A Study on Correlation of Radiological Parameters and Foot Pain in Flat Foot

Author:

Nambiar Sudeep Madhukar1,Kiran V.1,Khalid Khadri Mohammed1,Shetty Viplav1,Nagakiran K. V.1,Wooly Sameer2,Shanbhag Sayeesh Mohandas1,Chetan N.1,Roy Gandi Adinarayana1,Kumar Bula Ratna1

Affiliation:

1. Department of Orthopaedics, PES Institute of Medical Sciences and Research, Kuppam, Andhra Pradesh, India

2. Department of Orthopaedics, Manipal Tata Medical College, Branch Campus-MAHE Manipal, Jamshedpur, Jharkhand, India

Abstract

Abstract Aim: The purpose of this study was to identify the individuals with symptomatic flat foot and find out a correlation between the foot pain and radiological parameters. Background: The talo-firstmetatarsal (TFM) angle, calcanealpitch (CP) angle, medial cuneiform-fifth metatarsal height on the lateral weight-bearing foot radiographs, and talar head uncoverage distance on the anteroposterior weight-bearing feet radiographs are the radiographic parameters used to assess the pes planus. The association of radiological parameters with symptomatic foot pain has always been a doubt. Assessment of superiority of one radiological parameter over the other is always controversial. Hence, we conducted a study to assess the correlation of symptomatic flat foot with CPangle and talo-1stmetatarsal angle. Materials and Methods: We studied a total of 91 patients with symptomatic flat foot. The symptoms associated with flat foot were assessed using Foot Health Status Questionnaire. Based on the findings of this enquiry, they were objectively divided into mild, moderate, and severe which were then correlated with CP angle and TFM angles. Conclusion: In our study, we found that there is positive correlation between TFM angle and level of foot pain and negative correlation between CP angle and level of foot pain. Among the two, TFM angle showed higher correlation when compared to CP angle.

Publisher

Medknow

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