The management of metatarsus adductus et supinatus

Abstract

Forty-three patients with 69 feet affected by isolated metatarsus adductus et supinatus were reviewed. of these, 20 patients (with 31 involved feet) had been treated expectantly and spontaneous resolution had occurred with time. The remaining 23 patients (with 38 feet) had required anteromedial release; the operative technique is described. Excellent results were uniformly achieved in both groups, with neither recurrence nor complications in the operatively treated feet. There was a consistent correlation between good clinical results and a naviculo-metatarsal angle of less than 100#{176}. The timing of soft-tissue release did not influence the final outcome.

Management of Metatarsus Adductus, Bean-Shaped Foot, Residual Clubfoot Adduction and Z-shaped Foot in Children, with Conservative Treatment and Double Column Osteotomy of the First Cuneiform and the Cuboid

“…Adduction at Lisfranc's joint is present and usually is a severe component of this deformity. Contracture of the tibialis anterior may also be present [17] . Kite mentioned that muscle imbalance was the cause of metatarsus varus with tibialis anterior and tibialis posterior overpowering the weaker peroneal muscles [2] .…”

Comparison of medial cuboid/cuneiform osteotomy technique with medial cuneiform/metatarsal osteotomy in correction of residual metatarsus adductus deformity

“…Splints (9)(10)(11) are used, if conservative treatment fails or the child is older than 4 years, surgical treatment should be considered. Several surgical procedures have been described to correct metatarsus adductus, including soft tissue release or bone procedures (12). For patients with congenital or secondary clubfoot MA, the conventional method is 2-5 metatarsal and medial cunieform osteotomy, which was described by Knorr et al (13) which is a metatarsal cunieform osteotomy and the combined medial cuneiform with cuboid osteotomy, described by Schaefer and Hefti (14).…”