Risk Factors for Midfoot Arthritis Associated With Medical History by Weight Bearing Computed Tomography

• Published in: The Journal of foot and ankle surgery Vol. 63; no. 5; pp. 532 - 536
• Main Authors: Kim, Ki Chun, Schmidt, Eli, de Carvalho, Kepler Alencar Mendes, Lalevee, Matthieu, Mansur, Nacime, Dibbern, Kevin, Auch, Elijah, Jasper, Ryan, Netto, Cesar De Cesar
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.09.2024
• Subjects: Adult; Aged; Arthritis - diagnostic imaging; Female; Foot Deformities - diagnostic imaging; Foot Joints - diagnostic imaging; Humans; Male; Middle Aged; midfoot; midfoot arthritis; naviculocuneiform joint; Retrospective Studies; Risk Factors; tarsometatarsal joint; Tomography, X-Ray Computed; Weight-Bearing; weight-bearing computed tomography; risk factors; TMTJ; retrospective case-control study; N1stCJ; weight-bearing computed tomography; naviculocuneiform joint; HV; midfoot arthritis; SD; OA; 3; midfoot; MA; PCFD; WBCT; 2nd CMJ; tarsometatarsal joint; LTD; BMI; WHO
• ISSN: 1067-2516; 1542-2224; 1542-2224
• DOI: 10.1053/j.jfas.2024.04.008

Tarso-metatarsal joints and naviculocuneiform joints comprising midfoot is the second most commonly involved joints following the first metatarsophalangeal joint in the foot. However, related factors of midfoot arthritis (MA) have been rarely reported. The bony structure and alignment can be more precisely assessed using Weight-Bearing Computed Tomography (WBCT) than conventional radiographs. Therefore, the aim of this study was to investigate risk factors for MA related to medical history and comorbid foot deformities using WBCT. WBCT data from September 2014 to April 2022 were extracted from a single referral hospital. All cases were divided into two groups by the presence of MA. Twenty-five potential related factors including demographics, etiology, and common co-occurring foot deformities were collected for comparison. Six hundred six cases (247 males and 359 females) among consecutive 1316 cases between September 2014 to April 2022 were selected. One hundred thirty-nine male cases (56.3%) and 210 female cases (58.5%) showed MA. In stepwise multiple logistic regression analysis, 5 factors remained statistically significant. The multivariate-adjusted odds ratios for age, laterality, body mass index (BMI), Progressive Collapsing Foot Deformity (PCFD), and lesser toe deformities (LTD) were 1.08, 1.54, 1.05, 6.62, and 3.03 respectively. Risk factors for MA associated with medical history and foot deformities included age, laterality, BMI, PCFD, and LDT.