Quantification of first tarsometatarsal joint stiffness in hallux valgus patients.
OBJECTIVE
Comparison of the clinical mobility test of the first tarsometatarsal joint with Doppler Imaging of Vibrations measurement of the stiffness of this joint in hallux valgus patients.


METHODS
Clinical testing of first tarsometatarsal joint mobility was related to independent Doppler Imaging of Vibrations measurement of first tarsometatarsal joint stiffness.


BACKGROUND
Hypermobility of the first tarsometatarsal joint has consequences for the surgical treatment of hallux valgus deformity. However, the clinical test is subjective. Doppler Imaging of Vibrations could be helpful in quantification of the stiffness of this joint.


METHODS
Clinical examination of the mobility of 32 first tarsometatarsal joints in 20 hallux valgus patients was compared with Doppler Imaging of Vibrations stiffness measurements performed by an independent observer.


RESULTS
There was a statistically significant relation between the clinical test and the stiffness measurement by Doppler Imaging of Vibrations.


CONCLUSIONS
Doppler Imaging of Vibrations proves to be a method to quantify first tarsometatarsal joint stiffness and could contribute to a rational policy for the surgical treatment of hallux valgus deformity.


CONCLUSIONS
The clinical test to establish hypermobility of the first tarsometatarsal joint is subjective. Doppler Imaging of Vibrations offers objective criteria and quantification of first tarsometatarsal joint stiffness. This provides additional information for the choice of the surgical procedure to correct hallux valgus deformity.
Faber
F W
FW
Department of Orthopaedic Surgery, Leyenburg Hospital, P.B. 40551, 2504 The Hague, Netherlands. frankfaber@hetnet.nl
Zollinger
P E
PE
Kleinrensink
G J
GJ
Damen
L
L
Mulder
P G
PG
Snijders
C J
CJ
Verhaar
J A
JA
D001696:Biomechanical Phenomena; D006215:Hallux Valgus / Q000000981:diagnostic imaging / Q000503:physiopathology*; D006801:Humans; D014033:Toe Joint / Q000000981:diagnostic imaging / Q000503:physiopathology*; D014463:Ultrasonography; D014732:Vibration