Aetiology, diagnosis, and treatment of brachymetatarsia: a narrative review

Fusini, Federico; Mussa, Alessandro; Rava, Alessandro; Kristijan, Z; Felli, Lamberto; Colò, Gabriele

doi:10.1007/s12306-021-00720-z

Cited by 3 publications

(6 citation statements)

References 57 publications

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“…Brachymetatarsia refers to the shortening of the metatarsal bone. 1 , 2 When the condition involves more than one metatarsal bone, it is referred to as brachymetapody. 2 The fourth and first metatarsals are the most involved.…”

Section: B Ackgroundmentioning

confidence: 99%

“… 1 , 2 When the condition involves more than one metatarsal bone, it is referred to as brachymetapody. 2 The fourth and first metatarsals are the most involved. 1 – 3 Females are more commonly affected by this condition.…”

Section: B Ackgroundmentioning

confidence: 99%

“…Brachymetatarsia can be congenital or acquired. 2 , 4 , 5 This deformity is associated with multiple conditions and syndromes, including trisomy 21, Apert syndrome, sickle cell anaemia, Albright's osteodystrophy and dystrophic dwarfism. 2 , 4 , 5 …”

Section: B Ackgroundmentioning

confidence: 99%

“…Surgical treatment for brachymetatarsia is indicated for various reasons. 2 , 3 In most patients, the deformity is painless, and metatarsal lengthening is done for aesthetic reasons. 2 , 3 In addition, restoring the metatarsal–phalangeal cascade improves the biomechanics of the foot by preventing abnormal loading on the metatarsal heads with stance and gait, preventing metatarsalgia.…”

Section: B Ackgroundmentioning

confidence: 99%

“… 2 , 3 In addition, restoring the metatarsal–phalangeal cascade improves the biomechanics of the foot by preventing abnormal loading on the metatarsal heads with stance and gait, preventing metatarsalgia. 2 – 6…”

Section: B Ackgroundmentioning

confidence: 99%

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Metatarsal Gradual Lengthening for Brachymetatarsia Using a Mini-rail External Fixator System

Marwan¹,

Bernstein²,

Dalu³

et al. 2022

Strategies in Trauma and Limb Reconstruction

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A bstract Aim To describe the surgical technique for gradual lengthening of the metatarsal using the Orthofix MiniRail System (Orthofix Medical Inc., Lewisville, TX, USA). Background Brachymetatarsia refers to the shortening of the metatarsal bone. When indicated, metatarsal lengthening is performed to treat this deformity. Technique A dorsal approach to the short metatarsal is performed, protecting the neurovascular structures and the extensor tendons. The most proximal wire or screw is inserted first, followed by the most distal wire or screw. The distal wire or screw should not be inserted in the metatarsal head. The middle wires or screws are inserted thereafter. All wires or screws should be placed perpendicular to the anatomic axis of the bone. Once the MiniRail lengthener is assembled, a 1.6 mm K-wire is inserted from the tip of the toe into the metatarsal head, blocking the motion of the metatarsophalangeal joint and avoiding joint subluxation during lengthening. The osteotomy is then performed perpendicular to the metatarsal shaft, in between the middle two wires and screws. Conclusion The surgical technique for gradual lengthening of the metatarsal using the Orthofix MiniRail System was described in detail with accompanying step-by-step intraoperative clinical and fluoroscopic images. Clinical significance This surgical technique of metatarsal lengthening is simple and effective. An understanding of the surgical technique of gradual lengthening of the metatarsal bone is important when treating shorting deformities of more than 1 cm. How to cite this article Marwan Y, Abu Dalu K, Bernstein M, et al . Metatarsal Gradual Lengthening for Brachymetatarsia Using a Mini-rail External Fixator System. Strategies Trauma Limb Reconstr 2022;17(3):184–188.

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Section: B Ackgroundmentioning

confidence: 99%

Section: B Ackgroundmentioning

confidence: 99%

Section: B Ackgroundmentioning

confidence: 99%

Section: B Ackgroundmentioning

confidence: 99%

Section: B Ackgroundmentioning

confidence: 99%

See 3 more Smart Citations

Metatarsal Gradual Lengthening for Brachymetatarsia Using a Mini-rail External Fixator System

Marwan¹,

Bernstein²,

Dalu³

et al. 2022

Strategies in Trauma and Limb Reconstruction

View full text Add to dashboard Cite

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What's the evidence on surgical treatment for congenital brachymetatarsia: A systematic review and meta-analysis

Arceri,

Mazzotti,

Zielli

et al. 2024

Journal of Orthopaedics

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Role of lateral soft tissues release in percutaneous hallux valgus correction: A medium term retrospective study

Zanchini,

Catani,

Sergio

et al. 2023

World J Orthop

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BACKGROUND In the field of minimally invasive surgery (MIS) for the treatment of hallux valgus (HV), different techniques have begun to emerge in the literature concerning the distal osteotomy of the first metatarsal bone, the synthesis or not of the metatarsal head, the possible association with lateral soft tissues release (LSTR) and osteotomy of the base of the first phalanx. AIM To evaluate the role of LSTR on percutaneous HV correction, evaluating functional and radiographical results. METHODS From January 2012 to May 2016 a total of 396 patients with mild to moderate symptomatic HV treated with the MIS technique were included in this retrospective study. The technique provides no internal fixation (WOS). Patients were divided into the LSTR group and no LSTR group (LSTR N). This surgical procedure (LSTR) was reserved for insufficient HV angle (HVA) correction during fluoroscopic control. Patients were evaluated at each follow-up by two other authors after appropriate training by senior authors (first practitioners). Clinical evaluation was performed before surgery, 6 mo after surgery, and 48 mo follow-up. American Orthopaedic Foot and Ankle Society (AOFAS) and visual analog scale (VAS) score was used to evaluate pain and function, and complications were recorded. In addition, the incidence of relapses and the degree of joint range of motion (ROM) with the association with the LSTR (capsule, adductor tendon, phalanx-sesamoid ligament, and the deep transverse metatarsal ligament) were evaluated. Radiological parameters included HVA and intermetatarsal angle (IMA). Patient satisfaction was assessed. Student t -test and Fisher exact test were used to assess statistical analysis. RESULTS From our study it is clear that no differences in term of HVA, VAS, IMA correction, rate of complications, and AOFAS score were found between groups, while a significant improvement of the same variables was found in each group between pre and postoperative values. A significant improvement in ROM at 6 mo (P = 0.018) and 48 mo (P = 0.02) of follow-up was found in LSTR N group. Complications were rare in both groups. CONCLUSION LSTR procedure on percutaneous HV correction seems to increase postoperative joint stiffness with a comparable incidence of relapse and a low incidence of complications.

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Aetiology, diagnosis, and treatment of brachymetatarsia: a narrative review

Cited by 3 publications

References 57 publications

Metatarsal Gradual Lengthening for Brachymetatarsia Using a Mini-rail External Fixator System

Metatarsal Gradual Lengthening for Brachymetatarsia Using a Mini-rail External Fixator System

What's the evidence on surgical treatment for congenital brachymetatarsia: A systematic review and meta-analysis

Role of lateral soft tissues release in percutaneous hallux valgus correction: A medium term retrospective study

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