Stress fractures of the lateral metatarsal bones in metatarsus adductus foot deformity: a previously unrecognized association

1999 ◽  
Vol 28 (12) ◽  
pp. 679-684 ◽  
Author(s):  
Daphne J. Theodorou ◽  
Stavroula J. Theodorou ◽  
Robert D. Boutin ◽  
Christine Chung ◽  
Evelyne Fliszar ◽  
...  
Keyword(s):  
Stress Fractures ◽  
Foot Deformity ◽  
Metatarsal Bones ◽  
Metatarsus Adductus

Prediction of Metatarsal Stress Fracture Location: Parametric Analysis of the Foot Using FEA

2011 ◽  
Author(s):  
Raymond G. Chen ◽  
Adam Edelhauser ◽  
Charles J. Gatt ◽  
Noshir A. Langrana
Keyword(s):  
Ultimate Strength ◽  
Stress Fracture ◽  
Military Personnel ◽  
Parametric Analysis ◽  
Stress Fractures ◽  
Sports Activity ◽  
Training Conditions ◽  
Metatarsal Bones ◽  
Bending Stresses ◽  
The Military

Metatarsal stress fractures occur in 1.0–2.6% of all NCAA athletes and 1.0–1.7% of all soldiers in the military (1). The metatarsal bones are susceptible to stress fractures due to repeated musculoskeletal loading from running, jumping and sudden movements during sports activity and extreme training conditions for military personnel. The loads create bending stresses on the metatarsals at sub-ultimate strength values that create microcracks on the bones, which may propagate into stress fractures (2) if proper precautions are not taken.

The transverse arch collapse correction as a path to foot toes alignment

2018 ◽  
Vol 14 (3) ◽  
Author(s):  
Jacek Dygut ◽  
Piotr Piwowar ◽  
Wojciech Kogut ◽  
Wiktor Boroń ◽  
Monika Piwowar
Keyword(s):  
Hallux Valgus ◽  
Stage I ◽  
Stage Ii ◽  
Foot Deformity ◽  
Mechanical Reinforcement ◽  
Pilot Studies ◽  
Metatarsal Bones ◽  
Transverse Arch ◽  
Significant Correction ◽  
The Future

Abstract The study presents a fragment of pilot studies showing the reconstruction of the transverse arch of the foot using a specially constructed orthosis for this purpose. It involves the mechanical reinforcement of the effect by an orthosis, which pushes down the I, IV, and V metatarsal bones while elevating or blocking the fall of the near-immobile II and III metatarsal bones according to the “three-force” rule. The correction of the transverse arch of the foot runs simultaneously with the correction of hallux valgus (HV). As a result, the significant correction of HV and associated toe deformities was achieved. In stage I foot deformity, the reduction of HV was reduced from 19.1° before to 15.1° after putting on orthosis (p = 0.024). In stage II, the reduction was from 20.1° (before) to 16.2° (after; p = 0.032). Equally satisfactory results were obtained for the remaining angles of the metatarsal bones. In the future, the method can be suitable for patients undergoing preparation for corrective HV surgery and for maintaining postoperative HV results. It can be used preventively, for example, by women who frequently wear high-heeled shoes and by those who need to remain standing for prolonged periods of time.

Hallux Valgus Correction in a Patient with Metatarsus Adductus with Multiple Distal Oblique Osteotomies

2010 ◽  
Vol 100 (3) ◽  
pp. 204-208 ◽  
Author(s):  
Nicolò Martinelli ◽  
Andrea Marinozzi ◽  
Francesco Cancilleri ◽  
Vincenzo Denaro
Keyword(s):  
Surgical Treatment ◽  
Elderly Patients ◽  
Hallux Valgus ◽  
Extensor Digitorum Longus ◽  
Clinical Case ◽  
Valgus Deformity ◽  
Extensor Digitorum ◽  
Foot Deformity ◽  
Hallux Valgus Deformity ◽  
Metatarsus Adductus

Metatarsus adductus is a structural foot deformity that is rarely associated with hallux valgus deformity. Surgical treatment is challenging, and multiple osteotomies are often required to correct both deformities. However, surgical impact must be considered, especially in elderly patients. We present a clinical case of a 76-year-old woman affected by hallux valgus and metatarsus adductus deformity. Multiple distal oblique osteotomies were performed on the first, second, and third metatarsals, coupled with Z-lengthening of the extensor digitorum longus tendons. (J Am Podiatr Med Assoc 100(3): 204–208, 2010)

scholarly journals Corrective Bandage for Conservative Treatment of Metatarsus Adductus: Retrospective Study

2016 ◽  
Vol 96 (1) ◽  
pp. 46-52 ◽  
Author(s):  
Elia Utrilla-Rodríguez ◽  
María Jesús Guerrero-Martínez-Cañavete ◽  
Manuel Albornoz-Cabello ◽  
Pedro V. Munuera-Martínez
Keyword(s):  
Characteristic Curve ◽  
Predictive Ability ◽  
University Hospital ◽  
Foot Deformity ◽  
Curve Method ◽  
Metatarsus Adductus ◽  
Congenital Foot Deformity ◽  
Pregnancy And Birth ◽  
Birth Type

Background Metatarsus adductus (MA) is the most common congenital foot deformity observed in children. Objectives The aims of this study were: (1) to analyze the evolution of a corrective bandage for semirigid MA in newborns and (2) to recommend the age interval at which to start treatment of MA with the corrective bandage alone, without the need of splints. Design An observational clinical study was conducted. Methods The study was conducted at Virgen Macarena University Hospital in Seville, Spain. Children born with semirigid MA at the hospital during the years 2010–2011 were included. Corrective bandaging was applied to all children until clinical correction of the deformity. Sex, laterality of the deformity, weight and length of the newborn, age at the start of treatment, antecedents related to the pregnancy and birth, type of treatment (bandaging, splints), and correction or no correction with bandaging alone were recorded. Age differences at the start of the bandaging treatment between children whose deformity was corrected with and without the need of splints were examined. The receiver operating characteristic curve method was applied to analyze the predictive ability of the age at the start of bandaging treatment relative to whether the deformity was corrected or not corrected with bandaging alone. Results The bandage achieved complete correction in 68.1% of the children and corrected the deformity more frequently in girls compared with boys. Of the 56 children who began the treatment within the first month of life, 92.8% achieved correction of the foot deformity with the corrective bandaging alone. Limitations Patients' follow-up time was only 2 years, so it was only feasible to analyze the corrective bandaging method over the short term and medium term. Conclusions Corrective bandages showed high effectiveness, particularly in girls, and overall when started within the first month of life.

Significant Forefoot Varus Deformity Resulting in Progressive Stress Fractures of All Lesser Metatarsal Bones

2007 ◽  
Vol 46 (5) ◽  
pp. 394-397 ◽  
Author(s):  
Cornelis H. van der Vlies ◽  
Kees J. Ponsen ◽  
Philip P. Besselaar ◽  
J. Carel Goslings
Keyword(s):  
Varus Deformity ◽  
Stress Fractures ◽  
Metatarsal Bones ◽  
Forefoot Varus

scholarly journals Preliminary results of the correction of metatarsus adductus associated with severe hallux valgus

2019 ◽  
Vol 13 (1) ◽  
pp. 63-69
Author(s):  
Leonardo Fernandez Maringolo ◽  
Vinicius Felipe Pereira ◽  
Eduardo Souza Maciel ◽  
Danilo Oliveira ◽  
Nacime Salomão Barbachan Mansur ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Hallux Valgus ◽  
Case Series ◽  
Level Of Evidence ◽  
Correction Angle ◽  
Metatarsal Bones ◽  
Common Diagnosis ◽  
Metatarsus Adductus ◽  
The Mean ◽  
Severe Hallux Valgus

Objective: Although hallux valgus is a common diagnosis and there are different well-described techniques for its correction, the presence of this deformity associated with a diagnosis of metatarsus adductus is relatively uncommon, and there is no consensus regarding surgical treatment. The objective of this study was to evaluate the preliminary radiographic results of angular corrections obtained in a series of cases of the surgical treatment of severe hallux valgus associated with adduction of the metatarsal bones, following the technique proposed herein. Methods: Retrospective data were collected from the medical records and pre- and postoperative radiographs of patients subjected to Lapidus arthrodesis combined with lateral rotation osteotomy at the bases of the second and third metatarsals. The following angular measurements were performed before and after surgery: hallux valgus angle, intermetatarsal angle, and the degree of adduction of metatarsal bones (measured by Sgarlato’s and Engel’s angles). The mean follow-up period was 18 months (16-24 months). Results: The mean hallux valgus correction angle was 31° (19-53°), and the mean intermetatarsal correction angle was 5.771° (2-9°). Regarding the forefoot adduction, the mean correction angle measured by the Sgarlato technique was 15.57° (12-21°) and by the Engel technique was 15.71° (10-22°). All of the measured angles decreased significantly in the postoperative assessment. Conclusion: Lapidus arthrodesis combined with rotational osteotomy at the bases of the second and third metatarsals proved to be effective for correcting the adduction of the metatarsals, allowing for the alignment of the first metatarsal and consequent correction of the deformity. Level of Evidence IV; Therapeutic Studies; Case Series.

scholarly journals FUNCTIONAL MULTISPIRAL COMPUTED TOMOGRAPHY IN THE DIAGNOSIS OF “STRESS” FRACTURES OF THE METATARSAL BONES IN PATIENTS WITH VALGUS DEFORMITY: 2 CASE REPORTS

2018 ◽  
pp. 77-84
Author(s):  
A. S. Belyaev ◽  
N. S. Serova ◽  
D. S. Bobrov
Keyword(s):  
Computed Tomography ◽  
Surgical Intervention ◽  
Case Reports ◽  
Valgus Deformity ◽  
Stress Fractures ◽  
Optimal Method ◽  
Metatarsal Bones ◽  
Clinical Cases

“Stress” or “March” fractures is an important question for the traumatologists and radiologists. An important factor in this topic is the timely and qualitative diagnosis of this type of fractures. The choice of the optimal method of diagnosis, reliable visualization of bone-destructive changes significantly affect the tactics of further treatment and the amount of possible surgical intervention. In this article, the authors presents two clinical cases of diagnosis of “marching” fractures. 

scholarly journals Stress fractures of the base of the metatarsal bones in young trainee ballet dancers

2009 ◽  
Vol 34 (1) ◽  
pp. 51-55 ◽  
Author(s):  
Walter Albisetti ◽  
Dario Perugia ◽  
Omar De Bartolomeo ◽  
Lorenzo Tagliabue ◽  
Emanuela Camerucci ◽  
...  
Keyword(s):  
Stress Fractures ◽  
Ballet Dancers ◽  
Metatarsal Bones

Stress Fractures of the Ankle and Forefoot in Patients with Inflammatory Arthritides

2002 ◽  
Vol 23 (9) ◽  
pp. 833-837 ◽  
Author(s):  
Heikki Mäenpää ◽  
Matti U.K. Lehto ◽  
Eero A. Belt
Keyword(s):  
Reconstructive Surgery ◽  
Valgus Deformity ◽  
Stress Fractures ◽  
Predisposing Factors ◽  
Varus Alignment ◽  
Metatarsal Bones ◽  
Metatarsal Fractures ◽  
Patients Experience ◽  
Calcaneus Fractures ◽  
Valgus Alignment

Twenty-four stress fractures occurring in the metatarsal bones and ankle region were examined in 17 patients with inflammatory arthritides. There were 16 metatarsal, four distal fibular, two distal tibial, and two calcaneus fractures. Radiographic analyses were performed to determine the presence of possible predisposing factors for stress fractures. Metatarsal and ankle region stress fractures were analyzed separately. Stress fractures occurred most frequently in the second and third metatarsals. In metatarsal fractures, there was a trend for varus alignment of the ankle to cause fractures of the lateral metatarsal bones and valgus alignment of the medial metatarsal bones. Valgus deformity of the ankle was present in patients with distal fibular fractures in the ankle region group. Calcaneus fractures showed neutral ankle alignment. Malalignment of the ankle and hindfoot is often present in distal tibial, fibular, and metatarsal stress fractures. Additionally, patients tend to have long disease histories with diverse medication, reconstructive surgery and osteoporosis. If such patients experience sudden pain, tenderness, or swelling in the ankle region, stress fractures should be suspected and necessary examinations performed.

Operative Fixation of Metatarsal Stress Fractures in Patients With Metatarsus Adductus

2012 ◽  
Vol 27 (2) ◽  
pp. 135-142 ◽  
Author(s):  
David Warren Lemos ◽  
Justin Greisberg ◽  
Arthur Manoli
Keyword(s):  
Stress Fractures ◽  
Metatarsus Adductus ◽  
Operative Fixation
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