What is hindfoot alignment?

Hindfoot alignment was defined as the angular deviation between the tibial anatomical axis and the calcaneus longitudinal axis from the radiographs. Repeat measurements of hindfoot alignment were performed by nine orthopaedic examiners.

What does Hindfoot mean?

The hindfoot is the section of the foot that begins immediately below the ankle joint and ends at the level of the Chopart joint.

What causes hindfoot varus?

Muscle imbalance from numerous underlying neurologic disorders can cause dynamic and static hindfoot varus deformity. Most etiologies are congenital, and therefore affect bone morphology and the shape of the foot during growth.

How much do you angle for a foot xray?

Position of part Rotate leg medially until plantar surface of foot forms an angle of 30 degrees to plane of IR. If angle of foot is increased more than 30 degrees, lateral cuneiform tends to be thrown over other cuneiforms.

How do I fix my hindfoot valgus?

The medial sliding osteotomy of the calcaneus is a simple and effective treatment for hindfoot valgus in pediatric patients with severe hindfoot valgus. It provides excellent correction of the deformity, allows early weight bearing, and preserves subtalar motion.

How do you measure Meary angle?

Meary’s angle (talo-first metatarsal angle) was measured as the angle between the line originating from the center of the body of the talus, bisecting the talar neck and head, and the line through the longitudinal axis of 1st metatarsal.

What causes pain in the hindfoot?

HINDFOOT PAIN & DEFORMITY Problems such as posterior tibial tendon insufficiency cause flat feet and pain. Pain can occur on the inside or outside of the hindfoot. This also causes feelings of weekness and instability around the ankle (hindfoot).

What is hindfoot eversion?

When hindfoot is everted, these axes are parallel; thus, relatively free motion in transverse tarsal joint is allowed. When hindfoot is inverted, axes are divergent; thus, motion in transverse tarsal joint is restricted and stability is greater.

How do you fix high arched feet?

Common solutions for high arches are:

  1. Orthotic devices. You can get devices that are made just for your foot.
  2. Corrective shoes. Certain shoes, like high-tops, can lend support, help correct the way you walk, and relieve pain.
  3. Brace.
  4. Surgery.

Can valgus deformity be corrected?

Regardless of etiology, the valgus malalignment can be corrected with careful analysis of the deformity and a systematic surgical approach.

Why does my Hindfoot hurt?

What is the normal Intermetatarsal angle?

The intermetatarsal (IM) angle is drawn between the 1st and 2nd metatarsal shaft on an axial view of the foot. A normal value is considered to be under 9 degrees.

Which is the best radiologic view for hindfoot alignment?

Among radiographic views available for assessing hindfoot alignment, the antero-posterior weight-bearing view with metal cerclage of the hindfoot (Méary view) is the most widely used in France. Internationally, the long axial view (LAV) and hindfoot alignment view (HAV) are used also.

Can a Meary view be used for hindfoot alignment?

The Méary view provides a good radiographic image of the clinical deformity but has not been validated as a hindfoot alignment assessment tool in studies providing a high level of evidence. Furthermore, no study has compared the reliability of the LAV, HAV, and Méary view.

How is the alignment of the hindfoot determined?

Hindfoot alignment was assessed based on the angle formed by the anatomical axis of the tibia and the longitudinal axis of the calcaneus [12], [13], [14].

What was the exposure time for an X-ray of the hindfoot?

Exposure was 80 KV and 500 mA for an exposure time of 20 msec. An x-ray filter was positioned on the source of the x-rays to regulate the exposure (i.e. darkness) from the tibia to the metatarsal bones and to image the hindfoot clearly. Our radiographic technique.