-
Clinics in Podiatric Medicine and... Jul 2015We present a discussion on the use of proximal first-ray osteotomies in the surgical treatment for hallux valgus as a valid option compared with first-tarsometatarsal... (Review)
Review
We present a discussion on the use of proximal first-ray osteotomies in the surgical treatment for hallux valgus as a valid option compared with first-tarsometatarsal arthrodesis. Recent and historical literature tells us that stability of the first ray is a function of the alignment and reestablishment of retrograde stabilizing forces at the first tarsometatarsal joint. This realignment and stabilization may be accomplished with the use of distal soft tissue and proximal osteotomy procedures.
Topics: Arthrodesis; Hallux Valgus; Humans; Osteotomy
PubMed: 26117572
DOI: 10.1016/j.cpm.2015.03.009 -
Der Orthopade Mar 2017Hallux valgus-the most common forefoot deformity-can cause both pain and decreased mobility. The development and progress of the hallux valgus is a multifactorial... (Review)
Review
Hallux valgus-the most common forefoot deformity-can cause both pain and decreased mobility. The development and progress of the hallux valgus is a multifactorial process. Different intrinsic and extrinsic causes are responsible. Various conservative and operative treatment options exist and have to been chosen regarding the stage of the disease. Conservative orthopedic measures may prevent a deterioration of hallux valgus only at an early stage of the disease. Concerning operative techniques, more than 150 different surgical procedures are described in the literature, which can be reduced to some common procedures. These are dependent on the manifestation of the bunion as well as on associated foot and ankle pathologies. Patients should be informed that postoperative follow-up treatment until complete recovery is time-consuming.
Topics: Combined Modality Therapy; Evidence-Based Medicine; Hallux Valgus; Humans; Orthopedic Procedures; Physical Examination; Physical Therapy Modalities; Plastic Surgery Procedures; Tomography, X-Ray Computed; Treatment Outcome
PubMed: 28251259
DOI: 10.1007/s00132-017-3397-3 -
The Medical Clinics of North America Mar 2014Hallux valgus is a common foot problem whose cause and progression is multifactorial, complex, and poorly known. Hallux valgus shows a predilection toward women. It is a... (Review)
Review
Hallux valgus is a common foot problem whose cause and progression is multifactorial, complex, and poorly known. Hallux valgus shows a predilection toward women. It is a progressive disorder with no treatment known to slow or stop progression. Surgery is indicated in healthy individuals when nonoperative measures fail. Adverse effects of surgery include infection and recurrence. Many procedures have been described, including soft tissue and bony reconstruction of the first ray. The procedure that is indicated depends on the severity of the deformity.
Topics: Age Factors; Disease Management; Female; Genetic Predisposition to Disease; Hallux Valgus; Humans; Male; Metatarsophalangeal Joint; Orthopedic Procedures; Radiography; Risk Factors; Severity of Illness Index; Sex Factors; Shoes; Weight-Bearing
PubMed: 24559871
DOI: 10.1016/j.mcna.2013.10.007 -
Clinics in Podiatric Medicine and... Jul 2009Many options exist for surgical correction of hallux valgus and associated metatarsus primus varus deformities. First-ray realignment and stabilization are keys to... (Review)
Review
Many options exist for surgical correction of hallux valgus and associated metatarsus primus varus deformities. First-ray realignment and stabilization are keys to successful deformity correction. This article presents a brief review of first-metatarsal osteotomies in the correction of hallux valgus or metatarsus primus varus and summarizes arguments for proximal osteotomy with soft tissue balancing.
Topics: Hallux Valgus; Humans; Metatarsal Bones; Osteotomy
PubMed: 19505641
DOI: 10.1016/j.cpm.2009.03.007 -
California Medicine Nov 1948
PubMed: 18731571
DOI: No ID Found -
Bulletin of the New York Academy of... Nov 1987
Topics: Child; Foot Deformities, Congenital; Humans; Male; Metatarsus
PubMed: 3446298
DOI: No ID Found -
British Medical Journal Oct 1921
PubMed: 20770459
DOI: 10.1136/bmj.2.3174.685 -
Musculoskeletal Surgery Dec 2023To describe a conservative treatment algorithm to manage Congenital Metatarsus Varus.
PURPOSE
To describe a conservative treatment algorithm to manage Congenital Metatarsus Varus.
BACKGROUNDS
Congenital Metatarsus Varus is a congenital disorder with an estimated incidence of 1/1000 newborns. Despite the deformity being mostly an aesthetic problem, residual and incorrect forms may be responsible for abnormal in-toe gait and shoe-wearing issues. No consensus has still been gathered regarding its correct treatment algorithm.
METHODS
Between May 2019 and September 2020, 2156 newborn patients underwent an orthopedic examination at birth. Patients affected by Congenital Metatarsus Varus were classified according to Bleck's classification as flexible, semi-flexible or non-flexible deformity. A conservative treatment algorithm was followed, based on the application of manipulations, Bebax-type braces or plaster cast. All patient were followed until the clinical resolution of the deformity. Complications were also recorded.
RESULTS
One-hundred twenty-four patients were diagnosed Congenital Metatarsus Varus, with an overall prevalence of 5/1000. One-hundred twenty-two patients presented with a flexible or semi-flexible foot deformity and were firstly treated with manipulations: 52 patients reported good results, while 70 required additional treatment with Bebax-type braces for achieving correction. Two patients presented a non-flexible deformity at birth: one required plaster cast due to a non-flexible deformity, and one patient was firstly managed with Bebax-type braces due to a severe semi-flexible deformity. Only two patients presented superficial skin ulcerations, healed within a week. Two patients were lost during the follow-up.
CONCLUSION
An early diagnosis allowed by an orthopedic examination in all newborns may be a valid instrument to avoid Congenital Metatarsus Varus misdiagnosis. Early treatment with manipulation and orthosis resulted in good clinical outcome, with only few complications.
Topics: Humans; Infant, Newborn; Foot Deformities, Congenital; Metatarsus Varus; Conservative Treatment; Gait; Early Diagnosis
PubMed: 35716246
DOI: 10.1007/s12306-022-00751-0 -
The Journal of Bone and Joint Surgery.... Mar 1967
Topics: Clubfoot; Diagnosis, Differential; Female; Flatfoot; Humans; Infant; Infant, Newborn; Male; Metatarsus; Radiography
PubMed: 6018740
DOI: No ID Found