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[Metatarsalgias].

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Biomechanical Phenomena↗

[Distal osteotomy of the metatarsal bones in the treatment of metatarsalgia].

Authors review briefly the development of the principles of metatarsal osteotomies and the basic concepts that seem to be the most suitable in the choice of the type and execution of the operation. The effectiveness of the surgical treatment is stressed if the following viewpoints are considered: 1. Synchronous correction of the rays II, III, and IV. 2. Simultaneously achieved abbreviation and forming of the arch. 3. Instead of internal fixation transversal lifting bandage with early weight bearing. The finding, according which, beside the telescope osteotomy of Helal, Wolf's metatarsal osteotomy with axial deviation is also a valuable alternative, is supported by the follow-up of their own 2 years material.

Humans↗

Sports-medicine considerations of lesser metatarsalgia.

In this article I have attempted to discuss some of the injuries seen in the lesser metatarsals of athletes. Athletic injuries in many cases do not differ greatly from those seen in the nonathletic population. The diagnosis, prevention, and treatment of athletic injuries might parallel the same injuries seen in the general population. I have tried to extend my experience to the reader. Like any practitioner, my treatment is colored by many factors. I try to assess every athletic injury by what I call the eight "Ses" of sports medicine. Shoe gear, stretching, strength, sport, surface, speed, style, and support. Each of these categories is examined for its relationship to cause and prevention of the injury. In many cases, a simple change in the athletic shoe gear can eliminate a problem. The same is true for the style of play or running form. The importance of strength and flexibility in the athlete cannot be overemphasized. The surface on which and speed at which an event is played can influence injury rates and methods of prevention. The sport is often the sole cause for certain injuries. Most of all, from a podiatric standpoint, the structure or biomechanics of the injury must be assessed. It is from this viewpoint that we as podiatrists can make the largest contribution in sports medicine. We are uniquely qualified by our training to spot and correct injuries due to mechanical overload and failure of foot mechanics. No other specialty has the background in performing biomechanically sound surgery. Simple and straightforward podiatric techniques are often successful in prevention and treatment of sports injuries.

Athletic Injuries↗

Differential diagnosis of lesser metatarsalgia.

Pain in the lesser metatarsophalangeal area of the foot remains a diagnostic challenge. This pathology often is attributed to neuromas. These painful lesions, although predisposed to this area, are not nearly as common as they are thought to be. The "systems approach" to diagnosis can be extremely helpful in establishing an accurate cause and subsequent proper diagnosis of lesser metatarsophalangeal joint pain.

Diagnosis, Differential↗

Lesser metatarsalgia in the geriatric patient.

This segment provides a classic definition of the clinical condition as it presents in the older patient. This article discusses causative considerations as they relate to aging and management and related aspects involved in the care of the older patient.

Aged↗

[Metatarsalgia].

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Foot↗