Skip to main content

Advertisement

SpringerLink
Log in

Prevalence and pattern of lateral impingements in the progressive collapsing foot deformity

  • Orthopaedic Surgery
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Introduction

The prevalence of lateral bony impingements [i.e., Sinus Tarsi (STI), Talo-Fibular (TFI) and Calcaneo-Fibular (CFI)] and their association with Peritalar Subluxation (PTS) have not been clearly established for progressive collapsing foot deformity (PCFD).This study aims to assess the prevalence of STI, TFI and CFI in PCFD, in addition to their association with PTS. We hypothesized that STI and TFI would be more prevalent than CFI.

Materials and methods

Seventy-two continuous symptomatic PCFD cases were retrospectively reviewed. Weightbearing computed tomography (WBCT) was used to assess lateral impingements and classified as STI, TFI and CFI. PTS was assessed by the percent of uncovered and the incongruence angle of the middle facet, and the overall foot deformity was determined by the foot and ankle offset (FAO). Data were collected by two fellowship-trained independent observers.

Results

Intra-observer and inter-observer reliabilities for impingement assessment ranged from substantial to almost perfect. STI was present in 84.7%, TFI in 65.2% and CFI in 19.4%. PCFD with STI showed increased middle facet uncoverage (p = 0.0001) and FAO (p = 0.0008) compared to PCFD without STI. There were no differences in FAO and middle facet uncoverage in PCFD with TFI and without TFI. PCFD with CFI was associated with STI in 100% of cases. PCFD with CFI showed decreased middle facet incongruence (p = 0.04) and higher FAO (p = 0.006) compared to PCFD without CFI.

Conclusions

STI and TFI were more prevalent than CFI in PCFD. However, only STI was associated with PTS. Conversely, CFI was associated with less PTS, suggesting a different pathological mechanism which could be a compensatory subtalar behavior caused by deep layer failure of the deltoid ligament and talar tilt.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7

Similar content being viewed by others

References

  1. Myerson MS, Thordarson DB, Johnson JE et al (2020) Classification and nomenclature: progressive collapsing foot deformity. Foot Ankle Int 41:1271–1276. https://doi.org/10.1177/1071100720950722

    Article  Google Scholar 

  2. Ellis SJ (2012) Determining the talus orientation and deformity of planovalgus feet using weightbearing multiplanar axial imaging. Foot Ankle Int 33:444–449. https://doi.org/10.3113/FAI.2012.0444

    Article  Google Scholar 

  3. de Cesar NC, Myerson MS, Day J et al (2020) Consensus for the use of weightbearing CT in the assessment of progressive collapsing foot deformity. Foot Ankle Int 41:1277–1282. https://doi.org/10.1177/1071100720950734

    Article  Google Scholar 

  4. Brandenburg LS, Siegel M, Neubauer J et al (2021) Measuring standing hindfoot alignment: reliability of different approaches in conventional x-ray and cone-beam CT. Arch Orthop Trauma Surg. https://doi.org/10.1007/s00402-021-03904-1

    Article  Google Scholar 

  5. de Cesar NC, Schmidt EL, Lalevee M, Mansur NSB (2021) Flexor tenodesis procedure in the treatment of lesser toe deformities. Arch Orthop Trauma Surg. https://doi.org/10.1007/s00402-021-03942-9

    Article  Google Scholar 

  6. Sripanich Y, Weinberg MW, Krähenbühl N et al (2021) Reliability of measurements assessing the Lisfranc joint using weightbearing computed tomography imaging. Arch Orthop Trauma Surg 141:775–781. https://doi.org/10.1007/s00402-020-03477-5

    Article  Google Scholar 

  7. Haleem AM, Pavlov H, Bogner E et al (2014) Comparison of deformity with respect to the talus in patients with posterior tibial tendon dysfunction and controls using multiplanar weight-bearing imaging or conventional radiography. J Bone Jt Surg Am 96:e63-1-e68. https://doi.org/10.2106/JBJS.L.01205

    Article  Google Scholar 

  8. Ananthakrisnan D, Ching R, Tencer A et al (1999) Subluxation of the talocalcaneal joint in adults who have symptomatic flatfoot* **. J Bone Jt Surge Am 81:1147–1154. https://doi.org/10.2106/00004623-199908000-00010

    Article  CAS  Google Scholar 

  9. de Cesar NC, Godoy-Santos AL, Saito GH et al (2019) Subluxation of the middle facet of the subtalar joint as a marker of peritalar subluxation in adult acquired flatfoot deformity: a case-control study. J Bone Joint Surg 101:1838–1844. https://doi.org/10.2106/JBJS.19.00073

    Article  Google Scholar 

  10. de Cesar NC, Silva T, Li S et al (2020) Assessment of posterior and middle facet subluxation of the subtalar joint in progressive flatfoot deformity. Foot Ankle Int 41:1190–1197. https://doi.org/10.1177/1071100720936603

    Article  Google Scholar 

  11. Dibbern KN, Li S, Vivtcharenko V et al (2021) Three-dimensional distance and coverage maps in the assessment of peritalar subluxation in progressive collapsing foot deformity. Foot Ankle Int. https://doi.org/10.1177/1071100720983227

    Article  Google Scholar 

  12. Malicky ES, Crary JL, Houghton MJ et al (2002) Talocalcaneal and subfibular impingement in symptomatic flatfoot in adults. J Bone Jt Surg Am 84:2005–2009. https://doi.org/10.2106/00004623-200211000-00015

    Article  Google Scholar 

  13. Ellis SJ, Deyer T, Williams BR et al (2010) Assessment of lateral hindfoot pain in acquired flatfoot deformity using weightbearing multiplanar imaging. Foot Ankle Int 31:361–371. https://doi.org/10.3113/FAI.2010.0361

    Article  Google Scholar 

  14. de Cesar NC, Saito GH, Roney A et al (2020) Combined weightbearing CT and MRI assessment of flexible progressive collapsing foot deformity. Foot Ankle Surg. https://doi.org/10.1016/j.fas.2020.12.003

    Article  Google Scholar 

  15. Jeng CL, Rutherford T, Hull MG et al (2019) Assessment of bony subfibular impingement in flatfoot patients using weight-bearing CT scans. Foot Ankle Int 40:152–158. https://doi.org/10.1177/1071100718804510

    Article  Google Scholar 

  16. Yoshida Y, Matsubara H, Kawashima H et al (2020) Assessment of lateral hindfoot impingement with weightbearing multiplanar imaging in a flatfoot. Acta Radiologica Open 9:205846012094530. https://doi.org/10.1177/2058460120945309

    Article  Google Scholar 

  17. Sangeorzan BJ, Mosca V, Hansen ST (1993) Effect of calcaneal lengthening on relationships among the hindfoot, midfoot, and forefoot. Foot Ankle 14:136–141. https://doi.org/10.1177/107110079301400305

    Article  CAS  Google Scholar 

  18. Lintz F, Welck M, Bernasconi A et al (2017) 3D biometrics for hindfoot alignment using weightbearing CT. Foot Ankle Int 38:684–689. https://doi.org/10.1177/1071100717690806

    Article  Google Scholar 

  19. de Cesar NC, Bang K, Mansur NS et al (2020) Multiplanar semiautomatic assessment of foot and ankle offset in adult acquired flatfoot deformity. Foot Ankle Int 41:839–848. https://doi.org/10.1177/1071100720920274

    Article  Google Scholar 

  20. Landis JR, Koch GG (1977) The measurement of observer agreement for categorical data. Biometrics 33:159–174

    Article  CAS  Google Scholar 

  21. Barg A, Bailey T, Richter M et al (2018) Weightbearing computed tomography of the foot and ankle: emerging technology topical review. Foot Ankle Int 39:376–386. https://doi.org/10.1177/1071100717740330

    Article  Google Scholar 

Download references

Funding

Matthieu Lalevée received an international mobility grant from GCS-G4 (Lille, France).

Author information

Authors and Affiliations

  1. Department of Orthopaedic and Rehabilitation, Lower Level, University of Iowa, Carver College of Medicine, John PappaJohn Pavillion (JPP), 200 Hawkins DrRoom 01066, Iowa City, IA, 52242, USA

    Matthieu Lalevée, Nacime Salomao Barbachan Mansur, Edward O. Rojas, Hee Young Lee, Samuel J. Ahrenholz, Kevin N. Dibbern & Cesar de Cesar Netto

  2. Department of Orthopedic Surgery, Rouen University Hospital, 37 Boulevard Gambetta, 76000, Rouen, France

    Matthieu Lalevée

  3. Department of Orthopedics and Traumatology, Paulista School of Medicine, Federal University of Sao Paulo, Sao Paulo, SP, Brazil

    Nacime Salomao Barbachan Mansur

  4. Centre de Chirurgie de la Cheville et du Pied. Boulevard Ratalens, Ramsay Santé Clinique De L’union, 31240, Saint-Jean, France

    François Lintz

Authors
  1. Matthieu Lalevée
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Nacime Salomao Barbachan Mansur
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Edward O. Rojas
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Hee Young Lee
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Samuel J. Ahrenholz
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Kevin N. Dibbern
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. François Lintz
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Cesar de Cesar Netto
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Matthieu Lalevée.

Ethics declarations

Conflict of interest

François Lintz; personal fees from Curvebeam; patent TALAS issued. Cesar de Cesar Netto: paid consultant to Curvebeam, Ossio, Zimmer-Biomet, Nextremity, Paragon 28; stock options with Curvebeam; royalties from Paragon 28; media board member with Foot & Ankle International, treasurer for International WBCT Society, committee member for American Orthopaedic Foot & Ankle Society, Editor-in-Chief Foot and Ankle Clinics.

Ethical approval

IRB #201904825.

Informed consent

Not applicable.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Lalevée, M., Barbachan Mansur, N.S., Rojas, E.O. et al. Prevalence and pattern of lateral impingements in the progressive collapsing foot deformity. Arch Orthop Trauma Surg 143, 161–168 (2023). https://doi.org/10.1007/s00402-021-04015-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00402-021-04015-7

Keywords

Search

Navigation