Surgery of the lesser rays

Grace, David

doi:10.1016/0958-2592(93)90061-7

Cited by 3 publications

(2 citation statements)

References 13 publications

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“…[1][2][3][4][5] Often, this pathology is the result of abnormal pressure distribution of the forefoot from an abnormal metatarsal parabola, or transverse metatarsal arch, leading to reactive calluses and pain. [1][2][3][4][5] Often, this pathology is the result of abnormal pressure distribution of the forefoot from an abnormal metatarsal parabola, or transverse metatarsal arch, leading to reactive calluses and pain.…”

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confidence: 99%

“…For an equal transfer of plantar pressure, the 5 metatarsal heads are aligned in the transverse plane. 1,3,5 It is important to rule out other etiologies, such as Morton's neuroma, metatarsal fracture, MTP capsulitis/synovitis, or stress fracture. If a long or short metatarsal is present and this pattern is abnormal metatarsalgia with propulsion from overloading the distal metatarsal head may develop.…”

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The Weil Osteotomy

DeCarbo

Dial

2014

Techniques in Foot &Amp; Ankle Surgery

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Forefoot pain is a common presenting symptom to foot and ankle specialists. Common diagnosis for forefoot pain includes metatarsal stress fracture, neuroma, capsulitis, and or synovitis of metatarsophalangeal joints, or plantar plate tear. An abnormal parabola is commonly encountered causing changes in the biomechanics of the foot leading to metatarsalgia. When conservative treatment fails, surgery is often indicated. The Weil osteotomy is a common, reproducible osteotomy that can rebalance the parabola, decompress the metatarsophalangeal joint, and alleviate forefoot pain.Level of Evidence: Diagnostic Level 5. See Instructions for Authors for a complete description of levels of evidence.

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The Weil Osteotomy

DeCarbo

Dial

2014

Techniques in Foot &Amp; Ankle Surgery

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Rezidive nach Korrektur von Hammer- und Krallenzehen

Mittag

Wülker

2011

Orthopäde

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Symptomatic lesser toe deformities should be corrected if conservative therapy is exhausted or no longer seems appropriate. Prevention of recurrence starts with the correct indication for the appropriate surgical procedure. The occasional difficult question of the cause of the deformity is crucial in this context. A correct surgical technique and appropriate after-care reduces the risk of recurrence. Due to tensed bony and soft-tissue conditions, revision surgery of the forefoot is challenging. If a revision becomes necessary, the cause of recurrence must be re-examined. This paper explains the appropriate indications and surgical techniques for correction of lesser toe deformities. Subsequently, specific postoperative complications and their management are discussed in detail.

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