792 results match your criteria Metatarsalgia


Analyzing the effect of an arch support functional insole on walking and jogging in young, healthy females.

Technol Health Care 2018 Nov 9. Epub 2018 Nov 9.

Faculty of Sports Science, Ningbo University, Ningbo, Zhejiang, China.

Background And Objective: The aim of this study was to explore the effectiveness of arch support functional insoles to prevent metatarsalgia.

Method: Twenty-five healthy females participated in the study. A Vicon motion capture system was used to collect kinematics data of the lower limb. Read More

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November 2018
2 Reads
0.636 Impact Factor

[Short-term effectiveness of Scarf osteotomy and Akin osteotomy combined with soft tissue procedures in treatment of hallux valgus associated with mild to moderate metatarsus adductus].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Nov;32(11):1392-1396

Department of Foot and Ankle Surgery, Honghui Hospital Affiliated to Medical College of Xi'an Jiaotong University, Xi'an Shaanxi, 710054, P.R.China.

Objective: To evaluate the short-term effectiveness of Scarf osteotomy and Akin osteotomy combined with soft tissue procedures for hallux valgus associated with mild to moderate metatarsus adductus.

Methods: The clinical data of 30 patients (48 feet) who were diagnosised hallux valgus associated with mild to moderate metatarsus adductus and treated by Scarf osteotomy and Akin osteotomy combined with soft tissue procedures between February 2013 and May 2015 were analyzed retrospectively. There were 2 males (2 feet) and 28 females (46 feet) with an average age of 29. Read More

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November 2018
1 Read

Plantar Plate Injury and Angular Toe Deformity.

Foot Ankle Clin 2018 Dec 25;23(4):703-713. Epub 2018 Sep 25.

Orthopaedic Surgery, Tri-State Specialist, LLC, Suite 300, 2730 Pierce Street, Sioux City, IA 51104, USA.

Lesser toe plantar plate injuries at the metatarsophalangeal (MTP) joint are a common source of metatarsalgia. The second MTP joint is the most commonly affected digit. The fibrocartilaginous plantar plate is the most important static stabilizer of the MTP joint; high loading with weight bearing can lead to attritional plantar plate injuries. Read More

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December 2018
15 Reads

Distances from the deep plantar arch to the lesser metatarsals at risk during osteotomy: a fresh cadaveric study.

J Foot Ankle Res 2018 16;11:57. Epub 2018 Oct 16.

1Department of Orthopedics, Institute of Biomedical Science, Tokushima University Graduate School, 3-18-15 Kuramoto, Tokushima, 770-8503 Japan.

Background: The deep plantar arch is formed by anastomosis of the lateral and deep plantar arteries. Osteotomy of the lesser metatarsals is often used to treat metatarsalgia and forefoot deformity. Although it is known that some blood vessels supplying the lesser metatarsals are prone to damage during osteotomy, there is little information on the distances between the deep plantar arch and the three lesser metatarsals. Read More

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October 2018
6 Reads

Metatarsalgia.

Radiol Clin North Am 2018 Nov;56(6):877-892

Department of Radiology, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY 10461, USA. Electronic address:

Although causes of metatarsalgia are multifactorial, in practice these most commonly include osseous stress reaction or fracture (including subchondral injury) and interdigital neuroma or plantar plate tear with adjacent pseudoneuroma. The various roles of radiography, ultrasonography, and MR imaging are discussed, and relevant technical issues and imaging findings are reviewed in order to facilitate accurate diagnosis and guide proper treatment of metatarsalgia. Read More

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November 2018
2 Reads

Clinical and radiological outcomes after Weil osteotomy compared to distal metatarsal metaphyseal osteotomy in the treatment of metatarsalgia-A prospective study.

Foot Ankle Surg 2018 Mar 11. Epub 2018 Mar 11.

Hessing Park Clinic, Department of Foot and Ankle Surgery, Hessingstrasse 17, 86199 Augsburg, Germany.

Background: The distal metatarsal metaphyseal osteotomy (DMMO) may have lower complication rates than the Weil osteotomy (WO) due to its extraarticular location and its minimal invasive nature. This study compares the clinical and radiological outcomes and complications after DMMO and WO.

Methods: We compared 30 patients with WO (Group A) to 30 patients with DMMO (Group B). Read More

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March 2018
2 Reads

Gastrocnemius tightness: A population based observational study.

Foot Ankle Surg 2018 Apr 12. Epub 2018 Apr 12.

Foot & Ankle Unit, Royal National Orthopaedic Hospital, Stanmore HA7 4LP, United Kingdom.

Background: Gastrocnemius tightness is believed to be associated with multiple musculoskeletal pathologies such as back pain, plantar fasciitis and metatarsalgia. Although surgical treatment of gastrocnemius tightness is gaining popularity the objective definition of a gastrocnemius contracture has not been determined. The aim of our study was therefore to quantify gastrocnemius tightness in a normal population. Read More

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April 2018
2 Reads

Clinical effectiveness and safety of Weil's osteotomy and distal metatarsal mini-invasive osteotomy (DMMO) in the treatment of metatarsalgia: A systematic review.

Foot Ankle Surg 2018 Jul 5. Epub 2018 Jul 5.

Health Services Research on Chronic Patients Network, Camino Candelaria, 44, El Rosario, 38109 Tenerife, Spain; Center for Biomedical Research of the Canary Islands, Campus Ciencias de La Salud, s/n, 38071 San Cristobal de La Laguna, Spain; Evaluation Unit of the Canary Islands Health Service, Camino Candelaria, 44, El Rosario, 38109 Tenerife, Spain. Electronic address:

Background: Weil's osteotomy (WO) is the most applied surgical treatment for metatarsalgia, a persistent pain in the lesser metatarsals' heads. We aim to review its effectiveness and safety compared to the percutaneous technique known as distal metatarsal mini-invasive osteotomy (DMMO).

Methods: Systematic review in Medline, Pubmed, Embase, Cinahl and Cochrane Library. Read More

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July 2018
1 Read

Is interposition arthroplasty a viable option for treatment of moderate to severe hallux rigidus? - A systematic review and meta-analysis.

Foot Ankle Surg 2018 Jul 23. Epub 2018 Jul 23.

Department of Orthopedic Surgery, Division of Foot and Ankle surgery, University of Alabama at Birmingham, USA. Electronic address:

Introduction: When conservative therapy for hallux rigidus fails, surgical options such as arthrodesis and interposition arthroplasty can be considered. Although arthrodesis of MTP joint is the gold standard treatment. However patients desiring MTP joint movement may opt for either interposition arthroplasty or implant arthroplasty to avoid the movement restrictions of arthrodesis. Read More

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July 2018
2 Reads

Incidence and outcomes of revision surgery after first metatarsophalangeal joint arthrodesis: Multicenter study of 158 cases.

Orthop Traumatol Surg Res 2018 Dec 11;104(8):1221-1226. Epub 2018 Oct 11.

Clinique du Parc, 155 ter, boulevard de Stalingrad, 69006 Lyon, France.

Introduction: First metatarsophalangeal (MTP1) joint arthrodesis, described as a safe and effective procedure, has complications that may require surgical revision. These complications are rarely studied. The aim of this study was to determine the incidence and outcomes of revision surgery after MT1 arthrodesis. Read More

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December 2018
4 Reads

Dorsiflexory Phalangeal Osteotomy for Grade II Hallux Rigidus: Patient-Focused Outcomes at Eleven-Year Follow-Up.

J Foot Ankle Surg 2018 Oct 10. Epub 2018 Oct 10.

Consultant Podiatric Surgeon, Ilkeston Hospital, Derbyshire Community Health Services NHS Foundation Trust, Derbyshire, UK; Consultant Podiatric Surgeon, Kingsbridge Private Hospital, Belfast, Northern Ireland.

Dorsiflexory phalangeal osteotomy has been shown to be an effective treatment for mild to moderate hallux rigidus in short- to medium-term follow-up studies. It is speculated that the procedure alters the mechanical function of the joint and reduces the demand for hallux dorsiflexion by elevating the proximal phalanx into a more dorsiflexed position. However, it has been demonstrated that the first metatarsophalangeal (MTP) joint space and joint range of motion are reduced by the procedure, calling into question the long-term effectiveness of the operation. Read More

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October 2018
2 Reads

[Clinical study of three-dimensional printed navigation template assisted Ludloff osteotomy in treatment of moderate and severe hallux valgus].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Jul;32(7):906-911

Department of Orthopaedics, Nanjing Hospital Affiliated to Nanjing Medical University (Nanjing First Hospital), Nanjing Jiangsu, 210006, P.R.China.

Objective: To explore the effectiveness and advantage of three-dimensional (3D) printed navigation templates assisted Ludloff osteotomy in treatment of moderate and severe hallux valgus.

Methods: Between April 2013 and February 2015, 28 patients (28 feet) with moderate and severe hallux valgus who underwent Ludloff osteotomy were randomly divided into 2 groups ( =14). In group A, the patients were treated with Ludloff osteotomy assissted with a 3D printed navigation template. Read More

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July 2018
1 Read

The impact of body mass index on metatarsalgia surgical outcomes.

Int Orthop 2018 Aug 3. Epub 2018 Aug 3.

Orthopedic Department, Hospital del Mar-Universitat Autònoma de Barcelona, Passeig Marítim 25, Barcelona, Spain.

Introduction: Several studies have suggested that an increased body mass index (BMI) is a negative factor for forefoot plantar pain but its influence in the surgical correction of metatarsalgia is unknown. The purpose of the present study is to evaluate the influence of the BMI on the surgical outcomes of metatarsalgia. It has been hypothesized that the higher the BMI, the worse the functional outcomes after metatarsalgia surgical treatment at one year follow-up. Read More

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August 2018
11 Reads

Short term comparison between blind and ultrasound guided injection in morton neuroma.

Eur Radiol 2018 Jul 31. Epub 2018 Jul 31.

Department of Radiology, Traumatology Hospital (University Hospital Virgen de las Nieves), C-Julio Verne 8, 7 B, 18003, Granada, Spain.

Objective: The aim of this work is to compare the effectiveness of blind and ultrasound-guided injection for Morton's neuroma (MN) to determine which is more appropriate as the initial procedure in conservative treatment.

Methods: This is an evaluator-blinded randomised trial. Of the 56 included patients, 27 were assigned to the blind group (A) and 29 to the ultrasound-guided group (B). Read More

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July 2018
8 Reads

Mechanical Metatarsalgia as a Risk Factor for Relapse of Morton's Neuroma After Ultrasound-Guided Alcohol Injection.

J Foot Ankle Surg 2018 Sep - Oct;57(5):870-875. Epub 2018 May 18.

Radiologist, Unità Operativa di Radiologia, Ospedale Civile di Cittadella (Padova), Cittadella, Padova, Italy.

Although many treatment modalities are available for Morton's neuroma, the injection of the neuroma with alcohol has gained popularity. However, recently, some investigators have observed a progressive deterioration in pain scores for patients initially pain free after the treatment. The purpose of the present retrospective comparative study was to determine whether mechanical metatarsalgia is related to symptom recurrence. Read More

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May 2018
4 Reads

Sclerosing alcohol injections for the management of intermetatarsal neuromas: A systematic review.

Foot (Edinb) 2018 Jun 28;35:36-47. Epub 2017 Dec 28.

The University of Newcastle, School of Health Sciences, Faculty of Health and Medicine, Health Precinct, BE154, P.O. Box 127, Ourimbah, NSW, 2258, Australia. Electronic address:

An intermetatarsal neuroma is a plantar digital neuritis causing metatarsalgia of the affected inter-metatarsal space. At present the evidence to support the management of the condition is poor with only some quality evidence supporting the short-term management of intermetatarsal neuromas using steroid injections. Some authors have supported the use of alcohol sclerosing intra-lesional injections to treat intermetatarsal neuromas. Read More

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June 2018
5 Reads

[Minimally invasive correction of lesser toe deformities and treatment of metatarsalgia].

Authors:
M Thomas M Jordan

Oper Orthop Traumatol 2018 Jun 8;30(3):171-183. Epub 2018 May 8.

Abteilung für Fuß- und Sprunggelenkschirurgie, Hessingpark-Clinic GmbH, Hessingstraße 17, 86199, Augsburg, Deutschland.

Objective: Atraumatic and joint-sparing procedure for the correction of lesser toe deformities by using a linear or perpendicular osteotomy of the proximal and/or middle phalanx of the lesser toes with additional capsulotomies or tendon dissection for soft tissue realignment. Metatarsalgia is addressed via an extracapsular distal metaphyseal crescentic-like metatarsal osteotomy.

Indications: Symptomatic lesser toe deformities, painful pseudoexostosis, metatarsalgia, symptomatic metatarsal malalignment, metatarsus adductus. Read More

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June 2018
2 Reads

A Suture-Button Technique for Stabilization of the Plantar Plate and Lesser Metatarsophalangeal Joint.

J Foot Ankle Surg 2018 Jul - Aug;57(4):645-653. Epub 2018 Apr 24.

Postgraduate Year 3, Department of Surgery, Mercy Foot & Ankle Residency Program, Cleveland, OH.

We retrospectively evaluated the use of a suture-button technique to stabilize the plantar plate and lesser metatarsophalangeal joint (MTPJ) to alleviate pain and dysfunction due to failed digital surgery with lesser MTPJ dysfunction. Eight consecutive patients (8 feet, 13 rays) were studied, including 2 males (25%) and 6 females (75%). Their median age was 56. Read More

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December 2018
4 Reads

[The minimally invasive Chevron and Akin osteotomy (MICA)].

Oper Orthop Traumatol 2018 Jun 18;30(3):148-160. Epub 2018 Apr 18.

Zentrum für Fuß- und Sprunggelenkchirurgie, Schön Klinik München Harlaching, Harlachinger Strasse 51, 81547, München, Deutschland.

Objective: Percutaneous correction of a hallux valgus deformity with or without transfer metatarsalgia.

Indications: Hallux valgus deformity up to 20° intermetatarsal angle, without instability of the first tarsometatarsal joint.

Contraindications: Symptomatic arthritis of the first metatarsophalangeal joint, as well as instability of the first tarsometatarsal joint. Read More

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June 2018
4 Reads

Plantar Pressure Measurements and Geometric Analysis of Patients With and Without Morton's Neuroma.

Foot Ankle Int 2018 Jul 11;39(7):829-835. Epub 2018 Apr 11.

1 School of Allied Health, Podiatric Medicine and Surgery Division, The University of Western Australia, Crawley, Australia.

Background: The purpose of this research was to see if there were any differences in peak pressure, contact time, pressure-time integrals, and geometric variables such as forefoot width, foot length, coefficient of spreading, and arch index between subjects with Morton's neuroma (MN) and control subjects.

Methods: Dynamic peak plantar pressure, contact time, pressure-time integral, and geometric data were extracted using the EMED-X platform in 52 subjects with MN and 31 control subjects. Differences in peak pressure, contact time, pressure-time integral, and geometric data between participants with and those without MN were determined using independent-samples t tests. Read More

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July 2018
3 Reads

Lipofibromatous Hamartoma of the Plantar Nerve .

J Am Podiatr Med Assoc 2018 Mar;108(2):182-185

Lipofibromatous hamartoma (LFH) is a rare, benign, tumor-like soft-tissue lesion that affects the peripheral nerves and forms a palpable neurogenic mass. Lipofibromatous hamartoma is associated with pain and sensory and/or motor deficits in the area of innervation of the affected nerve. This report describes a rare case of LFH of the plantar nerve. Read More

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March 2018
5 Reads

[Explore of choice for diagnosis and treatment method for hallux valgus].

Authors:
Jian-Min Wen

Zhongguo Gu Shang 2018 Mar;31(3):199-202

Wangjing Hospital of Chinese Academy of Chinese Medicine, Beijing 100102, China;

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March 2018
2 Reads

Minimally invasive and percutaneous surgery of the forefoot current techniques in 2018.

Eur J Orthop Surg Traumatol 2018 Jul 24;28(5):819-837. Epub 2018 Mar 24.

Clinique Victor Hugo, 5 rue du Dôme, 75116, Paris, France.

Minimally invasive and percutaneous techniques used to repair deformities of the forefoot have considerably developed recently. Like standard osteotomies, these techniques must take advantage of the mechanical advances made in the restoration of the foot's architecture. Instead of an endpoint, these techniques represent an additional tool implemented towards a rapid functional, post-operative recovery. Read More

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July 2018
4 Reads

Minimally invasive distal linear metatarsal osteotomy combined with selective release of lateral soft tissue for severe hallux valgus.

J Orthop Sci 2018 May 21;23(3):557-564. Epub 2018 Mar 21.

Department of Orthopedic Surgery, Keio University School of Medicine, 35 Shinano-machi, Shinjuku-ku, Tokyo, Japan.

Background: Minimally invasive techniques for hallux valgus have been widely used to treat mild to moderate hallux valgus deformities. The purpose of this study was to evaluate the clinical and radiographic outcomes of distal linear metatarsal osteotomy (DLMO), which is one of the minimally invasive techniques, for severe hallux valgus.

Methods: 95 patients (141 feet) with severe hallux valgus underwent DLMOs. Read More

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May 2018
3 Reads
1.010 Impact Factor

Central Metatarsalgia and Walking on Pebbles: Beyond Morton Neuroma.

AJR Am J Roentgenol 2018 Apr 22;210(4):821-833. Epub 2018 Feb 22.

2 Department of Radiology, Royal Liverpool & Broadgreen University Hospital NHS Trust, Liverpool, United Kingdom.

Objective: Central metatarsalgia relates to abnormalities of the second, third, and fourth metatarsals and their respective metatarsophalangeal joints. A variety of disorders present with central forefoot pain; they range from traumatic lesions (acute or chronic repetitive), inflammatory and infective disorders, nonneoplastic soft-tissue lesions, and benign tumors to malignant lesions. Patients often present with symptoms of localized pain in the forefoot that worsens on weight bearing (walking or running), which can be sharp or dull and often is perceived as a lump felt inside or underneath the foot and described as walking on a marble or pebbles. Read More

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April 2018
11 Reads

Effectiveness of custom-made foot orthoses for treating forefoot pain: a systematic review.

Int Orthop 2018 Aug 8;42(8):1865-1875. Epub 2018 Feb 8.

Faculty of Nursing, Physiotherapy and Podiatry, Department of Podiatry, Universidad de Sevilla, C/Avicena s/n, 41009, Seville, Spain.

Purpose: Pain in and around the metatarsal heads, the metatarsal phalangeal joints and the surrounding soft tissues is called metatarsalgia. Non-operative treatment of metatarsalgia includes foot orthoses. Foot orthoses may be classified as standard or custom-made. Read More

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August 2018
3 Reads

Relationship of vitamin D receptor gene polymorphisms with susceptibility, surgical outcome and prognosis of hallux valgus in a Chinese Han population.

Foot Ankle Surg 2017 Oct 28. Epub 2017 Oct 28.

Department of Orthopedics, Nanjing First Hospital, Nanjing Medical University, Nanjing, Jiangsu Province, China. Electronic address:

Background: This study aimed to identify the relationship between the vitamin D receptor (VDR) BsmI gene polymorphism and risk factors, surgical outcome and prognosis of hallux valgus (HV).

Methods: A case-control study was performed on a cohort of 236 HV patients and 236 controls in a Chinese Han population. Detection of the VDR BsmI/G2A polymorphism was performed using restriction fragment length polymorphism-polymerase chain reaction. Read More

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October 2017
6 Reads

Morton's interdigital neuroma of the foot: A literature review.

Foot Ankle Surg 2018 Apr 4;24(2):92-98. Epub 2017 Feb 4.

Operating Unit of Orthopedics and Traumatology, AUSL of Romagna, Ceccarini Hospital, Riccione 47838, Italy.

Morton's neuroma is one of the most common causes of metatarsalgia. Despite this, it remains little studied, as the diagnosis is clinical with no reliable instrumental diagnostics, and each study may deal with incorrect diagnosis or inappropriate treatment, which are difficult to verify. The present literature review crosses all key points, from diagnosis to surgical and nonoperative treatment, and recurrences. Read More

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April 2018
5 Reads

Preliminary results of a plantar plate for Lapidus arthrodesis.

Foot Ankle Surg 2018 Oct 25;24(5):383-388. Epub 2017 Apr 25.

Department for orthopaedics and trauma surgery, Martin Luther University Halle Wittenberg, Ernst-Grube Str. 20, Halle,06120, Germany.

The TMT I arthrodesis is an established procedure for the correction of hallux valgus deformity associated with the instability of the TMT-I joint. A risk of transfer metatarsalgia is reported in the literature associated with persistant elevation of MT-I. Detailed information for ideal positioning of the arthrodesis is missing so far. Read More

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October 2018
2 Reads

Percutaneous distal osteotomy of lesser metatarsals (DMMO) for treatment of metatarsalgia with metatarsophalangeal instability.

Foot Ankle Surg 2018 Oct 27;24(5):400-405. Epub 2017 Apr 27.

Orthopaedic Department, University of Verona School of Medicine, Italy. Electronic address:

Background: Clinical and radiological results of percutaneous distal metatarsal minimally invasive osteotomy (DMMO) of the lesser rays for surgical treatment of primary metatarsalgia due to plantar overpressure with metatarsophalangeal instability are described. The aim of this prospective study was to assess the efficacy, feasibility and safety of this minimally invasive surgical (MIS) technique, verifying the possibility to lower the complication rate related to surgical exposures, to reduce operating times with comparable functional and cosmetic results to those reported with traditional open procedures.

Methods: Hundred and six consecutive percutaneous distal osteotomies without fixation (DMMO) of the second, third or fourth metatarsal bones were performed in 57 patients (70ft) with a mean age at the surgery of 60. Read More

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October 2018
5 Reads

Foot and Ankle Conditions: Midfoot and Forefoot Conditions.

FP Essent 2018 02;465:30-34

University of Florida College of Medicine, PO Box 100237, Gainesville, FL 32610-0237

The midfoot and forefoot are the regions of the foot distal to the talus and calcaneus and are critical to weight bearing and movement. They help support the arch of the foot, provide shock absorption, and convert vertically oriented forces into horizontal forward and propulsive movement. A spectrum of acute, subacute, and chronic conditions in these regions can cause pain and decreased function. Read More

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February 2018
25 Reads

Management of Metatarsalgia and Lesser Toe Deformities.

Authors:
Todd A Irwin

Foot Ankle Clin 2018 Mar 21;23(1):xv-xvi. Epub 2017 Nov 21.

OrthoCarolina Foot and Ankle Institute, Carolinas Medical Center, 2001 Vail Avenue, Suite 200B, Charlotte, NC 28207, USA. Electronic address:

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March 2018
3 Reads

Conservative Management of Metatarsalgia and Lesser Toe Deformities.

Foot Ankle Clin 2018 Mar 11;23(1):9-20. Epub 2017 Nov 11.

Foot and Ankle Division, Department of Orthopedic Surgery, Duke University Medical Center, 2301 Erwin Road, Box 3000, Durham, NC 27710, USA. Electronic address:

There are several forefoot conditions that can result in metatarsal head pain. Various points of the gait cycle can predispose the metatarsal heads to pain based on intrinsic and extrinsic imbalances. Metatarsalgia can further be classified according to primary, secondary, or iatrogenic etiologies. Read More

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March 2018
9 Reads

Gastrocnemius Recession for Metatarsalgia.

Foot Ankle Clin 2018 Mar;23(1):57-68

Department of Orthopedic surgery, University of Kansas Medical Center, 3901 Rainbow Boulevard, Kansas City, KS 66160, USA.

Metatarsalgia is a common cause of plantar forefoot pain. Causes of metatarsalgia include foot anatomy, gait mechanics, and foot and ankle deformity. One specific cause, mechanical metatarsalgia, occurs because of gastrocnemius muscle contracture, which overloads the forefoot. Read More

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March 2018
11 Reads

Metatarsal Osteotomies: Complications.

Foot Ankle Clin 2018 Mar 20;23(1):47-55. Epub 2017 Nov 20.

Department of Surgery, Texas A&M Health Science Center College of Medicine, Bryan, TX, USA; Foot and Ankle Surgery Fellowship Program, Baylor University Medical Center, Dallas, 3900 Junius Street, Suite 500, Dallas, TX 75246, USA. Electronic address:

Metatarsal osteotomies can be divided into proximal and distal. The proximal osteotomies, such as the oblique, segmental, set cut, and Barouk-Rippstein-Toullec (BRT) osteotomy, all provide the ability to significantly change the position of the metatarsal head without violating the joint. These osteotomies, however, have a high rate of nonunion when done without internal fixation and can lead to transfer metatarsalgia when done without regard to the parabola of metatarsal head position. Read More

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March 2018
5 Reads

Treatment of Metatarsalgia with Proximal Osteotomies.

Foot Ankle Clin 2018 Mar;23(1):35-46

Department of Orthopedic Surgery, Rush University Medical Center, 1611 West Harrison Street, Suite 300, Chicago, IL 60612, USA. Electronic address:

Metatarsalgia is among the most common sources of forefoot pain. Proximal metatarsal osteotomies are an important technique in the armamentarium of the surgeon treating metatarsalgia that has failed nonoperative management. Proximal osteotomies can provide powerful deformity correction with precise control to both shorten and elevate the metatarsal head. Read More

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March 2018
6 Reads

Treatment of Metatarsalgia with Distal Osteotomies.

Authors:
David Redfern

Foot Ankle Clin 2018 Mar 28;23(1):21-33. Epub 2017 Nov 28.

London Foot and Ankle Centre, Hospital St John & St Elizabeth, 60 Grove End Road, London, NW8 9NH, UK. Electronic address:

Many different distal metatarsal osteotomies have been described in the surgical treatment of metatarsalgia. The surgeon should use such osteotomies judiciously, and indeed, in the author's experience, they are infrequently required and are certainly not a first port of call. In cases where nonoperative treatments have failed, a thorough understanding of the causes of metatarsalgia and a detailed clinical assessment of the patient are essential if good surgical outcomes are to be achieved. Read More

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March 2018
5 Reads

Treatment of Freiberg Disease.

Foot Ankle Clin 2018 Mar;23(1):157-169

Department of Orthopaedic Surgery, Baylor University Medical Center, 3500 Gaston Avenue, Dallas, TX 75246, USA.

Freiberg disease, or osteochondrosis of the lesser metatarsal head, usually involves the second metatarsal and presents during the second or third decades of life. Conservative measures to relieve pressure on the affected metatarsal head are the first-line treatments, with good success for Smillie stage I to III disease. Operative treatments are divided into joint-preserving and joint-reconstructing procedures. Read More

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March 2018
11 Reads

Anatomy and Physiology of the Lesser Metatarsophalangeal Joints.

Foot Ankle Clin 2018 Mar 16;23(1):1-7. Epub 2017 Nov 16.

Department of Orthopaedic Surgery, University of Michigan, 2098 South Main Street, Ann Arbor, MI 48103, USA. Electronic address:

Knowledge and command of anatomy is paramount to effectively treating disorders of the lesser metatarsophalangeal (MTP) joints. The osseous structures consist of the proximal phalanx of the toe and the metatarsal head. The soft tissues on the dorsum of the MTP joint include the joint capsule and the tendons of extensor digitorum longus and extensor digitorum brevis. Read More

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March 2018
5 Reads

Hyaluronic Acid Filler Injections Under the Metatarsal Heads Provide a Significant and Long-Lasting Improvement in Metatarsalgia From Wearing High-Heeled Shoes.

Dermatol Surg 2018 07;44(7):994-1001

Galderma R&D, Sophia Antipolis, France.

Background: Metatarsalgia is a common overuse injury that may be caused by wearing high-heeled shoes.

Objective: To evaluate the decrease in metatarsalgia using a hyaluronic acid dermal filler.

Methods: A 6-month, open study was conducted in 15 subjects with metatarsalgia because of regularly wearing high-heeled shoes. Read More

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July 2018
33 Reads

[Arthrodesis of the First Metatarsophalangeal Joint by Locking Plate].

Acta Chir Orthop Traumatol Cech 2017 ;84(6):453-461

Oddělení klinické ortopedie, Úrazová nemocnice, Brno.

PURPOSE OF THE STUDY The authors in their paper evaluate a group of patients who underwent arthrodesis of the first metatarsophalangeal joint using a locking plate. MATERIAL AND METHODS In the period 2010-2015, we performed surgery in 51 patients (56 forefeet), of which in 5 cases bilaterally and in 46 cases unilaterally, in 38 women and 13 men. The mean age was 57. Read More

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July 2018
9 Reads

[The Primary Metatarsalgia: Pathogenesis, Biomechanics and Surgical Treatment].

Vestn Ross Akad Med Nauk 2017 ;72(1):53-8

This paper presents a comprehensive review on the current concept of the diagnosis and treatment of central metatarsalgia on the basis of medical literature analyses. Metatarsalgia is the term for pain in the forefoot. This is a set of symptoms corresponding to a wide range of diseases. Read More

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February 2018
2 Reads

Is Double Metatarsal Osteotomy Superior to Proximal Chevron Osteotomy in Treatment of Hallux Valgus With Increased Distal Metatarsal Articular Angle?

J Foot Ankle Surg 2018 Mar - Apr;57(2):241-246. Epub 2018 Jan 5.

Professor, Department of Orthopaedic Surgery, Seoul Paik Hospital, Institute for Research of Foot and Ankle Diseases, Inje University, Seoul, Republic of Korea. Electronic address:

We compared the results of proximal chevron osteotomy and double metatarsal osteotomy for hallux valgus with an increased distal metatarsal articular angle (DMAA). From October 2008 to December 2012, first metatarsal osteotomies were performed in 64 patients (69 feet) with symptomatic hallux valgus associated with an increased DMAA. Proximal chevron with Akin osteotomy and lateral soft tissue release was performed in 46 feet (PCO group); double metatarsal osteotomy and Akin osteotomy without lateral soft tissue release was performed in 23 feet (DMO group). Read More

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September 2018
3 Reads

Minimally Invasive Distal Metatarsal Metaphyseal Osteotomy of the Lesser Toes: Learning Curve.

Foot Ankle Spec 2018 Jun 3;11(3):263-268. Epub 2018 Jan 3.

Orthopaedic Hospital Speising Vienna, Vienna, Austria (SK, PB, CM, MC, HJT).

Background: Minimally invasive surgery has a shorter surgical time, and in this study we focus on minimally invasive distal metatarsal metaphyseal osteotomy (DMMO). The operation seems to be less complex but requires a high learning curve. We report on our first patients to underline the need for extensive training and great awareness for the risks in the early learning stages. Read More

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June 2018
8 Reads

Translation and cultural adaptation of the revised foot function index for the Portuguese language: FFI-R Brazil.

Sao Paulo Med J 2017 Nov-Dec;135(6):573-577. Epub 2017 Dec 7.

PhD. Professor, Department of Human Movement Sciences, Universidade Federal de São Paulo (UNIFESP), Campus Baixada Santista, Santos (SP), Brazil.

Background: The revised foot function index (FFI-R) is used to evaluate the functionality of patients with conditions that affect the feet. The objective here was to produce the Brazilian Portuguese version of this index.

Design And Setting: Translation and validation study conducted at the Federal University of São Paulo, Brazil. Read More

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August 2018
9 Reads

Risk factors and the associated cutoff values for failure of corticosteroid injection in treatment of Morton's neuroma.

Int Orthop 2018 02 12;42(2):323-329. Epub 2017 Dec 12.

Department of Orthopaedic Surgery, Korea University Guro Hospital, 148 Gurodong-ro, Guro-gu, Seoul, 08308, South Korea.

Background: Understanding the risk factors that predict the prognosis of Morton's neuroma after corticosteroid injection would help clinicians determine the appropriate treatment protocol. However, the cut-off values for the risk factors are unknown. The aim of this study was to identify the risk factors and cut-off values that predict failure of corticosteroid injection in treatment of Morton's neuroma. Read More

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February 2018
4 Reads

Radiological Biometric Study of Metatarsals and Phalanges.

J Clin Diagn Res 2017 Sep 1;11(9):AC05-AC09. Epub 2017 Sep 1.

Reader, Department of Oral and Maxillofacial Surgery, SJM Dental College and Hospital, Chitradurga, Karnataka, India.

Introduction: Several diseases affect the forefoot bones. Relative dimensions of the forefoot bones are important considerations for preoperative and postoperative assessment of surgeries. The choice of a particular surgery over another can also be made if the surgeon knows the length to which a bone needs to be lengthened or shortened in comparison to other bones of the forefoot. Read More

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September 2017
2 Reads

Computed tomography measurements of the lesser metatarsal heads: Anatomic considerations for surgeons performing distal metatarsal osteotomies.

Foot Ankle Surg 2017 Dec 3;23(4):230-235. Epub 2016 Jun 3.

St Vincent's Clinic, Darlinghurst, Sydney, Australia.

Background: The purpose of the current study was to provide a standardized, anatomical description of the lesser metatarsals to assist surgeons when planning distal metatarsal surgery and fixation.

Methods: Eighty CT scans were included for assessment, based on a priori power analysis. Patient age was a mean 52. Read More

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December 2017
4 Reads

Morton's Neuroma (Interdigital Neuralgia) Treated with Metatarsal Sliding Osteotomy.

Indian J Orthop 2017 Nov-Dec;51(6):692-696

Department of Orthopedic Surgery, Busan Paik Hospital, College of Medicine, Inje University, Seo-gu, Busan, Korea.

Background: Morton's neuroma is a common cause of metatarsalgia and many treatments had been described in literature. However, there have been only a few reports that treat the neuroma with an osteotomy on the proximal, not distal portion of the metatarsal bone using a plate. This study describes the clinical outcome of sliding osteotomy on the proximal metatarsal bone for the treatment of Morton's neuroma. Read More

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December 2017
9 Reads