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surgeons solve this challenging and recurrent issue. We have classified the causes of iatrogenic transfer metatarsalgia based on a multiplanar assessment of the alignment of the operated first ray. According to the type of malalignment, we present a

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

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

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

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

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

-articular pain, the presence of transfer metatarsalgia and the presence of associated deformities including clawtoes, dislocation of the lesser MTP joints, flatfoot, etc. Radiological attention should be focussed on the congruence or incongruence of the first MTP

corrects with tendon transfers. - Dynamic and flexible deformity of the hindfoot that corrects after correction of the forefoot and with tendon transfers. •  Stiff - Structural deformity of the forefoot or hindfoot that corrects with