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Evidence-Based Treatment for Metatarsus Adductus

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Abstract

Metatarsus adductus (MA) is a common congenital foot deformity; often attributed to “packaging disorders”. It is usually an isolated deformity; however it can be part of a more complex foot deformity such as a club foot or skew foot. Natural history of untreated isolated MA appears favourable and treatment is often not required. Conservative treatments such as serial casting, orthosis, modified shoe wears are widely practiced. There is no evidence to show that conservative treatments are superior to no treatment. Surgical treatments should be reserved for metatarsus adductus associated with other congenital deformity such as residual club foot or skew foot.

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References

  1. Herring JA, editor. Tachdjians, Pediatric orthopaedics, vol. 1. Philadelphia: Saunders Elsevier; 2008.

    Google Scholar 

  2. La Reaux RL, Lee BR. Metatarsus adductus and hallux abducto valgus: their correlation. J Foot Surg. 1987;26(4):304–8.

    CAS  PubMed  Google Scholar 

  3. Bleck EE. Metatarsus adductus: classification and relationship to outcomes of treatment. J Pediatr Orthop. 1983;3(1):2–9.

    Article  CAS  PubMed  Google Scholar 

  4. Ponseti IV, Becker JR. Congenital metatarsus adductus: the results of treatment. J Bone Joint Surg Am. 1966;48(4):702–11.

    Article  CAS  PubMed  Google Scholar 

  5. Rushforth GF. The natural history of hooked forefoot. J Bone Joint Surg Br. 1978;60-B(4):530–2.

    CAS  PubMed  Google Scholar 

  6. Ghali NN, Abberton MJ, Silk FF. The management of metatarsus adductus et supinatus. J Bone Joint Surg Br. 1984;66(3):376–80.

    CAS  PubMed  Google Scholar 

  7. Bohne W. Metatarsus adductus. Bull N Y Acad Med. 1987;63(9):835–8.

    CAS  PubMed  PubMed Central  Google Scholar 

  8. Widhe T, Aaro S, Elmstedt E. Foot deformities in the newborn--incidence and prognosis. Acta Orthop Scand. 1988;59(2):176–9.

    Article  CAS  PubMed  Google Scholar 

  9. Widhe T. Foot deformities at birth: a longitudinal prospective study over a 16-year period. J Pediatr Orthop. 1997;17(1):20–4.

    CAS  PubMed  Google Scholar 

  10. Farsetti P, Weinstein SL, Ponseti IV. The long-term functional and radiographic outcomes of untreated and non-operatively treated metatarsus adductus. J Bone Joint Surg Am. 1994;76(2):257–65.

    Article  CAS  PubMed  Google Scholar 

  11. Pentz AS, Weiner DS. Management of metatarsus adductovarus. Foot Ankle. 1993;14(5):241–6.

    Article  CAS  PubMed  Google Scholar 

  12. Herzenberg JE, Burghardt RD. Resistant metatarsus adductus: prospective randomized trial of casting versus orthosis. J Orthop Sci. 2013;19(2):250–6.

    Article  PubMed  Google Scholar 

  13. Aiyer AA, et al. Prevalence of metatarsus adductus in patients undergoing hallux valgus surgery. Foot Ankle Int. 2014;35(12):1292–7.

    Google Scholar 

  14. Ferrari J, Malone-Lee J. A radiographic study of the relationship between metatarsus adductus and hallux valgus. J Foot Ankle Surg. 2003;42(1):9–14.

    Article  PubMed  Google Scholar 

  15. Kumar SJ, MacEwen GD. The incidence of hip dysplasia with metatarsus adductus. Clin Orthop Relat Res. 1982;164:234–5.

    Google Scholar 

  16. Jacobs JE. Metatarsus varus and hip dysplasia. Clin Orthop. 1960;16:203–13.

    CAS  PubMed  Google Scholar 

  17. Paton RW, Choudry Q. Neonatal foot deformities and their relationship to developmental dysplasia of the hip: an 11-year prospective, longitudinal observational study. J Bone Joint Surg Br. 2009;91(5):655–8.

    Article  CAS  PubMed  Google Scholar 

  18. de Hundt M, et al. Risk factors for developmental dysplasia of the hip: a meta-analysis. Eur J Obstet Gynecol Reprod Biol. 2012;165(1):8–17.

    Google Scholar 

  19. Ortiz-Neira CL, Paolucci EO, Donnon T. A meta-analysis of common risk factors associated with the diagnosis of developmental dysplasia of the hip in newborns. Eur J Radiol. 2011;81(3):e344–51.

    Article  PubMed  Google Scholar 

  20. Cahuzac JP, Laville JM, de Gauzy JS, Lebarbier P. Surgical correction of metatarsus adductus. J Pediatr Orthop. 1993;2(2):176–81.

    Article  Google Scholar 

  21. Napiontek M, Kotwicki T, Tomaszewski M. Opening wedge osteotomy of the medial cuneiform before age 4 years in the treatment of forefoot adduction. J Pediatr Orthop. 2003;23(1):65–9.

    PubMed  Google Scholar 

  22. Gordon JE, et al. Combined midfoot osteotomy for severe forefoot adductus. J Pediatr Orthop. 2003;23(1):74–8.

    Google Scholar 

  23. Knorr J, et al. Percutaneous correction of persistent severe metatarsus adductus in children. J Pediatr Orthop. 2013;34(4):447–52.

    Google Scholar 

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Correspondence to Munier Hossain .

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Hossain, M., Davis, N. (2017). Evidence-Based Treatment for Metatarsus Adductus. In: Alshryda, S., Huntley, J., Banaszkiewicz, P. (eds) Paediatric Orthopaedics. Springer, Cham. https://doi.org/10.1007/978-3-319-41142-2_18

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  • DOI: https://doi.org/10.1007/978-3-319-41142-2_18

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-41140-8

  • Online ISBN: 978-3-319-41142-2

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