Use of Advanced Weightbearing Imaging in Evaluation of Hallux Valgus.

Foot Ankle Clin · Nov 19 2019 · Review

de Cesar Netto C, Richter M

Department for Foot and Ankle Surgery Rummelsberg and Nuremberg, Location Hospital, Rummelsberg, Germany

Foot & Ankle

SUMMARY — THE REDUCTIONWeightbearing cone beam CT offers more reliable 3D measurements (HV and intermetatarsal angles) than conventional radiographs for evaluating hallux valgus deformity.
Abstract, as published

Hallux valgus (HV) represents a progressive 3-dimensional deformity that includes bone malalignment, hypermobility of the first ray, and imbalanced soft-tissue structures of the midfoot and forefoot. Conventional radiographs provide sectorized and limited information of the deformity in different planes. The literature evidence supporting the use of cone beam weightbearing computed tomography in the assessment of HV has been growing. It demonstrates important advances that include the ability to reliably perform traditional measurements such as HV angle and intermetatarsal angle in the 3-dimensional setting.

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