Evaluation of occurrence of hallux valgus based on images from podoscope in children

Sztandera Paulina, Szczepanowska-Wołowiec Beata, Kotela Ireneusz. Evaluation of occurrence of hallux valgus based on images from podoscope in children. Journal of Education, Health and Sport. 2017;7(6):480-491. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.821702

http://ojs.ukw.edu.pl/index.php/johs/article/view/4572

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This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial

use, distribution and reproduction in any medium, provided the work is properly cited.

The authors declare that there is no conflict of interests regarding the publication of this paper.

Received: 03.06.2017. Revised: 20.06.2017. Accepted: 30.06.2017.

Evaluation of occurrence of hallux valgus based on images from podoscope in children

Paulina Sztandera¹, Beata Szczepanowska-Wołowiec^{2, 3}, Ireneusz Kotela^{2, 4}

¹Doctoral Studies, Faculty of Medicine and Health Science, Jan Kochanowski University, Kielce, Poland

²Department of Rehabilitation in Disease of the Locomotor, Institute of Physiotherapy, Faculty of Medicine and Health Science, Jan Kochanowski University, Kielce, Poland

Head of the Department: Prof. Ireneusz Kotela MD, PhD

³Rehabilitation Department, Regional Polyclinical Hospital, Kielce, Poland

Head of the Department: Grażyna Ściegienna-Zdeb MD

⁴Clinical Department of Orthopedics and Traumatology, Central Clinical Hospital of the Ministry of the Interior, Warsaw, Poland

Head of the Department: Prof. Ireneusz Kotela MD, PhD

Key word: podoscope, children, hallux valgus angle

Abstract

Inroduction and aim of the study. Hallux valgus is a deformity where there is a lateral deviation of the proximal phalanx of the big toe. The objective of the study was investigation of the occurrence of hallux valgus based on the image from a podoscope in children, examination of the effect of ill-fitted footwear on the development of this complaint.

Material and method

The study covered 184 children, aged 7-13. The children were examined in their underwear, without shoes and socks. Body weight and body height was measured. The image of the feet on a podoscope was done at full load. The  hallux valgus angle α, the Clarke’s angle and the Wejsflog’s index were calculated. The software calculated the correct size of the footwear which should be worn by the children. This size was compared with the size of the shoes which a child had during the examination.

Results. The problem of hallux valgus affects 26% of the children. Hallux valgus more frequently concerned the left foot. In 8% of cases hallux valgus concerned both feet.

Conclusions. Hallux valgus in the examined group  more often concerned girls than boys. The hallux valgus angle α increased with age. Children who had a normal hallux valgus angle α had higher values of the Clarke’s angle. In the group of children examined, no statistically significant relationship was found between hallux valgus angle α and the fitting of footwear, Wejsflog’s index and the BMI.