{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T05:23:29Z","timestamp":1777613009314,"version":"3.51.4"},"reference-count":24,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2015,7,22]],"date-time":"2015-07-22T00:00:00Z","timestamp":1437523200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2015,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Metatarsus adductus (MA) increases the risk of developing symptomatic hallux valgus (HV). This study aimed to determine the prevalence of MA in patients with symptomatic HV and to evaluate how it affected the functional outcome after scarf osteotomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Between January 2007 and June 2012, a total of 206 patients who underwent scarf osteotomy for symptomatic HV at a tertiary hospital were included. The metatarsus adductus angle (MAA) was determined using the Modified Sgarlato method, and these patients were categorized into 2 groups: MA (MAA &gt; 20 degrees); and Control (MAA \u2264 20 degrees). The patients were prospectively followed for 2 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The prevalence of MA was 33% (68\/206) with a mean MAA of 24 \u00b1 4 degrees (range = 20-39). There was a 21 \u00b1 12 degrees and 18 \u00b1 9 degrees improvement in hallux valgus angle for the MA and Control groups, respectively ( P = .061), whereas there was a 6 \u00b1 4 degrees and 6 \u00b1 3 degrees improvement in intermetartarsal angle for the MA and Control groups, respectively ( P = .475). The visual analog scale, AOFAS Hallux Metatarsophalangeal-Interphalangeal Scale, and Physical and Mental Component Scores were comparable between the 2 groups both preoperatively and at 2 years\u2019 follow-up (all P &gt; .05). Two patients in the control group required revision surgery for recurrence symptomatic HV.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The authors conclude that MA did not predispose the patient to poorer functional outcome after scarf osteotomy with the advent of good operative techniques.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level II, prospective comparative study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1071100715595618","type":"journal-article","created":{"date-parts":[[2015,7,22]],"date-time":"2015-07-22T21:40:03Z","timestamp":1437601203000},"page":"1316-1321","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":34,"title":["Prevalence of Metatarsus Adductus in Symptomatic Hallux Valgus and Its Influence on Functional Outcome"],"prefix":"10.1177","volume":"36","author":[{"given":"Bryan","family":"Loh","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Singapore General Hospital, The Academia, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jerry Yongqiang","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Singapore General Hospital, The Academia, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andy Khye Soon","family":"Yew","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Singapore General Hospital, The Academia, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hwei Chi","family":"Chong","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Singapore General Hospital, The Academia, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Malcolm Guan Hin","family":"Yeo","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Singapore General Hospital, The Academia, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peng","family":"Tao","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Singapore General Hospital, The Academia, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin","family":"Koo","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Singapore General Hospital, The Academia, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Inderjeet","family":"Rikhraj Singh","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Singapore General Hospital, The Academia, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2015,7,22]]},"reference":[{"key":"bibr1-1071100715595618","doi-asserted-by":"publisher","DOI":"10.1177\/1071100714551022"},{"key":"bibr2-1071100715595618","doi-asserted-by":"publisher","DOI":"10.1177\/107110070602701202"},{"key":"bibr3-1071100715595618","doi-asserted-by":"publisher","DOI":"10.1177\/107110070102200503"},{"key":"bibr4-1071100715595618","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2011.03.002"},{"key":"bibr5-1071100715595618","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2011.10.001"},{"key":"bibr6-1071100715595618","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2008.02.003"},{"key":"bibr7-1071100715595618","doi-asserted-by":"publisher","DOI":"10.1002\/acr.20543"},{"key":"bibr8-1071100715595618","doi-asserted-by":"publisher","DOI":"10.1002\/hec.4730020305"},{"key":"bibr9-1071100715595618","doi-asserted-by":"publisher","DOI":"10.1016\/S1526-5900(03)00716-8"},{"key":"bibr10-1071100715595618","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2007.1260"},{"key":"bibr11-1071100715595618","doi-asserted-by":"publisher","DOI":"10.1177\/107110079401500701"},{"key":"bibr12-1071100715595618","first-page":"304","volume":"26","author":"La 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