Abstract
We evaluated the hypothesis that dynamic elevation of the first metatarsal relative to the second metatarsal could be measured with a simple device and would be associated with transfer metatarsalgia. We also assessed intraobserver and interobserver reliability of the simple device.
A series of 352...
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PMID: 21189187
PDF is available here.
Abstract
Metatarsalgia (ie, metatarsal pain) is one of the most common reports in patients with foot problems. This pain is confined to the area across the plantar forefoot, including the second through fourth metatarsal heads. However, it is frequently accompanied by deformity of the first and fifth rays as...
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PMID: 20675640
PDF is available here.
Abstract
Increased heel height resulted in increasing medial forefoot loading pressure; however, the soft tissue exhibited stationary compressibility when the heel height was greater than 2 cm. CLINICAL RELEVANCE: Our finding provides an understanding of the biomechanical changes with wearing high-heeled sho...
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PMID: 19912724
PDF is available here.
Abstract
We analysed the functional adaptation of the first and second metatarsal bones to altered strain in flexible flatfoot. Fifty consecutive women (20-40 years of age) were enrolled: 31 patients with a flexible flatfoot and metatarsalgia (59 feet) and 19 controls with asymptomatic feet (37 feet). They w...
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PMID: 18663446
PDF is available here.
Author(s) unavailable
Abstract
In order to provide proper treatment intervention, the foot and ankle surgeon must develop a further understanding of the pathoanatomy and pathomechanics leading to specific surgical complications of central metatarsal osteotomies. In addition to providing the authors' experiences and potential solut...
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PMID: 19121751
PDF is available here.
Abstract
Metatarsalgia is a common problem for many in the community. The condition includes many different entities, such as interdigital neuroma, synovitis or metatarsophalangeal joint instability, Freiberg infarction, stress fractures, and systemic disorders. Many patients presenting with metatarsalgia ha...
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PMID: 19038613
PDF is available here.
Abstract
The mean HVA decreased from 42 to 13 degrees, the mean IMA 1-2 from 22 to 10 degrees. The mean first metatarsal lengthening was 0.3 mm. A negative correlation was found between lengthening of the first metatarsal and metatarsalgia at rays 2 and 3. No such pattern was found between the fourth and fif...
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PMID: 18442454
PDF is available here.
Abstract
Subchondral fractures of the metatarsal heads were seen in 14 patients. All patients were women. The metatarsal head most commonly affected was the second (71%, 10/14) and the dorsal third of the metatarsal articular surface was involved in 79% (11/14). MRI findings of subchondral fracture of the me...
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PMID: 18287423
PDF is available here.
Abstract
The mean preoperative American Orthopaedic Foot and Ankle Society (AOFAS) score of 36.2 improved to 82.2 postoperatively. Sixty-two (85%) of the 73 feet were pain-free after surgery. CONCLUSION: In spite of careful preoperative planning, it was difficult to obtain the ideal foot type, and the freque...
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PMID: 18315968
PDF is available here.
Abstract
Research on metatarsophalangeal joint instability and the plantar plate was conducted from May 2002 to May 2006. Along with plantar plate tears, we found a range of pathologies. This is a pictorial review of our experience.
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PMID: 17958682
PDF is available here.
Abstract
Although further clinical investigation regarding patient outcome from this procedure needs to be carried out, the data from this preliminary study indicate that midshaft segmental osteotomy of a lesser metatarsal is a useful technique for metatarsal shortening with a high rate of bony union....
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PMID: 17296134
PDF is available here.
Abstract
This small series depicts the potential success of distraction osteogenesis for the iatrogenically shortened first metatarsal and associated transfer metatarsalgia....
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PMID: 17296138
PDF is available here.
Abstract
Plantar interdigital neuroma, also called Morton neuroma, neuralgia, or metatarsalgia, is a perineural fibrosis that induces severe intermittent pain and paresthesia, most frequently between the third and fourth metatarsal heads. This compression syndrome or entrapment neuropathy involves one branch...
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PMID: 17317086
PDF is available here.
Abstract
An illustrated case with Morton's metatarsalgia is presented. MR imaging was helpful for determining the presence, location and magnitude of intermetatarsal neuroma. Moreover, it had a large influence on the differential diagnostic thinking because many disorders may produce forefoot complaints mimi...
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PMID: 18254278
PDF is available here.
Abstract
The average decrease in the hallux valgus angle was 26+/-5 degrees, the 1-2 intermetatarsal angle was 8.4+/-4 degrees, and the average shortening of the first metatarsal was 3.8+/-1.8 mm. Positive correlations were found between metatarsalgia of the second through fourth rays and first ray shortenin...
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PMID: 17257540
PDF is available here.
Abstract
We used an oblique sliding osteotomy to facilitate precise correction. We hypothesized the procedure would reduce pain in patients with prominent second and/or third metatarsal heads, with few complications. We retrospectively reviewed 32 consecutive patients with 42 osteotomies of the lesser metata...
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PMID: 16924178
PDF is available here.
Abstract
The results of this study showed that a thick saw blade could offset a portion of the plantar displacement of the capital segment that can occur with the Weil osteotomy. A 1-mm thick saw blade is recommended for most osteotomies, and a 2-mm thick saw blade is recommended for shortening of more than...
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PMID: 17144965
PDF is available here.
Abstract
The digital vessel was identified along with the resected nerve in 39% of specimens. No adverse effect was recorded from these arterial resections. CONCLUSION: Extensive collateralization of digital vessels is hypothesized to account for the lack of adverse sequelae....
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PMID: 17054881
PDF is available here.
Abstract
The purpose of this study is to describe an endoscopic approach to toe flexor tendons at the level of metatarsal head region. And this study is a kind of retrospective case series. Three patients with toe flexor tenosynovitis were evaluated after a follow-up of 2 years after toe flexor tendoscopy. O...
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PMID: 16328466
PDF is available here.
Abstract
Foot orthoses were effective as an adjuvant in the management of rheumatoid foot. They significantly reduced pain, disability and activity limitation, as measured by the FFI, with minor adverse effects....
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PMID: 16287926
PDF is available here.
Abstract
gamma-Aminobutyric acid type B (GABAB) receptors are involved in the modulation of neuronal activity in response to chronic noxious input. However, the effect of their activation in chronic inflammatory pain in relay thalamic nuclei such as the ventrobasal complex (VB) is not known. In this study, e...
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PMID: 16400658
PDF is available here.
Abstract
Apart from carpal tunnel syndrome, there are no population based studies of the epidemiology of compressive neuropathies. To provide this information, new presentations of compressive neuropathies among patients registered with 253 general practices in the UK General Practice Research Database with...
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PMID: 16421136
PDF is available here.
Abstract
MP application decreased the maximal peak pressure (MPP) and pressure-time integral (PTI) under the second MH and also statistically improved subjective pain scores. However, neither the pre-treatment values of the MPP and PTI shift in the position of the MPP after treatment, nor the age, gender and...
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PMID: 17147793
PDF is available here.
Abstract
Pathological abnormality (neuroma) related to the painful foot condition commonly called "Morton's metatarsalgia" was first observed in 1835 by Filippo Civinini (1805-1844) of Pistoia, in course of a cadaverous dissection, and clearly described in the anatomic letter entitled "Su un nervoso gangliar...
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PMID: 17216022
PDF is available here.
Abstract
The proportions elevated/non-elevated pressure regions, based on clinical ratings of the therapists, show important discrepancies with the criterion values obtained through quantitative plantar pressure measurement. In general, plantar pressures in the big toe region were underrated and those in the...
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PMID: 17140435
PDF is available here.
Abstract
The aetiology and pathogenesis of Morton's Neuroma remain controversial. It is not true neuroma and therefore, it is better referred to as Morton's metatarsalgia. This article reviews the various thoughts regarding the pathogenesis of this condition. Chronic trauma, ischaemia, bursitis and entrapmen...
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PMID: 16459852
PDF is available here.
Abstract
We describe an arthroscopic approach that has the advantage of more thorough preparation of the fusion site with minimal bone removal and better control of the arthrodesis position and with less chance of malunion....
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PMID: 16376246
PDF is available here.
Abstract
We prospectively evaluated the one- and seven-year results of the Weil osteotomy for the treatment of metatarsalgia with subluxed or dislocated metatarsophalangeal joints in 25 feet of 24 patients. Good to excellent results were achieved in 21 feet (84%) after one year and in 22 (88%) after seven ye...
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PMID: 16260668
PDF is available here.
Abstract
Medical Fluid silicone appears to be safe, effective, and stable biomaterial for treating weight-bearing loss of plantar fat. Trademarked PodiSil (Richard-James Inc., Peabody, MA, USA), a 350-centistoke injectable silicone has been approved for marketing in Europe for the prevention of diabetic foot...
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PMID: 16416638
PDF is available here.
Abstract
The magnetic insoles used in this study by a heterogeneous population with chronic nonspecific foot pain were not clinically effective. Findings confirmed that nonspecific foot pain significantly interferes with some employees' ability to enjoy their jobs and that treatment of that pain improves job...
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PMID: 16178493
PDF is available here.
Abstract
For the correction of hallux valgus, as one of the most common deformities of the lower limbs, a modified Lapidus arthrodesis is applied at the base of the hallux. After using a lateral tissue technique with medial capsular reefing, a general arthrodesis of the tarsometatarsal 1 joint is carried out...
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PMID: 16028050
PDF is available here.
Abstract
Inserts are orthopedic aids in the treatment of foot disorders that result from changes of the static or dynamic situation. Provision of appropriate orthopedic devices can relieve the pain caused by forefoot deformities either in lieu of surgical intervention or in rare cases also following surgical...
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PMID: 15991037
PDF is available here.
Abstract
Metatarsalgia is explained as localized or more diffuse tenderness beneath the metatarsal heads. The pain may be attributed to various etiologies. Pathological changes affecting the positional relationship of the metatarsals in the sagittal plane can cause increased pressure and friction forces duri...
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PMID: 15995873
PDF is available here.
Abstract
There were no significant differences in outcome measures at baseline. At the end of the trial, foot shape was not related to injury. The flat feet group had significantly poorer subjective physical health than did the normal feet group (p = 0.001). CONCLUSION: This study provides high-level evidenc...
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PMID: 16130646
PDF is available here.
Abstract
In this model, the chevron osteotomy more effectively reduced load and plantar pressure in the operated metatarsal regions; however, increases in load and pressure were observed in the first metatarsal region. The increase in pressure without a change in load in region 3 (third metatarsal) after a W...
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PMID: 15737259
PDF is available here.
Abstract
The median score of the AOFAS scale was 81 (19 to 95) points. Fifty-four percent of the osteotomies were done with a proximal interphalangeal (PIP) joint arthrodesis of the same ray, and we observed a higher occurrence of floating-toe deformity in this group of patients. CONCLUSION: Although it may...
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PMID: 15563380
PDF is available here.
Abstract
We describe a case of a 60-year-old man, with a stage IV lesion according to Smillie's classification, treated by debridement, removal of the free body, and arthroscopic Keller excision. Arthroscopic treatment allows the patient to begin and maintain an aggressive postoperative physical therapy prog...
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PMID: 15243427
PDF is available here.
Abstract
This review focuses on many of the foot and ankle injuries commonly seen among dancers. These unique athletes place extreme demands on their musculoskeletal system and thereby face a variety of acute and overuse injuries. Conservative treatment is successful in the majority of cases, but these patie...
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PMID: 15239359
PDF is available here.
Abstract
All 13 metatarsal neck osteotomies had clinical and radiographic union by 6 weeks, with no evidence of nonunion, malunion, avascular necrosis of the metatarsal head, deep wound infection, pin-tract infection, broken pins, or other serious complications. Two metatarsals (18%) had minor residual plant...
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PMID: 15006335
PDF is available here.
Abstract
This study reviews historical and biomedical aspects of soldier load carriage. Before the 18th century, foot soldiers seldom carried more than 15 kg while on the march, but loads have progressively risen since then. This load increase is presumably due to the weight of weapons and equipment that inc...
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PMID: 14964502
PDF is available here.
Abstract
The authors describe the case of a 51 years old woman with interdigital neuroma at a level of II and IV metatarsal heads--Morton's Metatarsalgia.
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PMID: 15913029
PDF is available here.
Abstract
There is insufficient evidence with which to assess the effectiveness of surgical and non-surgical interventions for Morton's neuroma. Well designed trials are needed to begin to establish an evidence base for the treatment of Morton's neuroma pain....
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PMID: 15266472
PDF is available here.
Abstract
In the reconstruction of the hip, knee, or any other joint, preoperative planning is necessary for avoiding mistakes during surgery. Since 1995, the authors have been doing this before forefoot surgery to increase the accuracy of the surgery. As much as possible, they try to correct only the lesion...
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PMID: 14719836
PDF is available here.
Abstract
We investigated 29 cases, diagnosed clinically as having Morton's neuroma, who had undergone MRI and ultrasound before a neurectomy. The accuracy with which pre-operative clinical assessment, ultrasound and MRI had correctly diagnosed the presence of a neuroma were compared with one another based on...
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PMID: 14516035
PDF is available here.
Abstract
All patients were satisfied with the result of the operation. The results were excellent in 29 cases (83 %) and good in 6 cases (17 %). The plantar callus disappeared in 27 feet (77 %) and decreased in 8 feet (23 %). In one patient the new callus formed under the head of the neighbouring metatarsal...
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PMID: 14551849
PDF is available here.