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15). Changes in the pronation classification were explained chiefly by the sesamoid station (SS) (R 0.37), where stations 4 to 7 were found to be strong predictors of roundness classifications 2 and 3. Indirect signs of metatarsal pronation, determined by the head round sign, correlate weakly with the alpha angle measured in WBCT. The presence of arthritis and sesamoids displacement might modify the perception of first head roundness. The influence of MRA in the classification was low, where SS from 4 to 7 was strong predictors of a hig