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Ultrasound evaluation of intrinsic plantar muscles and fascia in hallux valgus: A case-control study

机译:超声评估拇外翻足底固有肌群和筋膜的病例对照研究

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A cross-sectional area (CSA) and thickness reduction of the abductor hallucis (AbH) is shown in subjects with hallux valgus (HV). To date, other soft-tissue structures have not been researched in relation with HV. The aim of this study was to compare the CSA and thickness of the intrinsic plantar muscles and fascia (PF) between feet with and without HV. Therefore, a cross-sectional and case-control study was performed using B-mode with an iU22 Philips ultrasound system and a 5 to 17-MHz transducer. The CSA and thickness were measured for the AbH, flexor digitorum brevis (FDB) and flexor hallucis brevis (FHB), and also the thickness for the anterior, middle, and posterior PF portions. A convenience sample of 40 feet, 20 with HV and 20 without HV, was recruited from a clinical and research center. A multivariate regression analysis using linear regression was performed to evaluate the ultrasound imaging measurements (α?=?0.05). Consequently, statistically significant differences were observed between the groups (P?P?≥?0.05). In conclusion, the CSA and thickness of the AbH and FHB intrinsic plantar muscles are reduced, whereas the thickness of the anterior, middle, and posterior PF portions are increased, in subjects with HV compared with those without HV.
机译:在患有拇外翻(HV)的受试者中显示了外展性幻觉(AbH)的横截面积(CSA)和厚度减小。迄今为止,尚未研究与HV相关的其他软组织结构。这项研究的目的是比较有和没有HV的脚之间的CSA和固有足底肌肉和筋膜(PF)的厚度。因此,采用iU22 Philips超声系统和5至17MHz换能器的B模式进行横断面和病例对照研究。测量AbH,短屈屈肌腱(FDB)和短屈屈拇肌(FHB)的CSA和厚度,以及前,中和后PF部分的厚度。从临床和研究中心招募了一个40英尺,20个带HV和20个不带HV的便利样本。进行了使用线性回归的多元回归分析,以评估超声成像测量结果(α?=?0.05)。因此,两组之间的差异有统计学意义(P≥P≥≥0.05)。总之,与没有HV的受试者相比,患有HV的受试者的CSA和AbH和FHB固有plant肌的厚度减小,而前,中和后PF部分的厚度增加。

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