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Treatment of Metatarsalgia

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European Instructional Lectures

Part of the book series: European Instructional Lectures ((EICL,volume 12))

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Abstract

This instructional lecture concerns metatarsalgia treatment. The author gives some anatomical and biomechanical reminders explaining specifically propulsive in contrast to static metatarsalgia. Aetiologies are classified as primary, secondary and iatrogenic. Clinical assessment, recent radiological data such as Maestro criteria and forefoot morphotypes, and MRI and ultrasound contributions are described. Therapeutic methods are developed: conservative treatment (stretching exercises, shoe modifications, functional orthotic devices, debridement of lesions), and surgical procedures (contra-indicated techniques; soft tissue procedures with gastrocnemius muscle release, tendon transfers, plantar plate suture; metatarsal osteotomy, focusing on Weil osteotomy and percutaneous distal osteotomy; and lesser metatarso-phalangeal joint implants). A treatment algorithm is presented, according to the presence or absence of 1st ray abnormalities and separate inflammatory disease. The conclusion outlines “take-home messages”.

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Authors and Affiliations

  1. Université Lyon 1, IFSTTAR,LBMC UMR-T 9406 - Laboratoire de Biomécanique et Mécanique des Chocs, 69675, Bron Cedex, France

    Jean-Luc Besse M.D., Ph.D.

  2. Hospices Civils de Lyon, Centre Hospitalier Lyon-Sud, Service de chirurgie Orthopédique et Traumatologique, 69495, Pierre-Bénite Cedex, France

    Jean-Luc Besse M.D., Ph.D.

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  1. Jean-Luc Besse M.D., Ph.D.
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Correspondence to Jean-Luc Besse M.D., Ph.D. .

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Editors and Affiliations

  1. Royal National Orthopaedic Hospital Trus, Brockley Hill, Stanmore, HA 7 4LP, Middlesex, United Kingdom

    George Bentley

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Besse, JL. (2012). Treatment of Metatarsalgia. In: Bentley, G. (eds) European Instructional Lectures. European Instructional Lectures, vol 12. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-27293-6_18

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  • DOI: https://doi.org/10.1007/978-3-642-27293-6_18

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