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metatarsalgia is one of the complications with an average incidence of 6.3% as found in a systematic review by Barg et al. ( 5 ). With the evolution of new surgical techniques to treat hallux valgus, such as mini-open or percutaneous, this issue has become
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to appreciate the functional and biomechanical issues that may underlie the problem and the potential associated deformities and anatomical variations that produce plantar forefoot pain (metatarsalgia). As we will describe in the following paragraphs
Hospital Base de Valdivia, Valdivia, Chile
AO Foundation, LEGEC Expert Group, Davos, Switzerland
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second and third toes. The malformation becomes more evident when the child reaches adolescence, and the growth plate closes permanently. In addition to an aesthetic deformity, it can present with pain due to transfer metatarsalgia and even alterations
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lead to transfer metatarsalgia. A rigid pulley system is created during toe-off phase of gait due to which the intrinsic and extrinsic muscles of the foot act efficiently, which has been proven by electromyographic studies. 21 Hence, in
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The plantar fascia has deep (dorsal) and superficial (plantar) layers at the MTPJ. A plantar fat pad lies between these layers and has an important role in cushioning the MT head. Displacement of the plantar fat pad results in metatarsalgia. The
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demonstrated effective pain relief, complications include weakness with toe-off, transfer metatarsalgia and cock-up deformity of the great toe. 19 , 20 This profile makes this procedure a less desirable option for most patients. Love et al prospectively
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orthopaedic surgeons to hold the reduction of the osteotomy in hallux valgus, hammer toe, claw toe, metatarsalgia and digitus quintus varus deformities. Due to their similarity with conventional titanium screws and larger diameter, bioabsorbable screws made
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tarsi pain, metatarsalgia, secondary pes planus, stress fractures, continued pain due to Baxter’s nerve entrapped in fibrotic tissue and hypertrophic painful scarring. 16 , 17 , 62 These complications may explain why fasciotomy for PF is not always
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complaints; among them, pain is the main reason for consultation. Metatarsalgia is most often observed in the anterior cavus foot and talalgias in posterior pes cavus. Local tenderness when wearing shoes and callosities related to clawed toes are common
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.1% and 31% of cases, including nonunion, delayed union, recurrence, hallux varus, superficial and deep wound infections, metatarsalgia, plantar keratosis, post-operative first MTP joint arthritis, metatarsal fracture, metatarsal head osteonecrosis
