Cardan angle rotation sequence effects on first‐metatarsophalangeal joint kinematics: implications for measuring hallux valgus deformity

Abstract Background There currently are no recommended standards for reporting kinematics of the first‐metatarsophalangeal joint. This study compared 2 different rotation sequences of Cardan angles, with implications for understanding the measurement of hallux valgus deformity. Methods Thirty‐one wo...

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Main Authors: Ward M Glasoe, Fernando A Pena, Vandana Phadke
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Journal of Foot and Ankle Research
Subjects:
Online Access:https://doi.org/10.1186/1757-1146-7-29
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author Ward M Glasoe
Fernando A Pena
Vandana Phadke
author_facet Ward M Glasoe
Fernando A Pena
Vandana Phadke
author_sort Ward M Glasoe
collection DOAJ
description Abstract Background There currently are no recommended standards for reporting kinematics of the first‐metatarsophalangeal joint. This study compared 2 different rotation sequences of Cardan angles, with implications for understanding the measurement of hallux valgus deformity. Methods Thirty‐one women (19 hallux valgus; 12 controls) participated. All were scanned in an open‐upright magnetic resonance scanner, their foot posed to simulate the gait conditions of midstance, heel‐off, and terminal stance. Using computer processes, selected tarsals were reconstructed into virtual bone models and embedded with principal‐axes coordinate systems, from which the rotation matrix between the hallux and first metatarsal was decomposed into Cardan angles. Joint angles were then compared using a within factors (rotation sequence and gait condition) repeated‐measures analysis of variance (ANOVA). Results Only the transverse plane‐first sequence consistently output incremental increases of dorsiflexion and abduction across gait events in both groups. There was an interaction (F ≥ 25.1; p < 0.001). Follow‐up comparisons revealed angles were different (p < 0.05) at terminal stance. Conclusions Different rotation sequences yield different results. Extracting the first rotation in the transverse plane allows for the resting alignment of the hallux to deviate from the sagittal plane. Therefore, representing first‐metatarsophalangeal joint kinematics with the transverse plane‐first rotation sequence may be preferred, especially in cases of hallux valgus deformity.
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spelling doaj.art-5800bbf4535e4a09a85dd9a8f26f467f2024-02-07T15:16:16ZengWileyJournal of Foot and Ankle Research1757-11462014-01-0171n/an/a10.1186/1757-1146-7-29Cardan angle rotation sequence effects on first‐metatarsophalangeal joint kinematics: implications for measuring hallux valgus deformityWard M Glasoe0Fernando A Pena1Vandana Phadke2Program in Physical TherapyMedical School University of MinnesotaMayo Mail Code 388, 420 Delaware St SE55455MinneapolisMNUSAOrthopaedic SurgeryMedical School University of MinnesotaRiverside Campus, 2512 Seventh St. S55454MinneapolisMNUSAProgram in Physical TherapyMedical School University of MinnesotaMayo Mail Code 388, 420 Delaware St SE55455MinneapolisMNUSAAbstract Background There currently are no recommended standards for reporting kinematics of the first‐metatarsophalangeal joint. This study compared 2 different rotation sequences of Cardan angles, with implications for understanding the measurement of hallux valgus deformity. Methods Thirty‐one women (19 hallux valgus; 12 controls) participated. All were scanned in an open‐upright magnetic resonance scanner, their foot posed to simulate the gait conditions of midstance, heel‐off, and terminal stance. Using computer processes, selected tarsals were reconstructed into virtual bone models and embedded with principal‐axes coordinate systems, from which the rotation matrix between the hallux and first metatarsal was decomposed into Cardan angles. Joint angles were then compared using a within factors (rotation sequence and gait condition) repeated‐measures analysis of variance (ANOVA). Results Only the transverse plane‐first sequence consistently output incremental increases of dorsiflexion and abduction across gait events in both groups. There was an interaction (F ≥ 25.1; p < 0.001). Follow‐up comparisons revealed angles were different (p < 0.05) at terminal stance. Conclusions Different rotation sequences yield different results. Extracting the first rotation in the transverse plane allows for the resting alignment of the hallux to deviate from the sagittal plane. Therefore, representing first‐metatarsophalangeal joint kinematics with the transverse plane‐first rotation sequence may be preferred, especially in cases of hallux valgus deformity.https://doi.org/10.1186/1757-1146-7-29Biomechanics measurementBunion deformityGait simulation
spellingShingle Ward M Glasoe
Fernando A Pena
Vandana Phadke
Cardan angle rotation sequence effects on first‐metatarsophalangeal joint kinematics: implications for measuring hallux valgus deformity
Journal of Foot and Ankle Research
Biomechanics measurement
Bunion deformity
Gait simulation
title Cardan angle rotation sequence effects on first‐metatarsophalangeal joint kinematics: implications for measuring hallux valgus deformity
title_full Cardan angle rotation sequence effects on first‐metatarsophalangeal joint kinematics: implications for measuring hallux valgus deformity
title_fullStr Cardan angle rotation sequence effects on first‐metatarsophalangeal joint kinematics: implications for measuring hallux valgus deformity
title_full_unstemmed Cardan angle rotation sequence effects on first‐metatarsophalangeal joint kinematics: implications for measuring hallux valgus deformity
title_short Cardan angle rotation sequence effects on first‐metatarsophalangeal joint kinematics: implications for measuring hallux valgus deformity
title_sort cardan angle rotation sequence effects on first metatarsophalangeal joint kinematics implications for measuring hallux valgus deformity
topic Biomechanics measurement
Bunion deformity
Gait simulation
url https://doi.org/10.1186/1757-1146-7-29
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