Osteoarthritis

Association of Bone Shape and Alignment Analyzed Using Statistical Shape Modeling With Severity of First Metatarsophalangeal Joint Osteoarthritis

Arthritis Care Res (Hoboken)Published Cross-sectional study

Authors' conclusion

Variations in the shape and alignment of the medial cuneiform, first metatarsal, and proximal and distal phalanx of the hallux are significantly associated with radiographic severity of first MTP joint OA.

Study context

Population
Individuals with clinically diagnosed symptomatic first MTP joint OA (aged 22 to 85 years); weightbearing lateral and dorsoplantar radiographs105 females
Participants
185 individuals
Exposure
Bone shape mode scores by radiographic severity category
  • None/mildn = 35
  • Moderaten = 69
  • Severen = 81
Outcome
Association between radiographic severity and bone shape mode scores (adjusted ORs, ordinal regression)
Methodological detailsstatistical shape modeling, ordinal regression adjusted for confounders
  • Statistical shape modeling
  • Ordinal regression adjusted for confounders

Main finding

As reported in the abstract

Bone shape modes associated with radiographic severity
Lateral view: 16 modes included (83.2% of total shape variance); modes associated with severity
4
Dorsoplantar view: 15 modes included (82.6% of total shape variance); modes associated with severity
6

Observational data: associations, not effects.

Original publication

Association of Bone Shape and Alignment Analyzed Using Statistical Shape Modeling With Severity of First Metatarsophalangeal Joint Osteoarthritis. Arthritis Care Res (Hoboken). Published 17 December 2023. doi:10.1002/acr.25237

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