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Metatarsalgia and Toe Deformities

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Abstract

  1. 1.

    Generally, abnormal plantar pressure distribution around forefoot is thought to be a cause of metatarsalgia and etiologic factors of primary metatarsalgia proposed for metatarsalgia include incompetence of first ray, a long second metatarsal, excessive plantar flexion of the forefoot, and/or contracture of the Achilles tendon complex.

  2. 2.

    Surgical treatment of metatarsalgia and intractable plantar keratosis is based on the osseous etiologies of the plantar keratosis. Weil distal metatarsal osteotomy and BRT proximal metatarsal osteotomy are frequently performed for metatarsalgia with long metatarsal and plantar-flexed metatarsal relatively.

  3. 3.

    Morton’s neuroma, Freiberg disease, sesamoid lesions, and lesser toe deformities due to inflammatory arthritis or neuromuscular imbalance can be categorized as etiologic disorders for secondary metatarsalgia.

  4. 4.

    Various potential etiologic factors such as trauma, impaired vascularity, and/or systemic disorders are thought to be involved in the development of Freiberg disease.

  5. 5.

    Lesser toe deformities can occur as isolated entities or be associated with deformities of the hallux, midfoot, or hindfoot. Etiology of lesser toe deformities includes congenital, neuromuscular, trauma, familial heritance, and the effect of bad footwear.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, Foot and Ankle Service, Seoul National University Hospital, Seoul, Korea

    Dong Yeon Lee MD, PhD

  2. Department of Orthopedic Surgery, Konkuk University Medical Center, Seoul, Korea

    Dong-Oh Lee MD

  3. Department of Orthopedic Surgery, Konkuk University School of Medicine, Seoul, Korea

    Hong-Geun Jung MD, PhD

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  1. Dong Yeon Lee MD, PhD
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  2. Dong-Oh Lee MD
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  3. Hong-Geun Jung MD, PhD
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Correspondence to Hong-Geun Jung MD, PhD .

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Editors and Affiliations

  1. Department of Orthopedic Surgery, Konkuk University Medical Center, Seoul, Korea (Republic of)

    Hong-Geun JUNG

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Lee, D.Y., Lee, DO., Jung, HG. (2016). Metatarsalgia and Toe Deformities. In: JUNG, HG. (eds) Foot and Ankle Disorders. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54493-4_3

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  • DOI: https://doi.org/10.1007/978-3-642-54493-4_3

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