Current Concept Review: Metatarsalgia

Espinosa, Norman; Maceira, Ernesto; Myerson, Mark S.

doi:10.3113/fai.2008.0871

Cited by 36 publications

(48 citation statements)

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“…They defined a ''harmonious morphotype,'' which should assure physiologic function and weight distribution by studying radiographs of symptomatic and asymptomatic forefeet, and concluded increased metatarsal length predisposes to pain and calluses on the plantar side of the metatarsal heads. These symptoms are known as metatarsalgia and are commonly seen [7,8]. Primary metatarsalgia is caused by mechanical overload of the affected metatarsal heads [7,8].…”

Section: Introductionmentioning

confidence: 99%

“…These symptoms are known as metatarsalgia and are commonly seen [7,8]. Primary metatarsalgia is caused by mechanical overload of the affected metatarsal heads [7,8]. Increased metatarsal length generally is believed to be a factor in the development of primary metatarsalgia [1,7,14,15].…”

Section: Introductionmentioning

confidence: 99%

“…Primary metatarsalgia is caused by mechanical overload of the affected metatarsal heads [7,8]. Increased metatarsal length generally is believed to be a factor in the development of primary metatarsalgia [1,7,14,15]. Nonoperative treatment consists of using molded insoles that include padding just proximal to the metatarsal heads.…”

Section: Introductionmentioning

confidence: 99%

“…For patients with insufficient pain relief, surgery frequently is recommended [1,7,8,13,15]. Some surgeons prefer metatarsal shortening osteotomies (eg, Weil's osteotomy) to achieve a harmonious forefoot morphotype and to improve weight distribution under the metatarsal heads [1,7].…”

Section: Introductionmentioning

confidence: 99%

“…Some surgeons prefer metatarsal shortening osteotomies (eg, Weil's osteotomy) to achieve a harmonious forefoot morphotype and to improve weight distribution under the metatarsal heads [1,7]. Maestro et al [14] recommended correction of only the symptomatic ray as far as the operation does not lead to an ''inharmonious morphotype.''…”

Section: Introductionmentioning

confidence: 99%

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Metatarsal Length does not Correlate with Maximal Peak Pressure and Maximal Force

Kaipel

Krapf

Wyss

2011

Clinical Orthopaedics &Amp; Related Research

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Background Primary metatarsalgia of the lesser metatarsals is common and caused by mechanical overload of the affected metatarsal heads. Increased metatarsal length generally is believed to be a factor in the development of primary metatarsalgia. However, there is no clear biomechanical evidence supporting this theory. Questions/purposes We asked whether metatarsal length correlated with plantar-loading parameters under the corresponding metatarsal heads. Patients and Methods We prospectively followed two groups of patients 46 (51 feet) with and 45 (51 feet) without metatarsalgia. Each foot was physically examined and underwent standardized full-weightbearing radiography and dynamic pedobarography to assess maximal peak pressure and maximal force under the first, second, and third metatarsal heads. We correlated the relative length of the first and third metatarsals with the corresponding two plantar-loading parameters. We compared maximal peak pressure and maximal force in patients with metatarsalgia with those of symptom-free patients.Results The relative length of the first and third metatarsals did not correlate (r \ 0.13) with the maximal peak pressure or maximal force under the corresponding metatarsal heads. Maximal force under the first metatarsal head was decreased in the metatarsalgia group. There was no difference in maximal peak pressure between the metatarsalgia and nonmetatarsalgia groups. Conclusions Relative metatarsal length had no influence on plantar-loading parameters. Shortening of a symptomatic ray to decrease plantar-loading parameters cannot be supported from a biomechanical rationale.

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Section: Introductionmentioning

confidence: 99%