908 results match your criteria Metatarsalgia

Corticosteroid Injection for Morton's Interdigital Neuroma: A Systematic Review.

Clin Orthop Surg 2021 Jun 22;13(2):266-277. Epub 2021 Apr 22.

Department of Orthopedic Surgery, Inje University Ilsan Paik Hospital, Goyang, Korea.

Backgroud: This review aimed to evaluate the effects of corticosteroid injections on Morton's neuroma using an algorithmic approach to assess the methodological quality of reported studies using a structured critical framework.

Methods: Several electronic databases were searched for articles published until April 2020 that evaluated the outcomes of corticosteroid injections in patients diagnosed with Morton's neuroma. Data search, extraction, analysis, and quality assessments were performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Read More

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Modified Mitchell technique for treating hallux valgus: Retrospective case series on a Middle-Eastern population and literature review.

Ann Med Surg (Lond) 2021 May 14;65:102259. Epub 2021 Apr 14.

Department of Orthopedic Surgery and Traumatology Saint Georges University Medical Center, Balamand University, P.O.Box 166378 Achrafieh, Beirut, 1100 2807, Lebanon.

Introduction: The hallux valgus deformity is a complex deformity of the first ray of the foot, with more than 100 procedures developed for its treatment. The aim of this retrospective study was to assess the clinical and radiographic outcomes of a modified Mitchell's technique.

Methods: Between 2007 and 2018, 75 patients underwent the procedure. Read More

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Distal Metatarsal Minimally Invasive Osteotomy (DMMO): Surgical technique, variants, indications, and treatment decision-tree.

Foot (Edinb) 2021 Jun 8;47:101801. Epub 2021 Apr 8.

Centre ostéo-articulaire des Cèdres, 5, rue des Tropiques, Parc Galaxie-Sud, 38130 Échirolles, France.

Background: Metatarsal osteotomy is a major means of treating mechanical metatarsalgia. Open techniques are widely used, and notably that described by Weil. They have, however, certain drawbacks, and new types of osteotomy have been developed. Read More

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Plantar forefoot pain: ultrasound findings before and after treatment with custom-made foot orthoses.

Radiol Med 2021 Apr 21. Epub 2021 Apr 21.

IRCCS Istituto Ortopedico Galeazzi, Milano, Italy.

Purpose: No prior studies investigated the role of ultrasound in the assessment of response of patients undergoing treatment of metatarsalgia with custom-made orthoses. Our aim was to describe ultrasound findings of patients with plantar forefoot pain treated with custom-made foot orthoses.

Methods: Twenty patients (15 females; mean age: 62. Read More

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Can we correct first metatarsal rotation and sesamoid position with the 3D Lapidus procedure?

Foot Ankle Surg 2021 Apr 12. Epub 2021 Apr 12.

Hospital Universitario 12 de Octubre, Madrid, Spain. Electronic address:

Objective: We examine the technique and radiographic outcomes obtained with triplanar first tarsometatarsal arthrodesis (3D Lapidus) for the surgical correction of hallux valgus (HV). This procedure, apart from correcting angular deformity 1st-2nd intermetatarsal angle, HV angle, etc., is specifically intended to act on first ray pronation and place the sesamoids in their normal position, to alleviate the metatarsalgia often occurring in HV before and after surgery, possibly caused by their abnormal position. Read More

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Endoscopic Resection of a Toe Web Fibroma That Was Mimicking a Morton's Neuroma.

Tun Hing Lui

J Foot Ankle Surg 2021 Mar 1. Epub 2021 Mar 1.

Consultant, Department of Orthopaedics and Traumatology, North District Hospital, Sheung Shui, New Territories, Hong Kong. Electronic address:

Fibroma of tendon sheath is a rare benign tumor originating in the tendon or tendon sheath. It most commonly occurs in upper extremity and rarely presents in the foot. In this report, a case of fibroma of tendon sheath in the web space with Morton's neuroma-like symptoms was presented. Read More

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[Reconstruction of the plantar plate of the metatarsophalangeal joint using a dorsal transarticular approach].

Oper Orthop Traumatol 2021 Mar 11. Epub 2021 Mar 11.

OGAM Orthopädie, Alter Markt 9-13, 42275, Wuppertal, Deutschland.

Objective: Reconstruction of the plantar plate to stabilize a dislocated or instable lesser metatarsophalangeal joint using a dorsal approach in combination with a Weil osteotomy.

Indications: Dislocated or instable lesser metatarsophalangeal joint with rupture of the plantar plate.

Contraindications: Infection, circulatory disorders, symptomatic degenerative arthritis lesser metatarsophalangeal joint. Read More

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Complications on Percutaneous Hallux Valgus Surgery: A Systematic Review.

J Foot Ankle Surg 2021 May-Jun;60(3):548-554. Epub 2020 Dec 8.

Orthopedic Surgeon, Department of Orthopedics, Clinica Del Remei, Barcelona, Spain; Professor, Department of Anatomy and Human Embryology, Faculty of Medicine, University of Barcelona, Barcelona, Spain.

Lately there has been a growing interest in the use of percutaneous surgery for the correction of hallux valgus (HV). The purpose of the present study was to systematically review the published data about this topic and establish the efficacy and safety, stressing the complication rates found on this percutaneous technique. A systematic review of the literature available in PubMed was performed. Read More

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December 2020

Does screwless scarf osteotomy for hallux valgus increase the risk of transfer metatarsalgia?

Orthop Traumatol Surg Res 2021 Feb 9:102853. Epub 2021 Feb 9.

Assistance Publique des Hopitaux de Marseille, Marseille, France.

Introduction: The scarf osteotomy is a reliable surgical technique for treating hallux valgus. The aim of our study was to analyze the occurrence of transfer metatarsalgia after surgery on the first ray using a screwless Scarf osteotomy technique that we have been using in our department since 1995, which consists of stabilization by axial impaction without internal fixation. We hypothesized that the alleged shortening of the first metatarsal produced by this technique may be at the origin of postoperative metatarsalgia. Read More

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February 2021

Brachymetacarpia and brachymetatarsia: do we need to operate?

EFORT Open Rev 2021 Jan 4;6(1):15-23. Epub 2021 Jan 4.

Orthopedic Hospital Speising, Department of Pediatric Orthopaedics and Adult Foot and Ankle Surgery, Vienna, Austria.

Brachymetacarpia and brachymetatarsia are rare congenital presentations denoted by shortening of metacarpals and metatarsals respectively, in which the deformity usually presents around childhood/early adolescence.The aetiology is usually congenital besides several other syndromic or endocrinologic associations.Cosmetic issues such as absence of a normal-looking knuckle while making a fist or disruption of finger-tip curvature besides functional issues are the main indications for surgical intervention in brachymetacarpia. Read More

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January 2021

Forefoot Success.

Instr Course Lect 2021 ;70:587-610

The goal of this chapter is to familiarize orthopaedic surgeons with the latest information pertaining to typical problems of the forefoot. Painful and deforming problems of the forefoot are surprisingly common. The understanding of forefoot deformity and pathology has evolved considerably over the past decade. Read More

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January 2021

Ultrasound findings of plantar plate tears of the lesser metatarsophalangeal joints.

Skeletal Radiol 2021 Jan 10. Epub 2021 Jan 10.

Oxford Musculoskeletal Radiology, Nuffield Orthopaedic Centre, Windmill Road, Oxford, OX3 7LD, UK.

Lesser metatarsophalangeal (MTP) joint plantar plate tears are a common and increasingly recognised cause of metatarsalgia, MTP joint instability and forefoot deformity. Increased interest in early accurate diagnosis of plantar plate tears follows recent surgical innovations allowing direct plantar plate repair. The purpose of this review is to describe the ultrasound features of normal lesser MTP joint plantar plates and to characterise and illustrate the direct and indirect ultrasound findings of plantar plate tears. Read More

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January 2021

Sagittal Chevron Shortening Osteotomy With Lateral Wedge for Treatment of Lesser Metatarsal Overload: A Case Report.

J Foot Ankle Surg 2021 Mar-Apr;60(2):374-377. Epub 2021 Jan 6.

Program Director, Highlands-Presbyterian/St. Luke's Podiatric Medicine and Surgery Residency Program, Colorado Health Foundation, Denver, CO. Electronic address:

Metatarsalgia is a common problem that refers to the tenderness and pain beneath the forefoot. Many metatarsal shortening osteotomies have been described to alleviate metatarsal overload; however, these osteotomies have been associated with a high complication rate of floating toe deformity. We present a case study that describes an innovative technique for the treatment of lesser metatarsalgia that allows for the repositioning of the metatarsal head, using a stable screw fixation designed to minimize the common complication of the floating toe. Read More

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January 2021

Management of acute lesser toe pain.

Postgrad Med 2021 Apr 18;133(3):320-329. Epub 2021 Jan 18.

Department of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.

Patients with foot pain commonly present to their primary care physicians for their initial management and treatment. These patients and their respective foot or lesser toe pain can present the physician with a complex problem with a long differential list. Depending on the timing of the pain and underlying pathology, these differentials can be divided into acute and acute exacerbation of chronic conditions. Read More

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Splay Toe after Freiberg-Köhler's Osteonecrosis: A Case Report of a Successful Operative Treatment in a Rare Multiplanar Foot Deformity.

Case Rep Orthop 2020 19;2020:8830166. Epub 2020 Nov 19.

Department of Orthopedic and Trauma Surgery, Ospedale Regionale di Lugano, Via Tesserete 46, Lugano, Ticino, CH 6900, Switzerland.

"Splay toe" is a rare deformity of the forefoot and often causes the occurrence of metatarsalgia and dysfunction while walking or weight bearing. Since it involves a deviation in the sagittal and transversal planes, often combined with a malrotation, surgical correction can be challenging. We describe a case of splay toe deformity in the forefoot causing metatarsalgia in a 62-year-old female patient with a former avascular osteonecrosis of the 2 metatarsal head Smillie stage V of Freiberg-Köhler's disease causing a splay toe between the 2 and the 3 rays. Read More

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November 2020

Effects and safety of massage therapy for patients with metatarsal pain: A protocol for systematic review and meta-analysis.

Medicine (Baltimore) 2020 Dec;99(49):e23484

Dongfang Hospital of Beijing University of Chinese Medicine.

Background: Metatarsalgia refers to localized or generalized forefoot pain in the region of the metatarsal heads. Often this pain is plantar, beneath the metatarsal heads, and arises from either mechanical or iatrogenic causes. The treatment of metatarsalgia remains controversial. Read More

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December 2020

Effect of toe exercises and toe grip strength on the treatment of primary metatarsalgia.

J Orthop Surg Res 2020 Dec 2;15(1):580. Epub 2020 Dec 2.

Department of Orthopedic Surgery, St Luke's International Hospital, 9-1 Akashicho, Chuo-ku, Tokyo, 104-8560, Japan.

Background: The relationship of metatarsalgia and toe function is poorly understood. We investigated the efficacy of toe exercises for the treatment of metatarsalgia.

Methods: Forty-one (56 feet) metatarsalgia patients (mean age ± SD: 63. Read More

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December 2020

Common Complaints of the Hands and Feet.

Med Clin North Am 2021 Jan 7;105(1):187-197. Epub 2020 Nov 7.

Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, 3701 Market Street, 7th Floor, Philadelphia, PA 19104, USA. Electronic address:

Primary care providers frequently care for complaints of the hands and feet. Here, the author describes the typical presentations of hand osteoarthritis, carpal tunnel syndrome, ganglion cysts, plantar fasciitis, onychomycosis, and Morton neuroma. Useful physical examination techniques are described. Read More

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January 2021

Renunciations in forefoot surgery. Critical analysis of surgical waiting lists.

Rev Esp Cir Ortop Traumatol (Engl Ed) 2021 Mar-Apr;65(2):75-84. Epub 2020 Nov 8.

Unidad de Pie y Tobillo. Servicio de Cirugía Ortopédica y Traumatología, Hospital Clínico San Carlos, Madrid, España.

Introduction: The high prevalence of forefoot pathology generates long surgical waiting lists (SWL). We have detected a considerable number of patients who withdraw surgery, which creates an important distortion in our activity and high expenditure of resources. Our objective is to study the factors related to these resignations, as well as, compare them with other pathologies of high prevalence and ambulatory surgical treatment: carpal tunnel syndrome (CTS) and internal meniscopathy (IM). Read More

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November 2020

Distal Metatarsal Segmental Shortening for the Treatment of Chronic Metatarsophalangeal Dislocation of Lesser Toes.

Foot Ankle Int 2021 Feb 2;42(2):183-191. Epub 2020 Nov 2.

Division of Orthopaedic Trauma, Department of Orthopaedics and Traumatology, Taipei Veterans General Hospital, Taipei,Taiwan.

Background: This retrospective study aimed to describe the techniques and results of distal metatarsal segmental shortening (DMSS) for the treatment of chronic irreducible metatarsophalangeal (MTP) dislocation of lesser toes.

Methods: We retrospectively reviewed patients who underwent DMSS for chronic dislocation of MTP joints of lesser toes between January 2010 and December 2017 with follow-up of at least 24 months. Demographic data, radiographic measurements, functional outcomes, and complications were analyzed. Read More

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February 2021

Triplanar Chevron Osteotomy: A Newly Proposed Method to Treat Hallux Valgus Deformities.

Orthop Surg 2020 Dec 19;12(6):1826-1834. Epub 2020 Oct 19.

Trauma Centre, Department of Orthopaedics, The Third Hospital of Hebei Medical University, Shijiazhuang, China.

Objective: To present a novel method called triplanar chevron osteotomy to treat hallux valgus (HV).

Methods: This is a retrospective study. In this study, the CT data of HV patients with painful callosities were evaluated retrospectively between 1 June 2018 and 1 June 2020. Read More

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December 2020

Forefoot pain.

BMJ 2020 10 9;371:m3704. Epub 2020 Oct 9.

Croydon University Hospital, London, UK.

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October 2020

First ray alignment in Lapidus arthrodesis - Effect on plantar pressure distribution and the occurrence of metatarsalgia.

Foot (Edinb) 2020 Dec 14;45:101686. Epub 2020 Apr 14.

Department of Orthopaedics and Trauma Surgery, University Hospital Essen, University of Duisburg-Essen, Hufelandstrasse 55, 45147 Essen, Germany; Sportsclinic Hellersen, Paulmannshoeher Strasse 17, 58515 Luedenscheid, Germany. Electronic address:

Background: Lapidus arthrodesis is an established treatment option for severe hallux valgus deformity especially in patients suffering from instability of the first tarsometatarsal joint. Surgery related metatarsalgia is known to be associated with persistent elevation of the first ray after realignment surgery. Nevertheless, detailed information on ideal positioning of the first ray in Lapidus surgery is missing so far. Read More

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December 2020

Hans von Baeyer (1875-1941) and his 1909 Insole with Metatarsal Padding for Treating Metatarsalgia.

Brian Freeman

J Am Podiatr Med Assoc 2020 Jul;110(4)

This English translation of the 1909 letter by the internationally recognized orthopedic surgeon Hans von Baeyer fills a gap in our knowledge of the history of the practical treatment of metatarsalgia. Read More

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Plantar pressure distribution in hallux valgus feet after a first metatarsal proximal crescentic osteotomy with a lesser metatarsal proximal shortening osteotomy.

Foot Ankle Surg 2020 Aug 31. Epub 2020 Aug 31.

Department of Orthopedic Surgery, Osaka Medical College, 2-7, Daigaku-machi, Takatsuki 569-8686, Japan. Electronic address:

Background: Plantar pressure distribution after the first metatarsal proximal crescentic osteotomy (FMPCO) with lesser metatarsal proximal shortening osteotomy (LMPSO) for hallux valgus with metatarsalgia has not been previously described.

Methods: The pre- (Pre) and postoperative (Post) groups comprised of 18 patients who underwent unilateral FMPCO with LMPSO; fifteen healthy volunteers constituted the control (C) group. For each of the 10 regions, peak pressure (Peak-P), maximum force (Max-F), contact time (Con-T), contact area (Con-A), and force-time integral (FTI) were measured. Read More

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[The clinical effect of static staple in the treatment of lateral metatarsal neck fracture].

Zhonghua Wai Ke Za Zhi 2020 Sep;58(9):713-717

Department of Bone and Soft Tissue Oncology, Tianjin Hospital, Tianjin 300211, China.

To investigate the clinical effect of static staple in the treatment of metatarsal neck fracture. The clinical data of 34 patients with the 2(nd) to 5(th) metatarsal neck fracture admitted to the Department of Orthopaedic Surgery, Tianjin Fifth Central Hospital from January 2017 to December 2018 were retrospectively analyzed.Seventeen patients were treated with static staple and 17 with retrograde Kirschner wire. Read More

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September 2020

Minimally Invasive Surgery: Osteotomies for Diabetic Foot Disease.

Foot Ankle Clin 2020 Sep 9;25(3):441-460. Epub 2020 Jul 9.

Department of Surgery, Oncology and Gastroenterology DiSCOG, Orthopedic and Traumatologic Clinic, University of Padova, Via Giustiniani 2, Padova 35128, Italy.

Minimally invasive distal metatarsal diaphyseal osteotomy (DMDO) is an effective procedure for the treatment of complicated chronic diabetic foot ulcers under the heads of all lateral metatarsal bones (including the fifth). Resistant toe ulcers and recurrent pressure ulcers can be treated effectively by DMDO. For diabetic patients, the main advantages of this method are minimal surgical scars and tissue damage, immediately postoperative weight bearing, absence of osteosynthesis and consequent potential infection of metal fixation, reduction of the previous high plantar pressures by the restoration of a harmonic balanced forefoot arch, and rapid ulcer healing. Read More

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September 2020

Effect of Metatarsal Head Shape on the Development of Hallux Valgus Deformity: 10 Years of Natural Follow-up.

J Am Podiatr Med Assoc 2020 May;110(3)

Background: We investigated the role of first metatarsal head shape in the etiology of hallux valgus. By pedobarographic analysis, we evaluated whether first metatarsal head shape causes an alteration in plantar pressure values that would result in metatarsalgia.

Methods: Referrals to our clinic for metatarsalgia, plantar fasciitis, and calcaneal spur were scanned retrospectively. Read More

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Anatomical basis of a safe mini-invasive technique for lengthening of the anterior gastrocnemius aponeurosis.

Surg Radiol Anat 2021 Jan 23;43(1):53-61. Epub 2020 Jul 23.

Department of Anatomy, Histology and Embryology, Institute of Clinical and Functional Anatomy, Medical University of Innsbruck (MUI), Müllerstr. 59, 6020, Innsbruck, Austria.

Background: The surgical procedure itself of lengthening the gastrocnemius muscle aponeurosis is performed to treat multiple musculoskeletal, neurological and metabolical pathologies related to a gastro-soleus unit contracture such as plantar fasciitis, Achilles tendinopathy, metatarsalgia, cerebral palsy, or diabetic foot ulcerations. Therefore, the aim of our research was to prove the effectiveness and safety of a new ultrasound-guided surgery-technique for the lengthening of the anterior gastrocnemius muscle aponeurosis, the "GIAR"- technique: the gastrocnemius-intramuscular aponeurosis release.

Methods And Results: An ultrasound-guided surgical GIAR on ten fresh-frozen specimens (10 donors, 8 male, 2 females, 5 left and 5 right) was performed. Read More

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January 2021

Health-related quality-of-life improvement after hallux valgus corrective surgery.

Foot Ankle Surg 2020 Jul 8. Epub 2020 Jul 8.

Department of Orthopaedic Surgery, Singapore General Hospital, Singapore.

Background: Hallux valgus is a common forefoot deformity that affects function of foot and quality of life (QoL). This study aims to identify factors associated with clinically important improvements in QoL after hallux valgus corrective surgery.

Methods: A retrospective analysis on 591 cases of hallux valgus corrective surgery performed between 2007 and 2013 was conducted. Read More

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