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The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
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Metatarsal Malunion.

Alexandre Leme Godoy-Santos1, Martim Pinto2, Rafael Barban Sposeto3

  • 1Departamento de Ortopedia e Traumatologia, Hospital das Clinicas, Faculdade de Medicina, Universidade de Sao Paulo, R. Dr. Ovídio Pires de Campos, 333, São Paulo 05403-010, Brazil; Programa Aparelho Locomotor, Hospital Israelita Albert Einstein, Av. Alebrt Einstein, 627, São Paulo 05652- 900, Brazil.

Foot and Ankle Clinics
|February 2, 2025
PubMed
Summary
This summary is machine-generated.

Metatarsal fractures are common foot injuries, often caused by direct trauma. This article focuses on understanding and managing lateral metatarsal malunion to improve pain and gait function.

Keywords:
FixationFractureMalunionMetatarsalTreatment

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Area of Science:

  • Orthopedic Surgery
  • Traumatology
  • Podiatric Medicine

Background:

  • Metatarsal fractures constitute nearly 50% of all foot fractures.
  • Direct trauma is the primary cause of central metatarsal fractures.
  • High-energy accidents may involve severe soft-tissue damage and Lisfranc injuries.

Purpose of the Study:

  • To discuss lateral metatarsal malunion resulting from trauma.
  • To highlight the importance of evaluating associated injuries in high-energy trauma.
  • To emphasize treatment goals focused on pain reduction and gait improvement.

Main Methods:

  • Literature review on metatarsal fractures and malunions.
  • Analysis of injury mechanisms and treatment considerations.
  • Discussion of deformity types and their clinical impact.

Main Results:

  • Axial plane malunions (varus/valgus) are generally better tolerated than coronal plane deformities.
  • Plantar flexion deformity presents particular challenges in malunion management.
  • Effective treatment aims to restore function and alleviate pain.

Conclusions:

  • Lateral metatarsal malunion requires careful evaluation and management.
  • Understanding deformity planes is crucial for successful outcomes.
  • Optimizing treatment strategies can significantly improve patient function and reduce pain.