990 results match your criteria Metatarsalgia


Long-term comparison between blind and ultrasound-guided corticoid injections in Morton neuroma.

Eur Radiol 2022 Jun 21. Epub 2022 Jun 21.

Department of Orthopedic Surgery, University Hospital Virgen de las Nieves, Granada, Spain.

Objectives: This work compares the effectiveness of blind versus ultrasound (US)-guided injections for Morton neuroma (MN) up to 3 years of follow-up.

Methods: This is an evaluator-blinded randomised trial in which 33 patients with MN were injected by an experienced orthopaedic surgeon based on anatomical landmarks (blind injection, group 1) and 38 patients were injected by an experienced musculoskeletal radiologist under US guidance (group 2). Patients were assessed using the visual analogue scale and the Manchester Foot Pain and Disability index (MFPDI). Read More

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Plantar Plate Repair for Metatarsophalangeal Joint Instability of the Lesser Toes.

Authors:
James R Jastifer

Orthop Clin North Am 2022 Jul 27;53(3):349-359. Epub 2022 May 27.

Ascension Borgess Orthopedics, 2490 South 11th Street, Kalamazoo, MI, USA; Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI, USA. Electronic address:

The plantar plate is a known stabilizer of the lesser toe metatarsophalangeal (MTP) joint. MTP instability is a known common cause of metatarsalgia, most commonly in the second toe. In the last decade, clinical staging and anatomic grading mechanisms have been published to guide the surgeons on the treatment of MTP instability; this has also led to an understanding of how plantar plate tears relate to MTP joint instability. Read More

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Operative Management: Plantar Plate.

Clin Podiatr Med Surg 2022 Jul;39(3):489-502

Highlands-Presbyterian, St. Luke's Podiatric Medicine and Surgery Residency Program, 1719 East 19th Avenue, Denver, CO 80218, USA.

The plantar plate is a vital structure for maintaining lesser metatarsophalangeal joint (MPJ) stability. Its primary role is to provide static stabilization of the MPJs, working in conjunction with the long and short flexor and extensor tendons. When insufficiency or attenuation of the plantar plate occurs, a sagittal plane deformity will slowly develop, eventually leading to a "crossover toe" transverse plane deformity. Read More

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Proximal Medial Gastrocnemius Release: Surgical Technique.

JBJS Essent Surg Tech 2022 Jan-Mar;12(1). Epub 2022 Feb 28.

Parc de Salut Mar, Universitat Autonoma Barcelona, Barcelona, Spain.

Proximal medial gastrocnemius release (PMGR) is a technique that is performed to relieve tension in the Achilles-calcaneus-plantar system when a biomechanical overload is present. One of the main indications for this technique is recalcitrant plantar fasciitis. This procedure may also be useful in second-rocker metatarsalgia or midportion Achilles tendinitis. Read More

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February 2022

Complications of Hallux Rigidus Surgery.

Foot Ankle Clin 2022 Jun 11;27(2):253-269. Epub 2022 May 11.

OrthoCarolina Foot and Ankle Institute, Atrium Health Musculoskeletal Institute, 2001 Vail Avenue, Suite 200B, Charlotte, NC 28207, USA. Electronic address:

Hallux rigidus can be treated with a variety of surgical procedures, including joint preserving techniques, arthrodesis, and arthroplasty. The most commonly reported complications for joint preserving techniques consist of progression of arthritis, continued pain, and transfer metatarsalgia. Although good outcomes have been reported for arthrodesis overall, careful attention must be paid to technique and positioning of the toe to avoid nonunion or malunion. Read More

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Infiltrative Therapy of Morton's Neuroma.

Acta Biomed 2022 03 10;92(S3):e2021556. Epub 2022 Mar 10.

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The aim of this study is to systematically review the literature on clinical outcomes of patients who have undergone infiltrative therapy for treatment of Morton's neuroma. As many kinds of substances are injected, the main outcome defines which treatment provides the best results in term of patient's satisfaction and pain relief, so that it would be possible to choose the best option. Many electronic databases were searched on July 2021; we have included prospective and retrospective case series, and randomized controlled trials of infiltrative treatments in patients with primary diagnosis of Morton's neuroma. Read More

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Effectiveness of the Fixtoe Device® in plantar pressure reduction: a preliminary study.

BMC Musculoskelet Disord 2022 May 19;23(1):475. Epub 2022 May 19.

Facultad de Enfermería, Fisoterapia y Podología, Clínica Universitaria de Podología, Universidad Complutense de Madrid, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Edificio Facultad de Medicina. Pabellón 1. Avda. Complutense s/n, 28040, Madrid, Spain.

Background: Metatarsalgia is a common foot condition. The metatarsophalangeal stabilizing taping technique described by Yu et al. has shown good clinical results as a provisional treatment in propulsive metatarsalgia. Read More

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Rotation scarf + Akin osteotomy for severe hallux valgus with a new evaluation index: distance between the first and second metatarsals.

BMC Musculoskelet Disord 2022 May 5;23(1):421. Epub 2022 May 5.

Department of Orthopedics and Trauma, Peking University People's Hospital, Beijing, 100044, China.

Background: Although rotation scarf + Akin osteotomy has been described for correcting hallux valgus deformity, the treatment efficacy of rotation scarf + Akin osteotomy for severe hallux valgus should be further studied. The purpose of our study was to evaluate the outcomes of rotation scarf + Akin osteotomy on severe hallux valgus.

Methods: We conducted a retrospective study of patients with hallux valgus who underwent surgery using rotation scarf + Akin osteotomy in our hospital between June 2014 and January 2020. Read More

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Degenerative injuries of the metatarsophalangeal plantar plate on magnetic resonance imaging: a new perspective.

Einstein (Sao Paulo) 2022 20;20:eAO6543. Epub 2022 Apr 20.

Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil.

Objective: The magnetic resonance imaging diagnostic criteria for a complete tear of metatarsophalangeal plantar plate are well-established. However, more subtle abnormalities can also occur and be a source of pain. The objective of this study is to determine the prevalence of degenerative plantar plate injuries in patients with metatarsalgia who underwent forefoot magnetic resonance imaging and describe the main abnormalities found. Read More

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[Clinical results of treatment of mechanical metatarsalgia without first metatarsal involvement].

Acta Ortop Mex 2021 Sep-Oct;35(5):411-416

Facultad de Medicina, Universidad San Pablo-CEU, Campus de Montepríncipe, Madrid, España.

Objective: To analyze the clinical results of metatarsalgia treated with percutaneous distal metatarsal metaphyseal osteotomies (DMMO).

Material And Methods: Prospective and continuous study of 29 patients with isolated unilateral mechanical metatarsalgia, operated on with DMMO, with a mean follow-up of 38 months. The mean age of the patients was 58 (range: 50-67) years and only two men. Read More

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Patient reported outcomes following revision neurectomy through a dorsal approach for recurrent interdigital neuroma.

Foot Ankle Surg 2022 Mar 31. Epub 2022 Mar 31.

The Orthopaedic Foot and Ankle Unit, Netcare Linksfield Hospital, Johannesburg, South Africa; Department of Orthopaedic Surgery, University of the Witwatersrand, Johannesburg, South Africa.

Interdigital neuroma is one of the commonest causes of metatarsalgia. The reported success rate after excision of a primary neuroma is 74%. Recurrent symptoms after neurectomy can be due to a recurrent interdigital neuroma. Read More

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Lesser Metatarsophalangeal Plantar Plate Repair.

Clin Podiatr Med Surg 2022 Apr;39(2):167-185

Florida Orthopedic Foot and Ankle Center, Florida Orthopedic Foot & Ankle Center, 1630 South Tuttle Avenue Suite A, Sarasota, FL 34239, USA.

Lesser toe plantar plate injuries at the metatarsophalangeal (MTP) joint are a common source of metatarsalgia. Chronic pain with weight-bearing is the common presentation of lesser toe instability. Deformity occurs when the plantar plate is torn or attenuated. Read More

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Comparison of the Weil and Triple Weil Osteotomies: A Clinical Retrospective Study.

Cureus 2022 Feb 14;14(2):e22220. Epub 2022 Feb 14.

Department of Orthopaedics and Traumatology, University of Patras, Patra, GRC.

Introduction: The Weil and triple Weil osteotomies are two widely used procedures in the surgical treatment of metatarsalgia. The aim of this comparative retrospective study was to evaluate the functional results and determine the complications of the two types of osteotomies in a series of patients who underwent surgery due to third rocker metatarsalgia.

Material And Methods: In this paper, 71 patients were included between September 2015 and October 2020. Read More

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February 2022

Percutaneous Chevron Osteotomy: A Prospective Randomized Controlled Trial.

Medicina (Kaunas) 2022 Mar 1;58(3). Epub 2022 Mar 1.

Faculty of medicine, "Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania.

: Minimally invasive surgical techniques for hallux valgus have gained popularity, showing good results characterized by smaller postoperative scars, less pain, lower infection risk, and fewer wound complications. Given the lack of evidence available in our country regarding this subject, especially about this type of surgical technique, our paper aims to compare open and MIS approaches for chevron osteotomy. We evaluated the outcome and complications after 12 months. Read More

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Treatment of Lesser Metatarsophalangeal Joint Instability With Plantar Plate Repair: A Systematic Review and Meta-Analysis.

J Foot Ankle Surg 2022 Feb 22. Epub 2022 Feb 22.

Rosalind Franklin University of Medicine and Science Dr. William M. Scholl College of Podiatric Medicine, North Chicago, IL; Weil Foot & Ankle Institute, Chicago, IL.

Recognition of metatarsophalangeal joint plantar plate injuries has improved over time as the condition has become more widely understood and identified. With the diagnosis of a plantar plate injury as a subset of metatarsalgia becoming more common place, there are multiple surgical options that have been utilized to address the condition. Direct repair of the plantar plate has emerged as the treatment of choice for foot surgeons with a tendency to favor a direct dorsal approach for the repair. Read More

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February 2022

Keller's arthroplasty for hallux rigidus: A systematic review.

Foot Ankle Surg 2022 Jun 2;28(4):526-533. Epub 2022 Mar 2.

IRCCS Istituto Ortopedico Rizzoli, 1st Orthopaedic and Traumatologic Clinic, Via Giulio Cesare Pupilli 1, 40136 Bologna, Italy; Department of Biomedical and Neuromotor Sciences, University of Bologna, 40123 Bologna, Italy.

Background: Several surgical procedures have been described to treat hallux rigidus. Keller arthroplasty is a joint-sacrificing procedure proposed in 1904. Considering the current trends to mini-invasiveness and the debate about the technique's suitability, this review intends to state Keller arthroplasty results and the conditions where it could be still adopted in the treatment of hallux rigidus. Read More

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Biomechanical Analysis of the Change of the Metatarsophalangeal Joint's Center of Rotation After Weil and Triple Weil Osteotomies: A Comparative Cadaveric Study.

Cureus 2022 Feb 3;14(2):e21866. Epub 2022 Feb 3.

Department of Orthopaedics and Traumatology, University of Patras, Patra, GRC.

Background The aim of the present biomechanical study on cadavers was to determine both the center of rotation of the metatarsophalangeal joints and the position of the tendons of the interosseous muscles after the Weil and triple Weil osteotomies, and to compare these parameters in order to clarify the pathogenesis of dorsal stiffness and floating toe. Materials and methods Seven fresh-frozen cadaveric feet were utilized. After completing the preparation of both the plantar and the dorsal surface, we performed the dissection of the entire second, third and fourth rays, and each ray was fixed to a wooden wall mounted on a movable frame. Read More

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February 2022

Diagnostic and Therapeutic Challenge of Metatarsalgia in a Patient With Rheumatoid Arthritis.

Cureus 2022 Jan 30;14(1):e21751. Epub 2022 Jan 30.

Medicina Física e de Reabilitação, Centro Hospitalar e Universitário de Coimbra, Coimbra, PRT.

A 63-year-old female patient, with a past history of rheumatoid arthritis, presented with insidious pain on the left foot second and third metatarsophalangeal joints, associated with swelling and morning stiffness (mean time: four hours). Physical examination evidenced a tender and soft nodularity in the third intermetatarsal space, along with sharp pain, consistent with Morton's neuroma. Foot ultrasound suggested Morton's neuroma, but not excluding the possibility of rheumatoid arthritis involvement. Read More

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January 2022

Morton neuroma.

Authors:
Nobuya Abe Dr

QJM 2022 04;115(4):243-244

Department of Rheumatology, NTT Sapporo Medical Centre, Minami 1, Nishi 15, Chuo-ku, Sapporo 060-0061, Japan.

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Influence of the Length Ratio Between Second and Third Metatarsals After Modified Weil Osteotomy on Clinical Outcomes.

J Foot Ankle Surg 2022 Jan 16. Epub 2022 Jan 16.

Radiology Coordinator, Hospital Mãe de Deus, Porto Alegre, RS, Brazil.

Metatarsalgia is a frequent foot disorder. The objective was to evaluate whether the length ratio between the second and the third metatarsals after Weil osteotomy influences clinical outcomes. This retrospective study included 37 patients (53 feet). Read More

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January 2022

Risks of injury in distal metatarsal minimally invasive osteotomy when comparing standard and modified techniques: A cadaveric study.

Foot Ankle Surg 2022 Jan 31. Epub 2022 Jan 31.

Beaumont Hospital, Royal Oak, MI, USA. Electronic address:

Background: The objectives of the study were to evaluate the structures at risk in distal metatarsal mini-invasive osteotomy (DMMO) and to compare standard and intraosseous approaches.

Methods: DMMO was performed on the second and fourth metatarsals of 11 fresh-frozen cadaveric specimens. The standard technique was performed in 11 metatarsals. Read More

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January 2022

An Updated Nerve Sparing Surgical Technique for Addressing Morton's Neuroma.

Clin Podiatr Med Surg 2021 Jan 18;38(1S):e24-e30. Epub 2021 Nov 18.

Peripheral Nerve Reconstructive Microsurgery, American Microsurgical Orthoplastic Society, Department of Surgery, Amita Saint Joseph Hospital, Laboure Outpatient Clinic, 2913 North Commonwealth Avenue, Chicago, IL 60657, USA.

Morton's neuroma is a common painful pathology that occurs in the plantar forefoot. Many treatment options exist and surgical management is used after conservative treatment options fail. While within the literature, there is a high success rate with primary neurectomy procedures, the risk of recurrence of symptoms or "stump neuromas" remains difficult to treat and can lead to debilitating pain. Read More

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January 2021

Interpositional Arthroplasty in the Treatment of Hallux Rigidus: A Systematic Review.

J Foot Ankle Surg 2022 May-Jun;61(3):657-662. Epub 2021 Dec 7.

Orthopaedic Surgeon, NYU Langone Health, New York, NY. Electronic address:

Hallux rigidus is the most common arthritic condition of the foot. Interpositional arthroplasty (IPA) is indicated for advanced-stage hallux rigidus and attempts to maintain joint motion through insertion of a biologic spacer into the joint. However, the data evaluating the effectiveness of IPA are limited. Read More

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Long-term results of dorsal neuroma/nerve transposition in the surgical management of Morton's neuroma and correlation with intraoperative anatomical variations.

J Orthop Surg Res 2022 Jan 15;17(1):22. Epub 2022 Jan 15.

Chelsfield Park Hospital, Bucks Cross Road, Chelsfield, Orpington, Kent, BR6 7RG, UK.

Background: Morton's neuroma (MN) is a common cause of forefoot pain. After failure of conservative management, surgical procedures include neurectomy or neuroma preserving procedures; resection of deep transverse intermetatarsal ligament only (DTIML), dorsal neurolysis, dorsal nerve transposition (DNT).

Objectives: This retrospective study evaluates the long-term results of open DNT, and it also reports anatomical variants in the plantar interdigital nerve. Read More

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January 2022

Forefoot Injuries in Athletes: Integration of the Movement System.

Int J Sports Phys Ther 2022 1;17(1):81-89. Epub 2022 Jan 1.

Physical Therapy, Duquesne University.

Despite the prevalence of forefoot related problems in athletes, there are few comprehensive summaries on examination and intervention strategies for those with forefoot related symptoms. While many factors may contribute to pathology and injury, the presence of abnormal foot alignment can negatively affect lower extremity biomechanics and be associated with injuries. Physical therapists may use the characteristics associated abnormal pronation or abnormal supination to describe the movement system disorder and serve as a guide for evaluating and managing athletes with forefoot pathologies. Read More

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January 2022

A versatile method for dorsal-approach plantar plate repair using standard operative instruments.

BMC Musculoskelet Disord 2022 Jan 3;23(1):11. Epub 2022 Jan 3.

Department of Orthopedic Surgery, National Taiwan University Hospital, No.7, Chung Shan S. Rd. (Zhongshan S. Rd.), Zhongzheng Dist, Taipei, 100225, Taiwan.

Background: The plantar plate is an important static stabilizer of the lesser metatarsophalangeal joints, and disruptions of the plantar plate can lead to significant instability and lesser toe deformities. In recent years, direct plantar plate repair has been proposed. Although direct repair via a dorsal approach is attractive, a torn plantar plate is small and difficult to access using regular instruments in a restricted operative field. Read More

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January 2022

Relationships between Plantar Pressure Distribution and Rearfoot Alignment in the Taiwanese College Athletes with Plantar Fasciopathy during Static Standing and Walking.

Int J Environ Res Public Health 2021 12 8;18(24). Epub 2021 Dec 8.

Department of Leisure Sport and Health Management, St. John's University, New Taipei 25135, Taiwan.

Background: Plantar fasciopathy (PF) is usually related to changes in foot arch, foot shape and rearfoot posture. However, little research has been implemented by using large-scale datasets, and even less has been conducted centering on plantar pressure distributions (PPDs) of different genders of PF athletes. This study aimed to investigate the relationships among the arch index (AI), the PPDs and the rearfoot postural alignment in hundreds of college athletes with PF during static standing and walking. Read More

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December 2021

A problem-based approach in musculoskeletal ultrasonography: central metatarsalgia.

Ultrasonography 2022 Apr 25;41(2):225-242. Epub 2021 Oct 25.

Daegyeong Imaging and Healthcare Center, Daegu, Korea.

Ultrasonography (US) is a useful diagnostic method that can be easily applied to identify the cause of metatarsalgia. The superficial location of structures in the foot, dynamic capability of US, and the ability to perform direct real-time evaluations of the pain site are also strong advantages of US as a modality for examining the foot. Moreover, knowing the possible pain sources to investigate when a patient has a specific site of pain will enhance the diagnostic quality of US, and will help radiologists to perform US efficiently and effectively. Read More

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The interphalangeal angle as a novel radiological measurement tool for Morton's neuroma - a matched case-control study.

J Foot Ankle Res 2021 Dec 4;14(1):62. Epub 2021 Dec 4.

Department of Orthopedics, Balgrist University Hospital, University of Zurich, Forchstrasse 340, 8008, Zurich, Switzerland.

Background: The aim of this retrospective study was to examine if a correlation between Morton's Neuroma (MN) and an increased interphalangeal angle (IPA) or intermetatarsal angle (IMA) can be found in preoperative weightbearing dorsal-plantar X-rays of the foot.

Methods: Forty-five patients with forty-nine MN in the interspaces 2/3 or 3/4 and 49 controls were recruited for this study. Every MN was matched with an asymptomatic control without history of metatarsalgia. Read More

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December 2021

"The Feasibility of Targeted Muscle Reinnervation for the Management of Morton's Neuroma".

Foot Ankle Spec 2022 Feb 2;15(1):76-81. Epub 2021 Dec 2.

Department of Plastic Surgery, The University of Virginia, Charlottesville, Virginia (SIK, CVS, BRD).

Background: Despite multiple surgical modalities available for the management of Morton's neuroma, complications remain common. Targeted muscle reinnervation (TMR) has yet to be explored as an option for the prevention of recurrence of Morton's neuroma. The purpose of the present investigation was to determine the consistency of the relevant foot neurovascular and muscle anatomy and to demonstrate the feasibility of TMR as an option for Morton's neuroma. Read More

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February 2022