RT Journal Article
T1 Reliability Study of Diagnostic Tests for Functional Hallux Limitus
A1 Sánchez Gómez, Rubén
A1 Becerro De Bengoa Vallejo, Ricardo
A1 Losa Iglesias, Marta Elena
A1 Calvo Lobo, César
A1 Navarro Flores, Emmanuel María
A1 Palomo López, Patricia
A1 Romero Morales, Carlos
A1 López López, Daniel
AB Background: Functional hallux limitus (FHL) refers to dorsiflexion hallux mobility limitation when the first metatarsal head is under loading conditions but not in the unloaded state. The goal of the study was to evaluate 3 common manual tests (Buell, Dananberg, and Jack tests) for assessing first metatarsophalangeal joint (MPJ) mobility and determining the normal values needed to detect FHL, and clarify the signs and symptoms associated with this pathology.Methods: Forty-four subjects were included in this reliability study. Subjects were divided into healthy control (non-FHL) and FHL groups according to the Buell first MPJ limitation values in addition to signs and symptoms derived from the literature. In both groups, we measured the mobility in the Buell, Dananberg, and Jack tests using a goniometer; their intraclass correlation coefficients (ICCs), sensitivities, and specificity indexes were also calculated.Results: All techniques showed high reliability across measurement trials with ICCs ranging from 0.928 to 0.999. The optimal mobility grades for predicting FHL were 68.6 ± 3.7 degrees, 21 ± 5.9 degrees, and 25.5 ± 6.5 degrees (mean±SD) (P < .05) for the Buell, Dananberg, and Jack tests, respectively.Conclusion: Normal and limited mobility values were established for assessing FHL using each technique. The sensitivity and specificity data were perfect for the Dananberg and Jack tests, thus identifying these tests as specific and valid tools for use in FHL diagnosis. Pinch callus was the sign most associated with FHL.
PB American Orthopaedic Foot & Ankle Society
SN 1071-1007
YR 2020
FD 2020-04-30
LK https://hdl.handle.net/20.500.14352/116389
UL https://hdl.handle.net/20.500.14352/116389
LA eng
NO Sánchez-Gómez R, Becerro-de-Bengoa-Vallejo R, Losa-Iglesias ME, et al. Reliability Study of Diagnostic Tests for Functional Hallux Limitus. Foot & Ankle International. 2020;41(4):457-462. doi:10.1177/1071100719901116
NO ninguna
DS Docta Complutense
RD 23 abr 2025