Whatʼs New in Foot and Ankle Surgery

Marx, Randall C.; Mizel, Mark S

doi:10.2106/jbjs.i.00078

Cited by 5 publications

(4 citation statements)

References 32 publications

(23 reference statements)

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“…4,6,7 A V-shaped distal metatarsal osteotomy is used for the correction of mild-to-moderate hallux valgus. 8 Tailor's bunion may present as a hypertrophy of the soft tissue overlying the fifth metatarsal because tailors commonly sit with their legs crossed. This puts pressure on the outer borders of their feet that results a hypertrophic skin callosity over the fifth metatarsal head.…”

Section: Discussionmentioning

confidence: 99%

Radiological Outcome of Patients with Splay Foot following First and Fifth Metatarsal Osteotomies Performed Simultaneously on the Same Foot

Mohammed

Carolina

Attar

et al. 2012

Journal of Orthopaedics, Trauma and Rehabilitation

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a b s t r a c tIntroduction: There have been many operations documented for the treatment of hallux valgus and fifth metatarsal bunionette deformities in patients with splay foot carried out separately, with variable success rates. Our aim was to assess the radiological outcome following combined chevron osteotomy of the first and reverse chevron osteotomy of the fifth metatarsal in symptomatic patients with splay foot. To our knowledge, this procedure has not been described in the literature. Methods: Nine symptomatic patients (12 feet) were included in the study. The preoperative and postoperative angles were assessed on weight-bearing radiographs for statistical significance using nonparametric paired t tests. Results: The postoperative hallux valgus angles, intermetatarsal angles, first and fifth metatarsal head widths, and maximum distance between the first and fifth metatarsal heads decreased significantly (p < 0.05). Conclusion: The results suggest a very good radiological outcome in symptomatic patients following simultaneous first and fifth metatarsal osteotomies. All the angles measured postoperatively, except the distal metatarsal articular angle, showed a statistically significant reduction. IntroductionThe term 'splay foot' connotes an abnormal widening of the forefoot in relation to the heel. Clinically, the splay foot is characterized by valgus of the great toe with bunion formation in association with a relative varus position of the first metatarsal. On the lateral part of the forefoot, there is varus deformity of the fifth toe with a relative valgus position of the fifth metatarsal and resultant bunionette formation. This deformity is often associated with metatarsalgia under the second metatarsal head because of its relative elongation in relation to the first metatarsal bone. Radiologically, splay foot is characterized by an intermetatarsal angle (IMA) between the first and second rays of greater than 12 degrees,

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Section: Discussionmentioning

confidence: 99%

Radiological Outcome of Patients with Splay Foot following First and Fifth Metatarsal Osteotomies Performed Simultaneously on the Same Foot

Mohammed

Carolina

Attar

et al. 2012

Journal of Orthopaedics, Trauma and Rehabilitation

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“…6 The symptoms of hallux rigidus can produce an altered gait and a plantar loading pattern when patients attempt to avoid pain and compensate for motion restriction at the first metatarsophalangeal joint. 7 Grade III hallux rigidus patients have moderate to severe pain that may be constant. 4 This pain combined with a notable loss of dorsiflexion may account for the demonstrated gait pattern.…”

Section: Discussionmentioning

confidence: 99%

Foot Pressure Comparison between Hallux Rigidus Patients and Normal Asymptomatic Matched Individuals using Pedobarograph

Mohammed

Assef

Attar

et al. 2012

Journal of Orthopaedics, Trauma and Rehabilitation

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Background/Purpose We present a study comparing the plantar pressures of hallux rigidus patients with that of asymptomatic feet. The aim was to find new means that could be used in further assessment and management of this condition. Methods We assessed foot pressure distributions in eight patients with hallux rigidus using the foot pressure pedobarograph system. This was compared with eight asymptomatic matched individuals. The foot pressures were assessed in the five key areas. Results The differences between the affected foot pressures and the normal foot pressures were statistically significant with a p value less than 0.05. The pressure under the hallux in the hallux rigidus patients was significantly less and associated with a significantly increased pressures in the hind foot and under the third, fourth, and the fifth metatarsal heads when compared with the asymptomatic matched individuals suggesting weight transfer onto the lateral and hind foot regions. Conclusion This study has demonstrated an increased pressure transmitted through the outer aspect of the sole of the foot in the patients suffering from hallux rigidus. This is helpful in choosing treatment options and managing hallux rigidus patients particularly when using conservative and foot wear considerations.

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“…2,26,34 In spite of its popularity, there are disadvantages to arthrodesis including prolonged immobilization, potential for pseudoarthrosis and altered stress on the neighboring joints. 2,18,22,42 Many reports have suggested that ankle arthrodesis reliably provides a painless, plantigrade, stable foot. These reports consist of retrospective clinical reviews with a short to mid-term followup period.…”

Section: Introductionmentioning

confidence: 99%