Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
2720492 | The Journal of Foot and Ankle Surgery | 2009 | 6 Pages |
Abstract
Lateral prevalence has not been traditionally attributed to the development and presentation of pathologic forefoot complaints. The objective of this study was to determine if a laterality prevalence exists for surgically corrected forefoot deformities. All cases performed at the Inova Fairfax Hospital Ambulatory Surgery Center over a 76-month period were reviewed and classified into the following categories: hallux abductovalgus deformity correction, hallux limitus deformity correction, specific digital deformity correction, neuroma surgery, and combinations of these categories (n = 1821). Our analyses indicated no laterality difference in the surgical correction of most common forefoot pathologies. A measure of all examined surgical corrections (hallux abductovalgus, hallux limitus, digital deformity, and/or neuroma) did not demonstrate a difference between the surgical correction of the right and left extremities (Ï2 = 0.003; P = .94). There was also no significant difference in the surgical correction of the right and left extremities when studying the individual categories of any hallux abductovalgus correction (Ï2 = 0.416; P = .52), any hallux limitus correction (Ï2 = 2.050; P = .15), any digital deformity correction (Ï2 = 1.251; P = .26), or any neuroma surgery (Ï2 = 0.784; P = .38). Only the surgical correction of hallux limitus deformity without surgical correction of digital deformity or neuroma demonstrated a significant laterality with surgical correction of the right lower extremity being more common (Ï2 = 4.600; P = .03). Level of Evidence: 2
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Authors
Andrew J. DPM, Queen J. DPM, Michael J. ScD, Atoosa DPM,