Common Causes of Pain in the Forefoot in Adults

Coughlin, Michael J.

doi:10.1302/0301-620x.82b6.0820781

Cited by 49 publications

(26 citation statements)

References 20 publications

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“…Weight-bearing MR imaging of the forefoot may also be useful for correlation of positional-dependent changes of anatomical structures of the forefoot with the patient's pain. Another potential application of weight-bearing MR imaging is the evaluation of metatarsophalangeal joint instability, which has been reported in older women as sequelae of high-heeled shoes, and in young athletes with an overuse syndrome (20).…”

Section: Discussionmentioning

confidence: 99%

MR imaging of the forefoot under weight‐bearing conditions: Position‐related changes of the neurovascular bundles and the metatarsal heads in asymptomatic volunteers

Weishaupt¹,

Treiber²,

Jacob³

et al. 2002

Magnetic Resonance Imaging

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Purpose:To assess practicability of weight-bearing magnetic resonance (MR) imaging of the forefoot, and to demonstrate position-related changes of the neurovascular bundles and the metatarsal heads in asymptomatic volunteers. Materials and Methods:With an open-configuration MR system, 32 feet of 32 asymptomatic individuals aged 20 -60 years were studied in supine and weight-bearing body positions. Transverse T1-weighted spin-echo MR images were performed. MR images were evaluated qualitatively with regard to image quality, visibility, and position-dependent changes of the neurovascular bundle. In addition, the position of the metatarsal heads was analyzed quantitatively.Results: Weight-bearing MR imaging was feasible in all 32 feet. Quality of MR images obtained in the weightbearing position was superior to that obtained in the supine position (P Ͻ 0.05). A change in the position of the neurovascular bundle from below a virtual line paralleling the plantar cortical line to above this line was present in 50 of 61 instances (82%) between the supine and the weight-bearing positions. When changing from the supine to the weight-bearing position, there was a significant decrease in the distance between the plantar skin and the metatarsal heads for the second (mean 4.5 mm), third (mean 4.4 mm), and fourth metatarsal heads (mean 3.7 mm) (P Ͻ 0.0001). However, the difference for the first (mean 0.5 mm) and fifth (mean 0.9 mm) metatarsal heads was not significant. Conclusion:Weight-bearing MR imaging of the forefoot is feasible using an open-configuration MR system and demonstrates position-related changes of the neurovascular bundles relative to the metatarsal heads, as well as position-related changes of the metatarsal heads themselves.

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Section: Discussionmentioning

confidence: 99%

MR imaging of the forefoot under weight‐bearing conditions: Position‐related changes of the neurovascular bundles and the metatarsal heads in asymptomatic volunteers

Weishaupt¹,

Treiber²,

Jacob³

et al. 2002

Magnetic Resonance Imaging

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“…El tratamiento conservador implica reposo y modificación de la actividad, almohadillar las zonas de mayor presión, uso de ortesis o deslaminar la queratosis. En casos persistentes y con fracaso del tratamiento conservador se recomienda un afeitado del sesamoideo en los casos que haya una buena movilidad en la articulación, condilectomía o sesamoidectomía [70][71][72] .…”

Section: Hipertrofia De Sesamoideos O Alteraciones En Su Formaunclassified

Los sesamoideos de la articulación metatarsofalángica del primer dedo: una revisión sistemática

Gómez¹,

Lara

González

et al. 2016

Rev. Int. Cienc. Podol.

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Resumen. Background: Los huesos sesamoideos del primer metatarsiano no son tenidos siempre en consideración a la hora de realizar un diagnóstico, en las patologías que afectan a la región de la cabeza del primer metatarsiano. Ello es debido al escaso conocimiento de todas las entidades patológicas que pueden afectar a los sesamoideos y por la relativa poca incidencia que hasta el momento tienen. Con el aumento de las actividades de práctica deportiva, en concreto del running, cada vez se observan más afectaciones de índole clínica en esta región, relacionadas con este hueso. Métodos: Se realiza una búsqueda bibliográfica en 5 bases de datos (Medline, PubMed, Scopus, Cochrane Library y BUCea). Los términos empleados en la búsqueda fueron: sesamoids, anatomy, biomechanics, sesamoids review y sesamoids pathology. En la búsqueda inicial se tienen en cuenta los artículos con menos de 10 años, ceñidos a humanos y textos de revisión. Resultados: Se seleccionan 24 artículos que incluyen diferentes patologías con sus consiguientes diagnósticos mediante pruebas de imagen y tratamientos, tanto conservadores como quirúrgicos; así como aspectos de la biomecánica de la articulación metatarso-sesamoidea. Conclusión: Los sesamoideos debido a su anatomía, topografía y función pueden estar involucrados en un gran número de patologías; con signos y síntomas generalmente similares entre ellas y que pueden llevar al podólogo clínico a la confusión a la hora de realizar un diagnóstico y un tratamiento acertados. Palabras clave: revisión sobre los sesamoideos; patologías de los sesamoideos y sesamoideos.[en] Sesamoids of the metatarsophalangeal joint of the big toe: a sistematic review Summary. Abstract: The first metatarsal sesamoid bones are not always taken into consideration when making a diagnosis, in pathologies that affect the region of the first metatarsal head. This is due to the insufficient knowledge of all the pathologies that can affect the sesamoids and the relative little incidence that they have. With the increment of sports activities, in particular the running, increasingly affects of the symptoms concerning this region are observed. Methods: A literature search was performed in 5 databases (Medline, PubMed, Scopus, Cochrane Library and BUCEA). The terms included in the search were: sesamoids, anatomy, biomechanics, sesamoids review and sesamoids pathology. In the initial search articles with no more than 10 years, only humans and revision texts are considered. Results: 24 articles were selected and include different pathologies with diagnosis using imaging tests and treatments, both conservative and surgical; as well as aspects from the biomechanics of the metatarsal-sesamoid joint. Conclusion: Sesamoids due of his anatomy, topography and function can be involved in a lot of pathologies; with similar signs and symptoms that can confuse the podiatry when he has to make a correct diagnosis or treatment. Keywords: sesamoids review; sesamoids pathologies and sesamoids.Los autores declaran no tener ningún tipo de interés...

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“…En slik hyperekstensjonstilling i grunnleddet er en mer omfattende feilstilling enn en hammertå. Vi vet ikke sikkert om denne stillingen også var til stede preoperativt, men i så fall burde den ha vaert korrigert med bløtdelsløs-ning (5,17,18).…”

Section: Diskusjonunclassified

Reseksjon i proksimale falang ved hammertå

Borchgrevink¹,

Finsen²

2010

Tidsskriftet

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Common Causes of Pain in the Forefoot in Adults

Cited by 49 publications

References 20 publications

MR imaging of the forefoot under weight‐bearing conditions: Position‐related changes of the neurovascular bundles and the metatarsal heads in asymptomatic volunteers

MR imaging of the forefoot under weight‐bearing conditions: Position‐related changes of the neurovascular bundles and the metatarsal heads in asymptomatic volunteers

Los sesamoideos de la articulación metatarsofalángica del primer dedo: una revisión sistemática

Reseksjon i proksimale falang ved hammertå

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