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Metatarsus valgus

MedGen UID:
907543
•Concept ID:
C4082144
•
Anatomical Abnormality
Synonyms: Metatarsal Valgus; Metatarsus Valgus; Out Toeing; Out-Toeing; Out-Toeings; Toeing Out; Toeing Outs
 
HPO: HP:0010508

Definition

A condition in which the anterior part of the foot rotates outward away from the midline of the body and the heel remains straight. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • Metatarsus valgus

Conditions with this feature

Ogden syndrome
MedGen UID:
477078
•Concept ID:
C3275447
•
Disease or Syndrome
Ogden syndrome (OGDNS) is an X-linked neurodevelopmental disorder characterized by postnatal growth failure, severely delayed psychomotor development, variable dysmorphic features, and hypotonia. Many patients also have cardiac malformations or arrhythmias (summary by Popp et al., 2015).
See: Condition Record
Ogden syndrome

Professional guidelines

PubMed

Assessment and Management of Atraumatic First Metatarsophalangeal Joint Pain.
Drago S, Nazaroff H, Britton J, Veljkovic A
J Am Acad Orthop Surg 2023 Jul 15;31(14):708-716. Epub 2023 Apr 28 doi: 10.5435/JAAOS-D-22-00821. PMID: 37126849
Management of Bunionette Deformity.
Shi GG, Humayun A, Whalen JL, Kitaoka HB
J Am Acad Orthop Surg 2018 Oct 1;26(19):e396-e404. doi: 10.5435/JAAOS-D-17-00345. PMID: 30130354
FOREFOOT ADDUCTION IN CHILDREN. Management and Treatment.
Najdi H, Mouarbes D, Makhour F, Dimassi A, Jawish R
J Med Liban 2016 Jul-Sep;64(3):134-41. doi: 10.12816/0031521. PMID: 28850200

Recent clinical studies

Etiology

An Update on Pediatric Flatfoot.
Madden CM, Mahan KT
Clin Podiatr Med Surg 2023 Apr;40(2):365-379. Epub 2022 Dec 28 doi: 10.1016/j.cpm.2022.11.006. PMID: 36841586
Forefoot malformations, deformities and other congenital defects in children.
Rampal V, Giuliano F
Orthop Traumatol Surg Res 2020 Feb;106(1S):S115-S123. Epub 2019 Oct 21 doi: 10.1016/j.otsr.2019.03.021. PMID: 31648997
First Metatarsal Head and Medial Eminence Widths with and Without Hallux Valgus.
Lenz RC, Nagesh D, Park HK, Grady J
J Am Podiatr Med Assoc 2016 Sep 2;106(5):323-327. doi: 10.7547/15-038. PMID: 27762622
Hallux Rigidus: Relevant Anatomy and Pathophysiology.
Lucas DE, Hunt KJ
Foot Ankle Clin 2015 Sep;20(3):381-9. Epub 2015 Jul 4 doi: 10.1016/j.fcl.2015.04.001. PMID: 26320553
Hallux valgus.
Hecht PJ, Lin TJ
Med Clin North Am 2014 Mar;98(2):227-32. Epub 2013 Dec 8 doi: 10.1016/j.mcna.2013.10.007. PMID: 24559871

Diagnosis

The Windswept Foot: Dealing with Metatarsus Adductus and Toe Valgus.
Leucht AK, Younger A, Veljkovic A, Perera A
Foot Ankle Clin 2020 Sep;25(3):413-424. Epub 2020 Jul 11 doi: 10.1016/j.fcl.2020.05.005. PMID: 32736739
Management of Hallux Valgus in Metatarsus Adductus.
Reddy SC
Foot Ankle Clin 2020 Mar;25(1):59-68. Epub 2019 Nov 21 doi: 10.1016/j.fcl.2019.10.003. PMID: 31997747
Forefoot malformations, deformities and other congenital defects in children.
Rampal V, Giuliano F
Orthop Traumatol Surg Res 2020 Feb;106(1S):S115-S123. Epub 2019 Oct 21 doi: 10.1016/j.otsr.2019.03.021. PMID: 31648997
Hallux valgus.
Hecht PJ, Lin TJ
Med Clin North Am 2014 Mar;98(2):227-32. Epub 2013 Dec 8 doi: 10.1016/j.mcna.2013.10.007. PMID: 24559871
Lesser toe deformities.
Shirzad K, Kiesau CD, DeOrio JK, Parekh SG
J Am Acad Orthop Surg 2011 Aug;19(8):505-14. doi: 10.5435/00124635-201108000-00006. PMID: 21807918

Therapy

Management of Bunionette Deformity.
Shi GG, Humayun A, Whalen JL, Kitaoka HB
J Am Acad Orthop Surg 2018 Oct 1;26(19):e396-e404. doi: 10.5435/JAAOS-D-17-00345. PMID: 30130354
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
Transfer metatarsalgia post hallux valgus surgery.
Maceira E, Monteagudo M
Foot Ankle Clin 2014 Jun;19(2):285-307. doi: 10.1016/j.fcl.2014.03.001. PMID: 24878416
Hallux valgus.
Hecht PJ, Lin TJ
Med Clin North Am 2014 Mar;98(2):227-32. Epub 2013 Dec 8 doi: 10.1016/j.mcna.2013.10.007. PMID: 24559871
Hallux valgus.
Coughlin MJ
Instr Course Lect 1997;46:357-91. PMID: 9143980

Prognosis

Forefoot malformations, deformities and other congenital defects in children.
Rampal V, Giuliano F
Orthop Traumatol Surg Res 2020 Feb;106(1S):S115-S123. Epub 2019 Oct 21 doi: 10.1016/j.otsr.2019.03.021. PMID: 31648997
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
Skewfoot.
Hagmann S, Dreher T, Wenz W
Foot Ankle Clin 2009 Sep;14(3):409-34. doi: 10.1016/j.fcl.2009.06.003. PMID: 19712883
Bunions.
Ferrari J
BMJ Clin Evid 2009 Mar 11;2009 PMID: 19445756Free PMC Article
Minimum-incision metatarsal osteotomies.
Roukis TS, Schade VL
Clin Podiatr Med Surg 2008 Oct;25(4):587-607, viii. doi: 10.1016/j.cpm.2008.05.007. PMID: 18722901

Clinical prediction guides

Hemiepiphysiodesis for juvenile hallux valgus deformity: A systematic review.
Al-Mohrej OA, Ade-Conde AM, Ade-Conde OS, Argan M, Khan M, Bouchard M, Al-Asiri J
Foot Ankle Surg 2023 Aug;29(6):448-454. Epub 2023 Jun 28 doi: 10.1016/j.fas.2023.06.010. PMID: 37419765
Fourth-Generation Minimally Invasive Hallux Valgus Surgery With Metaphyseal Extra-Articular Transverse and Akin Osteotomy (META): 12 Month Clinical and Radiologic Results.
Lewis TL, Lau B, Alkhalfan Y, Trowbridge S, Gordon D, Vernois J, Lam P, Ray R
Foot Ankle Int 2023 Mar;44(3):178-191. Epub 2023 Feb 14 doi: 10.1177/10711007231152491. PMID: 36788732
Clinical and radiological outcomes of modified Mitchell's osteotomy using three-point fixation for hallux valgus.
Lo SP, Chiang CH, Lin CH
Int Orthop 2022 Feb;46(2):249-253. Epub 2021 Sep 1 doi: 10.1007/s00264-021-05200-4. PMID: 34468787
Radiographic and Clinical Outcomes of Hallux Valgus and Metatarsus Adductus Treated With a Modified Lapidus Procedure.
Conti MS, Caolo KC, Ellis SJ, Cody EA
Foot Ankle Int 2021 Jan;42(1):38-45. Epub 2020 Sep 1 doi: 10.1177/1071100720952079. PMID: 32869652
The crescentic shelf osteotomy.
Cohen M, Roman A, Ayres M, Freedline A
J Foot Ankle Surg 1993 Mar-Apr;32(2):204-26. PMID: 8318979

Recent systematic reviews

Revision surgeries for failed hallux valgus correction: A systematic review.
Migliorini F, Eschweiler J, Tingart M, Maffulli N
Surgeon 2021 Dec;19(6):e497-e506. Epub 2021 Jan 7 doi: 10.1016/j.surge.2020.11.010. PMID: 33423923
Percutaneous Osteotomies in Hallux Valgus: A Systematic Review.
Bia A, Guerra-Pinto F, Pereira BS, Corte-Real N, Oliva XM
J Foot Ankle Surg 2018 Jan-Feb;57(1):123-130. Epub 2017 Sep 1 doi: 10.1053/j.jfas.2017.06.027. PMID: 28870735
Mobility of the First Ray in Patients With or Without Hallux Valgus Deformity: Systematic Review and Meta-Analysis.
Shibuya N, Roukis TS, Jupiter DC
J Foot Ankle Surg 2017 Sep-Oct;56(5):1070-1075. Epub 2017 Jul 18 doi: 10.1053/j.jfas.2017.05.021. PMID: 28733134
Hallux valgus: effectiveness and safety of minimally invasive surgery. A systematic review.
Maffulli N, Longo UG, Marinozzi A, Denaro V
Br Med Bull 2011;97:149-67. Epub 2010 Aug 14 doi: 10.1093/bmb/ldq027. PMID: 20710024
Bunions.
Ferrari J
BMJ Clin Evid 2009 Mar 11;2009 PMID: 19445756Free PMC Article

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