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[Metatarsalgia. Differential diagnosis and therapeutic algorithm].

R A Fuhrmann1, A Roth, R A Venbrocks

  • 1Orthopädie, Rudolf-Elle-Krankenhaus Jena, Friedrich-Schiller-Universität, Eisenberg. RAEFuhrmann@aol.com

Der Orthopade
|July 5, 2005
PubMed
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Metatarsalgia, pain beneath the metatarsal heads, stems from various causes like positional changes or deformities. Orthotic devices offer successful treatment for increased load, with surgery considered if conservative measures fail.

Area of Science:

  • Orthopedics
  • Podiatry
  • Biomechanics

Background:

  • Metatarsalgia presents as tenderness under the metatarsal heads, often linked to biomechanical issues.
  • Pathological changes in metatarsal sagittal alignment increase pressure during weight-bearing.

Purpose of the Study:

  • To review the etiologies of metatarsalgia.
  • To discuss treatment options, including orthotics and surgery.

Main Methods:

  • Literature review of metatarsalgia causes and treatments.
  • Analysis of pathological changes affecting metatarsal function.

Main Results:

  • Etiologies include positional abnormalities, lesser toe deformities, osteonecrosis (Koehler's disease), and neurological disorders (Morton's neuroma).

Related Experiment Videos

  • Increased load on central metatarsals is treatable with orthotic devices.

    • Conclusions:

    • A thorough analysis of underlying pathology is crucial before surgical intervention.
    • Conservative management with orthotics is effective for load-related metatarsalgia; surgery is reserved for refractory cases.