Forefoot Success

The goal of this chapter is to familiarize orthopaedic surgeons with the latest information pertaining to typical problems of the forefoot. Painful and deforming problems of the forefoot are surprisingly common. The understanding of forefoot deformity and pathology has evolved considerably over the past decade. A more precise understanding of the mechanics of deformity and resulting pathology has resulted in significant improvements in nonsurgical and surgical managements. This chapter provides an up-to-date examination of the literature regarding the management of forefoot pathology. First, a review of recent advances in the understanding of the pathology and mechanics of these problems and then a thorough review of specific diseases are presented. These include management of the bunion deformity, hallux rigidus, metatarsalgia and plantar plate disruption, hammer toe deformities, and interdigital neuritis. Nonsurgical and surgical options are described. This chapter provides information that will lead to thoughtful treatment options for surgeons.