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[Metatarsalgia: Differential diagnosis and therapy].

Andreas Toepfer1, Rüdiger von Eisenhart-Rothe2, Norbert Harrasser2

  • 1Klinik für Orthopädie und Sportorthopädie, Klinikum Rechts der Isar, Technischen Universität München, Ismaninger Straße 22, 81675, München, Deutschland. toepfer@tum.de.

Wiener Medizinische Wochenschrift (1946)
|March 4, 2016
PubMed
Summary

Metatarsalgia is forefoot pain near the metatarsal heads. Treatment focuses on conservative therapies and careful surgical indications to manage symptoms and prevent complications.

Keywords:
Differential diagnosisMetatarsalgiaOsteotomyWeil-Surgery

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Area of Science:

  • Orthopedics and Sports Medicine
  • Podiatry

Background:

  • Metatarsalgia presents as forefoot pain, often localized around the metatarsal heads.
  • Symptoms may occur independently or alongside forefoot and hindfoot deformities.
  • Diagnosis is typically achieved through anamnesis and clinical examination, though underlying causes can be elusive.

Purpose of the Study:

  • To review the diagnosis and treatment of metatarsalgia.
  • To emphasize conservative management strategies.
  • To discuss surgical interventions and their potential complications.

Main Methods:

  • Review of clinical diagnosis methods including anamnesis and physical examination.
  • Evaluation of conservative treatment options for symptom relief.
  • Analysis of surgical interventions such as osteotomy and soft tissue procedures.
  • Discussion of common pitfalls in surgical indications and postoperative care.

Main Results:

  • Conservative therapies aim to reduce pressure and callus formation under the metatarsal heads.
  • Surgical options include corrective osteotomies, soft tissue procedures, and deformity correction.
  • Surgical success is contingent upon careful indication, technical precision, and adequate postoperative management.

Conclusions:

  • Conservative treatment is the primary approach for metatarsalgia.
  • Surgical intervention requires cautious consideration of indications to avoid persistent issues.
  • Common surgical complications stem from inadequate indications, technical errors, or insufficient postoperative care.