Lesser Metatarsalgia: Are Lesser Metatarsal Osteotomies Necessary?

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Ramy Fahim, DPM, and Lawrence DiDomenico, DPM, FACFAS

1. Coughlin MJ. Common causes of pain in the forefoot in adults. J Bone Joint Surg Br. 2000; 82(6):781-90.
2. O’Kane C, Kilmartin TE. The surgical management of central metatarsalgia. Foot Ankle Int. 2002; 23(5):415-419.
3. Espinosa N, Maceira E, Myerson MS. Current concepts review: metatarsalgia. Foot Ankle Int. 2008; 29(8):871-9.
4. Greisberg J, Prince D. First ray mobility increase in patients with metatarsalgia. Foot Ankle Int. 2010; 31(11):954-8.
5. Dockery GL. Evaluation and treatment of metatarsalgia and keratotic disorders. In: Myerson Ms (ed.). Foot And Ankle Disorders. Saunders, Philadelphia, 2000.
6. Morton D. The human foot: its evolution, physiology, and functional disorders. Columbia University Press, New York, 1935.
7. Feibel JB, Tisdel CL, Donley BG. Lesser metatarsal osteotomies. A biomechanical approach to metatarsalgia. Foot Ankle Clin. 2001; 6(3):473-489
8. Grebing BR, Coughlin MJ. Evaluation of Morton’s theory of second metatarsal hypertrophy. J Bone Joint Surg Am. 2004; 86-A(7): 1375-86.
9. Bednarz PA, Manoli A. Modified Lapidus procedure for the treatment of hypermobile hallux valgus. Foot Ankle Int. 2000; 21(10):816-821.
10. Peck CN, Macleod A, Barrie J. Lesser metatarsophalangeal instability: presentation, management, and outcomes. Foot Ankle Int. 2012; 33(7):565-70.

   For further reading, see “How To Treat Lesser MPJ Disorders” in the June 2005 issue of Podiatry Today or “A Guide To Orthotic Treatment For Metatarsalgia” in the April 2012 issue. To access the archives, visit www.podiatrytoday.com.

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