Characteristics of foot structure and footwear associated with hallux valgus: a systematic review

Nix, S. E., Vicenzino, B. T., Collins, N. J. and Smith, M. D. (2012) Characteristics of foot structure and footwear associated with hallux valgus: a systematic review. Osteoarthritis and Cartilage, 20 10: 1059-1074. doi:10.1016/j.joca.2012.06.007


Author Nix, S. E.
Vicenzino, B. T.
Collins, N. J.
Smith, M. D.
Title Characteristics of foot structure and footwear associated with hallux valgus: a systematic review
Journal name Osteoarthritis and Cartilage   Check publisher's open access policy
ISSN 1063-4584
1522-9653
Publication date 2012-10
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1016/j.joca.2012.06.007
Volume 20
Issue 10
Start page 1059
End page 1074
Total pages 16
Place of publication London, United Kingdom
Publisher Elsevier
Collection year 2013
Language eng
Formatted abstract
Objective: Factors associated with the development of hallux valgus (HV) are multifactorial and remain unclear. The objective of this systematic review and meta-analysis was to investigate characteristics of foot structure and footwear associated with HV.
Design: Electronic databases (Medline, Embase, and CINAHL) were searched to December 2010. Cross-sectional studies with a valid definition of HV and a non-HV comparison group were included. Two independent investigators quality rated all included papers. Effect sizes and 95% confidence intervals (CIs) were calculated (standardized mean differences (SMDs) for continuous data and risk ratios (RRs) for dichotomous data). Where studies were homogeneous, pooling of SMDs was conducted using random effects models.
Results: A total of 37 papers (34 unique studies) were quality rated. After exclusion of studies without reported measurement reliability for associated factors, data were extracted and analysed from 16 studies reporting results for 45 different factors. Significant factors included: greater first intermetatarsal angle (pooled SMD = 1.5, CI: 0.88–2.1), longer first metatarsal (pooled SMD = 1.0, CI: 0.48–1.6), round first metatarsal head (RR: 3.1–5.4), and lateral sesamoid displacement (RR: 5.1–5.5). Results for clinical factors (e.g., first ray mobility, pes planus, footwear) were less conclusive regarding their association with HV.
Conclusions: Although conclusions regarding causality cannot be made from cross-sectional studies, this systematic review highlights important factors to monitor in HV assessment and management. Further studies with rigorous methodology are warranted to investigate clinical factors associated with HV.
Keyword Hallux valgus
Footwear
Foot
Systematic review
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Official 2013 Collection
School of Health and Rehabilitation Sciences Publications
 
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Citation counts: TR Web of Science Citation Count  Cited 10 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 12 times in Scopus Article | Citations
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