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Predictive Measurement for Windlass Change in Length and Selected Treatment Outcomes in Chronic Plantar Fasciitis
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Metatarsalgia.

J-L Besse1

  • 1Université Lyon 1, IFSTTAR, LBMC UMR-T 9406, Laboratoire de Biomécanique et Mécanique des Chocs, 69675 Bron cedex, France; Hospices Civils de Lyon, Centre Hospitalier Lyon-Sud, Service de Chirurgie Orthopédique et Traumatologique, 69495 Pierre-Bénite cedex, France.

Orthopaedics & Traumatology, Surgery & Research : OTSR
|January 23, 2017
PubMed
Summary
This summary is machine-generated.

Metatarsalgia, pain in the ball of the foot, has primary, secondary, and iatrogenic causes. Treatment ranges from conservative measures to surgical interventions like the Weil osteotomy, guided by a specific algorithm.

Keywords:
MetatarsalgiaTreatment

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Area of Science:

  • Orthopedics
  • Podiatry
  • Sports Medicine

Background:

  • Metatarsalgia is a common foot condition characterized by pain in the ball of the foot.
  • Understanding its causes, including anatomical and biomechanical factors, is crucial for effective management.
  • Classification into primary, secondary, and iatrogenic categories aids in diagnosis.

Purpose of the Study:

  • To provide a comprehensive overview of metatarsalgia diagnosis and treatment.
  • To outline a structured approach to managing different forms of metatarsalgia.
  • To discuss current and emerging treatment modalities.

Main Methods:

  • Review of anatomical and biomechanical considerations.
  • Integration of physical examination with imaging studies (weight-bearing radiographs, ultrasound, MRI).
  • Analysis of conservative and surgical treatment options, including osteotomies and soft-tissue procedures.

Main Results:

  • Metatarsalgia can be categorized as static or propulsive based on biomechanics.
  • Conservative treatments (exercises, footwear, orthotics, debridement) are first-line.
  • Surgical options include soft-tissue procedures and metatarsal osteotomies (e.g., Weil procedure).

Conclusions:

  • A tailored treatment algorithm, considering hallux status and underlying causes (e.g., inflammatory disease), optimizes outcomes.
  • Both conservative and surgical interventions play vital roles in managing metatarsalgia.
  • Further evaluation of percutaneous methods is warranted.