Anatomy
doi: 10.25005/2074-0581-2023-25-4-553-561
HALLUX VALGUS: LICKS AT THE ANKLE JOINTS, BUT BITES AT THE HIP JOINTS?

L.A. UDOCHKINA1, YU.V. KHLEBNIKOV1, O.I. VORONTSOVA2, M. KAPITONOVA3

1Astrakhan State Medical University, Astrakhan, Russian Federation
2Astrakhan State University named after V.N. Tatishchev, Astrakhan, Russian Federation
3Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, Kota Samarahan, Malaysia

Objective: To present the coverage in the literature of recent years of the problem of the influence of foot pathology (Hallux Valgus, HV) on the condition of the proximal and distal joints of the lower limb (LL) in a comparative aspect

Methods: Literature searches were carried out in the Web of Science, PubMed and Scopus databases as of September 1, 2023 using the keywords “hallux valgus”, “bunion”, “hip joint”, “knee joint”, “ankle joint”. The inclusion criterion was the availability of full-text articles in English. Exclusion criteria included reviews, case reports, and abstracts.

Results: Along with the previously described changes in the spatiotemporal parameters of gait, kinematics of the ankle joint (AJ) with HV, recently there have been studies regarding its influence on the kinematics of the proximal segment of the knee joint, including those contributing to the development of osteoarthritis (OA) of the knee joint (KJ). At the same time, disturbances in the kinematics of the hip joint (HJ) in HV, leading to the development of pathomorphological changes in it, remain unexplored.

Conclusion: HV is a common disease of the musculoskeletal system, significantly worsening the quality of life of patients and often leading to disability. While the effect of HV on foot kinematics and the joint axis has been described in some detail, its effect on the hip joint remains poorly understood. Surgical treatment does not lead to a significant improvement in the kinematics of the lower limb and pelvis, but, on the contrary, can lead to its negative dynamics not only in the operated, but also in the contralateral LL, which dictates the need to conduct research to identify clinically significant kinematic parameters of gait and proximal joints of the LL for HV and optimization of existing treatment approaches.

Keywords: Hallux valgus, hip joint, ankle joint, joint biomechanics, motion capture system.

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Authors' information:

Udochkina Larisa Albertovna,
Doctor of Medical Sciences, Full Professor, Head of Anatomy Department, Astrakhan State Medical University
Researcher ID: 57191331798
ORCID ID: 0000-0001-5016-0633
E-mail: udochkin-lk@mail.ru

Khlebnikov Yury Vitalievich,
PhD Student, Anatomy Department, Astrakhan State Medical University
ORCID ID: 0009-0002-5856-6587
E-mail: linguine@yandex.ru

Vorontsova Olga Ivanovna,
Candidate of Political Sciences, Associate Professor, Head of the Laboratory of Biomechanics and Artificial Intelligence, Astrakhan State University named after V.N. Tatishchev
Researcher ID: 57209692499
ORCID ID: 0000-0002-4037-3990
E-mail: aspuvorontsova@gmail.com

Kapitonova Marina,
MD, PhD, Professor, Professor of Anatomy, Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak
Researcher ID: Y-6429-2018
Scopus ID: 8854275100
ORCID ID: 0000-0001-6055-3123
SPIN: 5647-3218
Author ID: 121504
E-mail: kmarina@unimas.my

Information about support in the form of grants, equipment, medications

The research was carried out in accordance with the research plan of Astrakhan State Medical University (state registration number – 122061600021-9). The authors did not receive financial support from manufacturers of medicines and medical equipment

Conflicts of interest: No conflict

Address for correspondence:

Marina Kapitonova,
MD, PhD Professor, Professor of Anatomy, Department of Basic Medical Sciences, Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak

Kota Samarahan 94300, Malaysia

Tel.: +60 (176) 243699

E-mail: kmarina@unimas.my

Materials on the topic:
  1. COMPREHENSIVE ANALYSIS OF THE AORTIC ARCH BRANCHING PATTERNS BASED ON DIAGNOSTIC STUDIES, SURGICAL PROCEDURES, AND AUTOPSY REPORTS
  2. THE USE OF ANATOMIC TABLE FOR STUDYING THE VARIANT ANATOMY OF THE SUBCLAVIAN AND AXILLARY ARTERIES

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