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Metatarsal Shape and Foot Type: A Geometric Morphometric Analysis.

Scott Telfer1, Matthew W Kindig2, Bruce J Sangeorzan3

  • 1Department of Orthopaedics and Sports Medicine, University of Washington, Box 356500, 1959 NE Pacific Street, Seattle, WA 98195

Journal of Biomechanical Engineering
|November 2, 2016
PubMed
Summary
This summary is machine-generated.

Metatarsal bone geometry differs significantly between foot types like pes cavus and pes planus, impacting injury risk. These distinct shapes also vary by sex, offering insights for anatomical and biomechanical models.

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Area of Science:

  • Orthopedics and Biomechanics
  • Human Anatomy
  • Medical Imaging Analysis

Background:

  • Foot morphology, specifically pes planus (flatfoot) and pes cavus (high arch), is linked to pain and disability.
  • Understanding geometric bone differences can inform injury risk assessment and biomechanical modeling.

Purpose of the Study:

  • To analyze geometric variations in metatarsal bones across different foot types (pes cavus, neutral, asymptomatic pes planus, symptomatic pes planus).
  • To investigate sex-based morphological differences in metatarsals.
  • To correlate foot type and sex with specific metatarsal shape characteristics.

Main Methods:

  • Geometric morphometric analysis of 65 metatarsal CT scans.
  • Categorization into four foot types.
  • Generalized Procrustes Analysis (GPA) and permutation testing for shape differences.
  • Principal Component Analysis (PCA) for variation modes.

Main Results:

  • Significant metatarsal shape differences were observed across all foot types (p < 0.01), particularly the second metatarsal.
  • Pes cavus foot types exhibited reduced cross-sectional areas in sagittal and frontal planes.
  • Significant sex-based differences were found in the first and fourth metatarsals, with females showing reduced dimensions.

Conclusions:

  • Metatarsal bones possess distinct morphological characteristics tied to foot type and sex.
  • These findings enhance anatomical understanding and have implications for developing accurate foot models for biomechanical and finite-element analyses.