651992456&rft_id=info:pmid/35097832&rft_sage_id=10.1177_2473011421S00343&rfr_iscdi=true