The inter‐ and intra‐rater reliability of the Maestro and Barroco metatarsal length measurement techniques

Ali, Zainab; Karim, Hassan; Wali, Navid; Naraghi, Reza

doi:10.1186/s13047-018-0289-7

Cited by 7 publications

(11 citation statements)

References 51 publications

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“…The approach by Fleischer, based on Nilsson's measurement method, 14 gave rise to the measurement techniques of Maestro and Barroco used by some orthopaedic surgeons. [15][16][17] Clinical relevance of SFM in diabetes care: formation of callus Despite controversy as to whether 3 mm or 4 mm shorter quantifies or defines the shortness to be termed a 'short first metatarsal', 12,20 the relevance to diabetes care is the resultant formation of callus that can lead to diabetic foot ulceration (DFU) and the complications thereof.…”

Section: Measurement Methods Used To Define the Metatarsal Parabolamentioning

confidence: 99%

The dysmorphic metatarsal parabola in diabetes—clinical examination and management: a narrative review

Thompson

Zipfel

Aldous

2021

Journal of Endocrinology, Metabolism and Diabetes of South Afri

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Foot posture and function is important in diabetes, particularly as neuropathy in diabetes may present with motor in addition to sensory neural deficits. Examination of the anatomical architecture of the foot can inform on its load-bearing and balancing function. An examination that does not feature in guidelines on assessment of the diabetic foot is that of assessing whether a metatarsal parabola is present or malformed. The metatarsal 'parabola' (in the transverse plane) is so called because the cascade of the differing lengths of the metatarsals form a parabola, defined as the intersection of an arc with a flat (plantar) surface. The parabola serves a function in the rollover motion or forefoot rocker of the foot before heel rise to provide stability and balance in static stance. A further function ensures that the lever-action at the first metatarsophalangeal joint takes place with dorsiflexion of the hallux. This narrative review summarises the literature regarding methods of measuring the metatarsal parabola, dysfunction of the foot due to a dysmorphic metatarsal parabola, clinical relevance, examination and management in diabetes care. It documents the short first metatarsal (SFM) as a risk factor for diabetic foot ulceration. Examination for identification and management of dysmorphic metatarsal parabolae is recommended for foot examinations in diabetes care.

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Section: Measurement Methods Used To Define the Metatarsal Parabolamentioning

confidence: 99%

The dysmorphic metatarsal parabola in diabetes—clinical examination and management: a narrative review

Thompson

Zipfel

Aldous

2021

Journal of Endocrinology, Metabolism and Diabetes of South Afri

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“…6,10,24,25,32,42,43 We analyzed the results of the DMMO after an average follow-up time of 15.5 months (minimum 11, maximum 25 months). The objectives of this study were (1) to appraise the clinical outcome including the American Orthopaedic Foot & Ankle Society (AOFAS) forefoot score, the Foot and Ankle Outcome Score (FAOS), and Foot Function Index (FFI); (2) to assess the pain pre-and postoperatively, using a visual analog scale; (3) to determine the radiologic outcome by measuring the Maestro Index, the total length reduction of the metatarsal bones and to evaluate the bone consolidation after the osteotomy; (4) to analyze pre-and postoperative pedobarographic measurements and their changes.…”

Section: Introductionmentioning

confidence: 99%

Minimally Invasive Distal Metatarsal Metaphyseal Osteotomy of the Lesser Toes: Clinical, Radiologic, and Pedobarographic Outcomes

Neunteufel¹,

Krenn

Chraim³

et al. 2021

Foot Ankle Int.

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Background: The minimally invasive distal metatarsal metaphyseal osteotomy (DMMO) is a percutaneous operative technique with the aim to relieve the symptoms of metatarsalgia. To our knowledge, no previous research has analyzed both pre- and postoperative pedobarographic data including the changes in plantar pressure. Methods: Thirty patients (31 feet) were operated on with a DMMO and included in a prospective study. Clinical, radiologic, and pedobarographic outcomes were evaluated in comparison with the preoperative parameters. The American Orthopaedic Foot & Ankle Society (AOFAS) forefoot score, the Foot Function Index (FFI), the Foot and Ankle Outcome Score (FAOS), and a visual analog scale (VAS) for pain were used in order to assess clinical parameters. Radiographs were taken to compare metatarsal lengths. The pedobarographic analysis served to determine plantar peak pressure (PPP) beneath the metatarsophalangeal (MTP) joints. Results: All scores indicated a significant mean pre- to postoperative improvement (AOFAS = 31.9 points, FAOS = 16.3%, FFI = 24.3%, VAS pain = 4.1 points, VAS general limitation = 3.3 points) ( P < .05). PPP was substantially reduced in the relevant area (M6 [plantar area beneath the second and third MTP joint] had a mean pre to post PPP = 14.15 N/cm2) and concurrently higher in the lateral and medial MTP joint areas (M5 mean pre to post = +14.37, M7 pre to post = +7.11). Our mean metatarsal shortening was 6.6 mm. However, our findings do not demonstrate a significant correlation between metatarsal length relationships and the prevalence of metatarsalgia. Conclusion: Our results demonstrate a significant improvement in clinical scores and PPP. A statistically significant relation between metatarsal length and the prevalence of metatarsalgia was not found in this prospective case series Level of Evidence: Level IV, case series.

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“…Clinically there are certain tools to measure the length of the metatarsal. 1 One among them is the Maestro and Barroco techniques. 1 It is done by obtaining a radiograph of the foot drawing lines in the radiograph accordingly.…”

Section: Introductionmentioning

confidence: 99%

“…1 One among them is the Maestro and Barroco techniques. 1 It is done by obtaining a radiograph of the foot drawing lines in the radiograph accordingly. The other method of determining the metatarsal length easily at place is Palpation Based Test.…”

Section: Introductionmentioning

confidence: 99%

“…The other method of determining the metatarsal length easily at place is Palpation Based Test. 1 Balance is stated as maintaining equilibrium in which centre of mass adopts according to the individual base of support irrespective to the external and internal factors. 2 One of the required terminology in routine life is balance which can be both static and dynamic.…”

Section: Introductionmentioning

confidence: 99%

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Influence of Index Plus and Index Minus Foot on Static and Dynamic Balance among Collegiate Girls

K.Jothi Prasanna,

Z.Ayesha Farvin

2021

Indian Journal of Forensic Medicine & Toxicology

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Background: Index plus foot is defined as the first metatarsus being lengthier than the second whereas the Index minus foot is a condition where the second metatarsus is extended than the first metatarsal. The prevalence of index minus foot is higher among females, a study on balance with index minus and index plus foot on normal individual females are lacking. Objective: The objective of the study is to determine the influence of index plus and index minus foot among collegiate girls Methodology: It is a non-experimental study with sample size of 100 are taken and tested for both static and dynamic balance. Outcome Measures: Flamingo balance test and Star Excursion Balance Test. Results: The mean and standard deviation of flamingo balance test for index plus group is 9.24+2.77423 and the index minus is 15.04+1.6655. The mean value of star excursion balance test for both groups resulted with less noticeable difference. Conclusion:The study concludes that there is a difference in static balance, whereas there is no differences in dynamic balance among collegiate girls.

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The inter‐ and intra‐rater reliability of the Maestro and Barroco metatarsal length measurement techniques

Cited by 7 publications

References 51 publications

The dysmorphic metatarsal parabola in diabetes—clinical examination and management: a narrative review

The dysmorphic metatarsal parabola in diabetes—clinical examination and management: a narrative review

Minimally Invasive Distal Metatarsal Metaphyseal Osteotomy of the Lesser Toes: Clinical, Radiologic, and Pedobarographic Outcomes

Influence of Index Plus and Index Minus Foot on Static and Dynamic Balance among Collegiate Girls

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