Uğur ŞAYLI, ELİF ÇİĞDEM ALTUNOK, Melih GÜVEN, Budak AKMAN, Jnev BIROS, Ayşe ŞAYLI

Prevalence estimation and familial tendency of common forefoot deformities in Turkey: A survey of 2662 adults

Objective: This survey was designed to evaluate the prevalence estimations of HV, bunionette, hammertoe as well as their relations to shoe wearing and also familial tendency, in Turkey. Material and Methods: Two thousand six hundred sixty two volunteers (1615 females and 1047 males) with a mean age of 34.15 ± 14.23 (range; 18 to 96) years were asked to answer the predetermined questionnaire between January and June, 2016. Hallux valgus, hammertoe and bunionette images were provided as references and every adult participant without any known forefoot problems or past forefoot surgery history was asked to rate his/her foot and to respond the questions about family history and shoe wearing habits. Responses were statistically analyzed. Results: The prevalence estimations of hallux valgus, bunionette and hammertoe were calculated as 54.3%, 13.8% and 8.9% and positive family history rates were 53.2%, 61.2% and 56.1%, respectively. All three deformities were more common in females than in males (p < 0.001). Nonetheless the older age group reported significantly higher prevalence rates for only HV (p < 0.001). Likewise, among the three deformities, females reported a higher rate of positive family history only in HV compared to men (p < 0.001). Constricting shoe wear was found to affect HV incidence in women (p < 0.001) and bun-ionette incidence in both sexes (p < 0.01).

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30. Kelikian H. Deformities of the lesser toe. In: Kelikian H, ed. Hallux Valgus, Allied Deformities of the Forefoot and Metatarsalgia. Philadelphia: WB Saunders; 1965.

29. Kitaoka HB, Holiday AD. Lateral condylar resection for bunionette. Clin Orthop Relat Res. 1992;(278):183e192.

28. Barouk LS. Some pathologies of the fifth ray : tailor's bunion. In: Barouk LS, ed. Forefoot Reconstruction Paris. Springer-Verlag; 2002:276e283.

27. Weil L, Weil LS. Osteotomies for bunionette deformity. Foot Ankle Clin N Am. 2011;16(4):689e712.

26. Jay RM, Malay DS, Lansman AS, Jennato N, Huish J, Younger M. Dual-Compo-nent intramedullary implant versus Kirschner wire for proximal interphalan-geal joint fusion : a randomized controlled clinical trial. J Foot Ankle Surg. 2016;55(4):697e708.

25. Holewski JJ, Moss KM, Stess RM, Graf PM, Grunfeld C. Prevalence of foot pathology and lower extremity complications in a diabetic outpatient clinic. J Rehabil Res Develop. 1989;26(3):35e44.

24. Coughlin MJ. Lesser toe deformities. In: Coughlin MJ, Mann RA, Slatzman CL, eds. Surgery of the Foot and Ankle. Philadelphia Mosby Elsevier; 2007:363e464.

23. Sim-Fook L, Hodgson AR. A comparison of foot forms among the non shoe and shoe wearing Chinese population. J Bone Joint Surg Am. 1958;40(5): 1058e1062.

22. Thompson FM, Coughlin MJ. The high price of high-fashion footwear. J Bone Joiny Surg Am. 1994;76(10):1586e1593.

21. Kato T, Watanabe S. The etiology of hallux valgus in Japan. Clin Orthop Relat Res. 1981;(157):78e81.

20. Shine IB. Incidence of Hallux valgus in a partially shoe-wearing community. Br Med J. 1965;1(5451):1648e1650.

19. Cho NH, Kim S, Kwon DJ, Kim HA. The prevalence of hallux valgus and its association with foot pain and function in a rural Korean community. J Bone Joint Surg Br. 2009;91(4):494e498.

18. Roddy E, Zhang W, Doberty M. Prevalance and associations of hallux valgus in a primary care population. Arthritis Rheum. 2008;59(6):857e862.

17. Hannan MT, Menz HB, Jordan JM, Adrienne Cupples L, Cheng C-H, Hsu Y-H. Hallux valgus and lesser toe deformities are highly heritable in adult men and women: the Framingham foot study. Arthritis Care Res. 2013;65(9):1515e1521.

16. D. Wu, L. Louie Does wearing high-heeled shoe cause hallux valgus ? A survey of 1,056 Chinese Females Foot Ankle Online J, 3 (5) (2016), p. 3

15. The Results of Address Based Population Registration System (2015) http://www.tuik.gov.tr/HbGetirHTML.do?id=21507

14. S. Nix, M. Smith, B. Vicenzino Prevalence of hallux valgus in the general population: a systematic review and meta-analysis J Foot Ankle Res, 3 (1) (2010), pp. 21-29

13. Garrow AP, Papageorgiou A, Silman AJ, Thomas E, Malcolm I, Jayson V, Macfarlane GJ. The grading of hallux valgus. J Am Podiatr Med Assoc. 2001;91(2):74e78.

12. Menz HB, Totohabadi MR, Wee E, Spink MJ. Validity of self-assessment of hallux valgus using the Manchester scale. BMC Muscoskel Disord. 2010;11(1): 215e222.

11. Lopez LD, Gonzalez LC, Iglesias MEL, Canosa JLS, Sanz DR, Lobo CC, Vallejo RBB. Quality of life impact related to foot health in a sample of older people with hallux valgus. Aging and Disease. 2016;7(4):1e8.

10. Deveci A, Yılmaz S, Fırat A, Yıldırım AO, € Oken FO, Gulcek M, Ucaner A. An € overlooked deformity in patients with Hallux Valgus. J Am Podiatr Med Assoc. 2015;105(3):233e237

9. Dunn JE, Link CL, Felson DT, Crincoli MG, Keysor JJ, McKinley JB. Prevalance of foot and ankle conditions in a multiethnic community sample of older adults.

8. Menz HB, Lord SR. Foot pain impairs balance and functional ability in community-dwelling older people. J Am podiatr Med Assoc. 2001;91(5): 222e229.

7. Coughlin MJ, Jones CP. Hallux valgus : Demographics, etiology and radiographic assessment. Foot Ankle Int. 2007;(2887):759e777.

6. Benvenuti F, Ferucci L, Guralnik JM, Gangemi S, Baroni A. Foot pain and disability in older persons : an epidemiologic survey. J Am Geriatr Soc. 1995;43(5):479e484.

5. Menz HB. Epidemiology of foot problems in older people. In: Hylton B, Menz HB, eds. Foot Problems in Older People Assessment and Management Lon-don Churchill Livingstone. 2008:1e11.

4. Nix SE, Vicenzino BT, Collins NJ, Smith MD. Characteristics of foot structure and footwear associated with hallux valgus: a systematic review. Osteoarthritis Cartilage. 2012;20(10):1059e1074.

3. Saro C, Bengtsson AS, Lindgren U, Adami J, Blomqvist P, FellandereTsai L. Surgical treatment of hallux valgus and forefoot deformities in Sweden: a population based study. Foot Ankle Int. 2008;29(3):298e304.

2. Myerson MS. Hallux valgus. In: Foot and Ankle Disorders. WB Saunders Phila-delphia; 2000:213e289.

1. Coughlin MJ, Mann RA. Hallux valgus. In: Coughlin MJ, Mann RA, Saltzman CL, eds. Surgery of the Foot and Ankle. Philadelphia: Mosby Elsevier; 2007:183e362.