Factors associated with foot pain severity and foot-related disability in individuals with first met

NewsBot · Nov 19, 2011

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Factors associated with foot pain severity and foot-related disability in individuals with first metatarsophalangeal joint OA.
Munteanu SE, Zammit GV, Menz HB.
Rheumatology (Oxford). 2011 Nov 16. [Epub ahead of print]

Objective. To determine whether participant characteristics and localized structural factors are associated with foot pain and foot-related disability in patients with symptomatic first MTP joint OA.

Methods. One hundred and fifty-one participants (56 women and 95 men) aged 22-81 [mean age 54.5 (11.2)] years with symptomatic first MTP joint OA underwent a standardized clinical interview and assessment. Participant characteristics [age, gender, height, weight, BMI, duration of symptoms and total years of formal education (education attainment)] and localized factors (first MTP joint dorsiflexion range of motion, severity of radiographic OA, foot posture and plantarflexion strength of the hallux) were determined as potentially associated variables. Outcome variables were foot pain and foot-related disability, determined using the Foot Health Status Questionnaire. Univariate analyses were performed between potentially associated variables and outcome variables. Variables with significant univariate associations were then entered into multivariate linear regression models to identify independently associated variables.

Results. Education attainment and BMI were both significantly and independently associated with foot pain severity and foot-related disability. However, these variables only explained ∼10-12% of the variance in foot pain and foot-related disability.

Conclusions. People with symptomatic first MTP joint OA that have an increased BMI and/or lower level of education attainment experience more foot pain and have greater foot-related disability. Prospective studies are required to confirm these findings and identify other factors associated with foot pain and foot-related disability in people with symptomatic first MTP joint OA.
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Admin2 · Nov 19, 2011

Related threads:
Other threads tagged with first MPJ
Other threads tagged with osteoarthritis

NewsBot · Nov 6, 2014

Demographic and clinical factors associated with radiographic severity of first metatarsophalangeal joint osteoarthritis: cross-sectional findings from the Clinical Assessment Study of the Foot
Hylton B. Menz, Edward Roddy, Michelle Marshall, Martin J. Thomas, Trishna Rathod, Helen Myers, Elaine Thomas, George M. Peat
Osteoarthritis and Cartilage; Available online 29 October 2014

Objective
To explore demographic and clinical factors associated with radiographic severity of first metatarsophalangeal joint osteoarthritis (1st MTPJ OA).

Design
Adults aged ≥50 years registered with four general practices were mailed a Health Survey. Responders reporting foot pain within the last 12 months were invited to undergo a clinical assessment and weight-bearing dorso-plantar and lateral radiographs of both feet. Radiographic 1st MTPJ OA in the most severely affected foot was graded into four categories using a validated atlas. Differences in selected demographic and clinical factors were explored across the four radiographic severity subgroups using analysis of variance and ordinal regression.

Results
Clinical and radiographic data were available from 517 participants, categorised as having no (n=105), mild (n=228), moderate (n=122) or severe (n=62) 1st MTPJ OA. Increased radiographic severity was associated with older age and lower educational attainment. After adjusting for age, increased radiographic 1st MTPJ OA severity was significantly associated with an increased prevalence of dorsal hallux and 1st MTPJ pain, hallux valgus, 1st interphalangeal joint hyperextension, keratotic lesions on the dorsal aspect of the hallux and 1st MTPJ, decreased 1st MTPJ dorsiflexion, ankle/subtalar joint eversion and ankle joint dorsiflexion range of motion, and a trend towards a more pronated foot posture.

Conclusions
This cross-sectional study has identified several dose-response associations between radiographic severity of 1st MTPJ OA and a range of demographic and clinical factors. These findings highlight the progressive nature of 1st MTPJ OA and provide insights into the spectrum of presentation of the condition in clinical practice.
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NewsBot · Nov 6, 2014

Radiological Prevalence of Degenerative Arthritis of the First Metatarsophalangeal Joint
Nicholas Howard, Christopher Cowen, Mark Caplan, Simon Platt
Foot & Ankle International November 6, 2014

Background: The prevalence of osteoarthritis of the first metatarsophalangeal joint (MTPJ) has not been completely determined in a population-based study. The aim of the study was to determine the age- and gender-related prevalence of radiological first MTPJ arthritis.
Methods: We analyzed 517 consecutive radiographs of adult patients who presented with acute foot injuries to the accident and emergency department over a 6-month period. Radiographs were assessed independently by 2 authors using the Hattrup and Johnson grading system for osteoarthritic changes in the first MTPJ.
Results: The radiographic prevalence of MTPJ arthritis in our population was 25% (127/517). Overall incidence was higher in females, with 32% (85/269) of females affected in comparison to 18% (44/248) of males. Variance between the sexes was insignificant until the age of 60, at which point the prevalence rose to 66% (53/80) in females compared with 47% (18/38) in males of the same age.
Conclusions: The development of first MTPJ arthritis follows a typical pattern of degenerative arthritis, as shown in other joints, with increasing age being an important factor. The results of this study suggest that first MTPJ arthritis begins to appear in most cases in middle age and is significantly more apparent in females.
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Factors associated with foot pain severity and foot-related disability in individuals with first met

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Factors associated with foot pain severity and foot-related disability in individuals with first met

NewsBot The Admin that posts the news.

Admin2 Administrator Staff Member

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

Factors associated with emergency room visits within 30 days of outpatient foot and ankle surgeries.

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Biomechanical Factors Associated With Achilles Tendinopathy and Medial Tibial Stress Syndrome in Run

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Share This Page

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