J Korean Foot Ankle Soc.  2020 Mar;24(1):9-13. 10.14193/jkfas.2020.24.1.9.

Treatment of Metatarsalgia after a Surgery

• Chun Di

• KMID: 2502902
• DOI: http://doi.org/10.14193/jkfas.2020.24.1.9

Abstract

Metatarsalgia is a generalized term used to describe forefoot pain. The possible etiologies can range from direct to indirect pathologies. Metatarsalgia has several causes. This paper evaluates the recent literature to provide an in-depth review of metatarsalgia after forefoot surgery.

Keyword

Metatarsalgia; Osteotomy

Figure

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  Figure 1 Hallux vagus with 1st Tarso-Metatarsal joint hypermobility. (A) Severe hallux valgus with 2nd Metatarsophalangeal joint subluxation and 1st Tarsometatarsal joint hypermobility. (B) Correction was made by 1st Tarsometatarsal arthrodesis using plate & screw and Weil osteotomy on 2nd metatarsal head.

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  Figure 2 Distal metatarsal osteotomy (Weil osteotomy). After an osteotomy parallel to the supporting surface, distal fragment is repositioned proximally and fixed with the dorsal fragment.

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  Figure 3 Metatarsal shaft osteotomy (lesser toes). (A) Oblique osteotomy: after an oblique osteotomy of metatarsal shaft on sagittal plane, rotate the distal fragment from dorsoplantar plane to medial plane. (B) Scalf osteotomy (5th metatarsal bone): after an Z-shaped osteotomy of the metatarsal shaft on the sagittal plane, medially translate and dorsally rotate the distal fragment.

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  Figure 4 Proximal metatarsal osteotomy (5th metatarsal bone). (A) Chevron osteotomy: after a chevron osteotomy of the proximal metatarsal bone on the sagittal plane, medially translate and dorsally rotate the distal fragment. (B) Wedge osteotomy: after a medial wedge osteotomy on the dorsoplantar plane, medially rotate the distal fragment.

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