Metatarsalgia

Espinosa, Norman; Brodsky, James W.; Maceira, Ernesto

doi:10.5435/00124635-201008000-00004

Cited by 90 publications

(49 citation statements)

References 49 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Metatarsalgia, characterized by pain in the plantar region of the forefoot under the metatarsal heads, is one of the most frequent complaints in clinical practice among conditions affecting the feet. 1 , 2 Nearly 80% of the normal population present some form of pain in the metatarsal region over their lifetime. 3 The main etiological factors are biomechanical alterations, which make up 92% of the total.…”

Section: Introductionmentioning

confidence: 99%

“…The presence of a short first metatarsus, known as Morton's toe, is considered by many authors to be a contributing factor for the development of primary metatarsalgia. 1 , 3 , 6 The relationship among the lengths of the metatarsals is defined as the metatarsal formula. 3 , 7 Although this tool is used both for diagnostic investigation and for guidance toward treatment, the choice of the measurement method and their results are matters of controversy in the literature.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Study of the metatarsal formula in patient with primary metatarsalgia

Arie¹,

Moreira²,

Freire³

et al. 2015

Revista Brasileira de Ortopedia (English Edition)

View full text Add to dashboard Cite

ObjectivesThe aims of this study were (i) to ascertain the prevalence of different types of metatarsal formula among patients with primary metatarsalgia; (ii) to compare the variable of “shortening of the first metatarsal in relation to the second” (I/II) between the metatarsalgia and control groups; and (iii) to analyze the intra and interobserver concordance by means of Morton's transverse line method and Hardy and Clapham's arc method.MethodsA cross-sectional observational study was conducted on 56 patients by means of radiographs on their 112 ft, of which 56 were in the metatarsalgia group and 56 in the control group. The evaluations were done between December 2012 and June 2013. The measurements were made by three third-year orthopedics residents with prior training in the methods used, and a template was used.ResultsThere was no concordance between the two methods, as shown by Bland–Altman plots, although the intraclass correlation coefficients showed that the intra and interobserver reproducibility was high using the transverse line method (0.78 and 0.85) and moderate using the arc method (0.73 and 0.60). Comparison between the groups showed that there was a statistical difference (p ≤ 0.05) such that there was greater shortening of the first metatarsal (3.39 mm) in the control group than in the metatarsalgia group (2.14 mm). In the patients with primary metatarsalgia, the index minus metatarsal formula was more prevalent according to the transverse line method (62.5%) and the zero plus type according to the arc method (71.4%).ConclusionIn the present study, it was observed that the metatarsal formula prevalences depended on the measurement method. In both groups, shortening of the first metatarsal predominated. There was no intra or interobserver concordance in either of the two proposed methods.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Study of the metatarsal formula in patient with primary metatarsalgia

Arie¹,

Moreira²,

Freire³

et al. 2015

Revista Brasileira de Ortopedia (English Edition)

View full text Add to dashboard Cite

show abstract

“…Wireless footswitch (DTS FootSwitch, Noraxon Inc., USA) Measurement the gait duration (Espinosa 등[22]) EMG electrodes attachment part (Hollis[24])…”

mentioning

confidence: 99%

Effects of Fatigue in the Non-paretic Plantarflexor on the Activities of the Lower Leg Muscles during Walking in Chronic Stroke Patients

Lee¹,

Koo

2019

KSPM

View full text Add to dashboard Cite

PURPOSE: The aim of this study was to obtain detailed and quantified data concerning the effects of plantarflexor fatigue induced to the non-paretic side on muscle activities of the bilateral lower extremities during walking in chronic stroke patients. METHODS: In this study, chronic stroke patients were evaluated for six months after the onset of stroke. To induce the non-paretic plantarflexor fatigue, 20 chronic stroke patients were asked to perform their given fatigue affecting assignments, which were presented in a forced contraction fatigue test method, until the range of motion of the plantarflexor was reduced to less than 50%. The muscle 본 논문은 이재웅(2016)의 석사 학위 논문 발췌본임.

show abstract

“…O antepé suporta todo o peso corpóreo durante 30% da marcha 18 . Nessa fase, a pressão sob as cabeças dos metatarsais aumenta, tornando-as mais suscetíveis à distúrbios da distribuição de carga.…”

Section: Introductionunclassified

“…Nessa fase, a pressão sob as cabeças dos metatarsais aumenta, tornando-as mais suscetíveis à distúrbios da distribuição de carga. É no desprendimento do pé que mais se observa metatarsalgia 18,19 .…”

Section: Introductionunclassified

Estudo radiográfico axial do antepé para a avaliação do alinhamento da cabeça dos metatarsais no plano coronal

Sposeto¹

View full text Add to dashboard Cite

Ao meu irmão Tiago, presente em todos os momentos.À minha querida esposa Valdinélia, incansável companheira, me dando suporte, amor, carinho e tranquilidade nos momentos mais difíceis.Às minhas duas preciosas filhas, Laís e Clara, fonte de motivação para ser uma pessoa melhor. AGRADECIMENTOSAo Prof. Dr. Tulio Diniz Fernandes, não apenas por me orientar nessa dissertação, com seus ensinamentos científicos e acadêmicos, mas principalmente, por toda ajuda na minha formação como ortopedista e traumatologista. INTRODUCTION:Many authors consider the differences in the relative length of metatarsals in the axial plane, the cause of inadequate load distribution during the gait, overloading the forefoot plantar structures, culminating with metatarsalgia. The realignment of the metatarsal formula is the goal of surgical treatment of this syndrome. However, many studies have shown a 15% rate of metatarsalgia recurrence after the reconstruction in the axial plane, questioning the importance of the metatarsal heads alignment in the coronal plane. OBJECTIVE: This study aims to evaluate the alignment pattern of metatarsal heads in the coronal plane in individuals with and without metatarsalgia. METHODS: A cross-sectional study evaluated 106 individuals between 30 and 65 years old. They were divided in two groups of 106 feet each, one without foot pathologies and another group with metatarsalgia between the 2nd, 3rd and 4th metatarsals. The recruitment was performed at the IOT HC FMUSP for both groups, respecting the criteria of inclusion, exclusion and applying the Informed Consent Term. Individuals with midfoot, hindfoot and ankle deformities, patients with previous surgeries or fractures in the foot, rheumatologic diseases and osteoneuromuscular syndromes were not included. After the selection, the subjects were submitted to one weightbearing forefoot axial radiograph, evaluating the coronal plane in order to verify the heights of the metatarsals heads, and other weightbearing anteroposterior foot radiograph, determining the length of each ray. Statistical analysis was performed comparing the measurements between groups. RESULTS: A hundred six individuals were evaluated, forming two groups with 106 feet each. The group with metatarsalgia presented 34 male patients feet (32%), with a mean age of 49.5 years. Thirtythree feet with hallux valgus were identified in the metatarsalgia group. In the non-pathological group were found 54 male patients feet (51%), with a mean age of 44.6 years. Anthropometric variables such as foot size, body weight, height and BMI between the groups did not present statistical difference. The metatarsal heads in both groups were distributed in curved line in the coronal plane, following the formula M1 M3> M4 = M5. The distal support of the 1st ray was positioned more plantar in the metatarsalgia group (p = 0.000). CONCLUSION:The metatarsal heads in individuals with metatarsalgia and no hallux valgus, were aligned in the coronal plane following this formula M1 M3> M4 = M5, with M1

show abstract

Metatarsalgia

Cited by 90 publications

References 49 publications

Study of the metatarsal formula in patient with primary metatarsalgia

Study of the metatarsal formula in patient with primary metatarsalgia

Effects of Fatigue in the Non-paretic Plantarflexor on the Activities of the Lower Leg Muscles during Walking in Chronic Stroke Patients

Estudo radiográfico axial do antepé para a avaliação do alinhamento da cabeça dos metatarsais no plano coronal

Contact Info

Product

Resources

About