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Metatarsalgia

MedGen UID:
7575
•Concept ID:
C0025587
•
Sign or Symptom
Synonym: Pain in ball of foot
SNOMED CT: Metatarsalgia (10085004); Pain in ball of foot (10085004)

Definition

Pain in the region of the METATARSUS. It can include pain in the METATARSAL BONES; METATARSOPHALANGEAL JOINT; and/or intermetatarsal joints (TARSAL JOINTS). [from MeSH]

Professional guidelines

PubMed

Differential Diagnosis of Metatarsalgia.
Afonso PD, Britto SV, Spritzer CE, Martins E Souza P
Semin Musculoskelet Radiol 2023 Jun;27(3):337-350. Epub 2023 May 25 doi: 10.1055/s-0043-1764388. PMID: 37230133
Metatarsalgia: anatomy, pathology and management.
Cooke R, Manning C, Palihawadana D, Zubairy AI, Khan SH
Br J Hosp Med (Lond) 2021 Sep 2;82(9):1-8. Epub 2021 Sep 29 doi: 10.12968/hmed.2021.0348. PMID: 34601927
Scientific Evidence in the Treatment of Metatarsalgia.
Klammer G, Espinosa N
Foot Ankle Clin 2019 Dec;24(4):585-598. doi: 10.1016/j.fcl.2019.08.001. PMID: 31653364

Recent clinical studies

Etiology

Malpractice claims in forefoot surgery.
Favier T, Beldame J
Orthop Traumatol Surg Res 2022 Feb;108(1S):103152. Epub 2021 Nov 24 doi: 10.1016/j.otsr.2021.103152. PMID: 34838752
Genetically Determined Chronic Low-Grade Inflammation and Hundreds of Health Outcomes in the UK Biobank and the FinnGen Population: A Phenome-Wide Mendelian Randomization Study.
Si S, Li J, Tewara MA, Xue F
Front Immunol 2021;12:720876. Epub 2021 Jul 27 doi: 10.3389/fimmu.2021.720876. PMID: 34386016Free PMC Article
Metatarsalgia.
Hodes A, Umans H
Radiol Clin North Am 2018 Nov;56(6):877-892. doi: 10.1016/j.rcl.2018.06.004. PMID: 30322488
Conservative Management of Metatarsalgia and Lesser Toe Deformities.
Federer AE, Tainter DM, Adams SB, Schweitzer KM Jr
Foot Ankle Clin 2018 Mar;23(1):9-20. Epub 2017 Nov 11 doi: 10.1016/j.fcl.2017.09.003. PMID: 29362036
Treatment of Freiberg Disease.
Seybold JD, Zide JR
Foot Ankle Clin 2018 Mar;23(1):157-169. doi: 10.1016/j.fcl.2017.09.011. PMID: 29362030

Diagnosis

Metatarsalgia: anatomy, pathology and management.
Cooke R, Manning C, Palihawadana D, Zubairy AI, Khan SH
Br J Hosp Med (Lond) 2021 Sep 2;82(9):1-8. Epub 2021 Sep 29 doi: 10.12968/hmed.2021.0348. PMID: 34601927
Pain on the Plantar Surface of the Foot.
Gutteck N, Schilde S, Delank KS
Dtsch Arztebl Int 2019 Feb 8;116(6):83-88. doi: 10.3238/arztebl.2019.0083. PMID: 30892183Free PMC Article
Overview of Metatarsalgia.
Charen DA, Markowitz JS, Cheung ZB, Matijakovich DJ, Chan JJ, Vulcano E
Orthopedics 2019 Jan 1;42(1):e138-e143. Epub 2018 Dec 13 doi: 10.3928/01477447-20181206-06. PMID: 30540873
Metatarsalgia.
Hodes A, Umans H
Radiol Clin North Am 2018 Nov;56(6):877-892. doi: 10.1016/j.rcl.2018.06.004. PMID: 30322488
Common Foot Problems: Over-the-Counter Treatments and Home Care.
Becker BA, Childress MA
Am Fam Physician 2018 Sep 1;98(5):298-303. PMID: 30216025

Therapy

Complications on Percutaneous Hallux Valgus Surgery: A Systematic Review.
Miranda MAM, Martins C, Cortegana IM, Campos G, Pérez MFM, Oliva XM
J Foot Ankle Surg 2021 May-Jun;60(3):548-554. Epub 2020 Dec 8 doi: 10.1053/j.jfas.2020.06.015. PMID: 33579548
Pain on the Plantar Surface of the Foot.
Gutteck N, Schilde S, Delank KS
Dtsch Arztebl Int 2019 Feb 8;116(6):83-88. doi: 10.3238/arztebl.2019.0083. PMID: 30892183Free PMC Article
Common Foot Problems: Over-the-Counter Treatments and Home Care.
Becker BA, Childress MA
Am Fam Physician 2018 Sep 1;98(5):298-303. PMID: 30216025
Metatarsal Osteotomies: Complications.
Reddy VB
Foot Ankle Clin 2018 Mar;23(1):47-55. Epub 2017 Nov 20 doi: 10.1016/j.fcl.2017.10.001. PMID: 29362033
Recurrent metatarsalgia.
Barouk P
Foot Ankle Clin 2014 Sep;19(3):407-24. Epub 2014 Jul 17 doi: 10.1016/j.fcl.2014.06.005. PMID: 25129352

Prognosis

Keller's arthroplasty for hallux rigidus: A systematic review.
Artioli E, Mazzotti A, Zielli S, Bonelli S, Arceri A, Geraci G, Faldini C
Foot Ankle Surg 2022 Jun;28(4):526-533. Epub 2022 Mar 2 doi: 10.1016/j.fas.2022.02.019. PMID: 35279396
Lesser Metatarsal Osteotomy.
Sorensen MD, Weil L Jr
Clin Podiatr Med Surg 2015 Jul;32(3):275-90. doi: 10.1016/j.cpm.2015.03.010. PMID: 26117569
Percutaneous forefoot surgery.
Bauer T
Orthop Traumatol Surg Res 2014 Feb;100(1 Suppl):S191-204. Epub 2014 Jan 9 doi: 10.1016/j.otsr.2013.06.017. PMID: 24412043
Disorders of the lesser toes.
Smith BW, Coughlin MJ
Sports Med Arthrosc Rev 2009 Sep;17(3):167-74. doi: 10.1097/JSA.0b013e3181a5cd26. PMID: 19680113
Hallux rigidus. Excisional arthroplasty.
Hamilton WG, Hubbard CE
Foot Ankle Clin 2000 Sep;5(3):663-71. PMID: 11232402

Clinical prediction guides

Interpositional Arthroplasty in the Treatment of Hallux Rigidus: A Systematic Review.
Butler JJ, Shimozono Y, Gianakos AL, Kennedy JG
J Foot Ankle Surg 2022 May-Jun;61(3):657-662. Epub 2021 Dec 7 doi: 10.1053/j.jfas.2021.11.024. PMID: 35033445
Genetically Determined Chronic Low-Grade Inflammation and Hundreds of Health Outcomes in the UK Biobank and the FinnGen Population: A Phenome-Wide Mendelian Randomization Study.
Si S, Li J, Tewara MA, Xue F
Front Immunol 2021;12:720876. Epub 2021 Jul 27 doi: 10.3389/fimmu.2021.720876. PMID: 34386016Free PMC Article
The effect of foot orthoses with forefoot cushioning or metatarsal pad on forefoot peak plantar pressure in running.
Hähni M, Hirschmüller A, Baur H
J Foot Ankle Res 2016;9:44. Epub 2016 Nov 16 doi: 10.1186/s13047-016-0176-z. PMID: 27891180Free PMC Article
Lesser Metatarsal Osteotomy.
Sorensen MD, Weil L Jr
Clin Podiatr Med Surg 2015 Jul;32(3):275-90. doi: 10.1016/j.cpm.2015.03.010. PMID: 26117569
Proximal metatarsal resection.
García-Bordes L, Jiménez-Potrero M, Collado-Sáenz F, Yunta-Gallo A
Foot Ankle Surg 2010 Jun;16(2):65-9. Epub 2009 Jul 30 doi: 10.1016/j.fas.2009.05.005. PMID: 20483136

Recent systematic reviews

Keller's arthroplasty for hallux rigidus: A systematic review.
Artioli E, Mazzotti A, Zielli S, Bonelli S, Arceri A, Geraci G, Faldini C
Foot Ankle Surg 2022 Jun;28(4):526-533. Epub 2022 Mar 2 doi: 10.1016/j.fas.2022.02.019. PMID: 35279396
Interpositional Arthroplasty in the Treatment of Hallux Rigidus: A Systematic Review.
Butler JJ, Shimozono Y, Gianakos AL, Kennedy JG
J Foot Ankle Surg 2022 May-Jun;61(3):657-662. Epub 2021 Dec 7 doi: 10.1053/j.jfas.2021.11.024. PMID: 35033445
Complications on Percutaneous Hallux Valgus Surgery: A Systematic Review.
Miranda MAM, Martins C, Cortegana IM, Campos G, Pérez MFM, Oliva XM
J Foot Ankle Surg 2021 May-Jun;60(3):548-554. Epub 2020 Dec 8 doi: 10.1053/j.jfas.2020.06.015. PMID: 33579548
Manipulative therapy for lower extremity conditions: update of a literature review.
Brantingham JW, Bonnefin D, Perle SM, Cassa TK, Globe G, Pribicevic M, Hicks M, Korporaal C
J Manipulative Physiol Ther 2012 Feb;35(2):127-66. doi: 10.1016/j.jmpt.2012.01.001. PMID: 22325966
Manipulative therapy for lower extremity conditions: expansion of literature review.
Brantingham JW, Globe G, Pollard H, Hicks M, Korporaal C, Hoskins W
J Manipulative Physiol Ther 2009 Jan;32(1):53-71. doi: 10.1016/j.jmpt.2008.09.013. PMID: 19121464

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