Metatarsalgia
(Metatarsus
adductus,
Metatarsus
varus)
|
Definition
Metatarsus
adductus
is
a
foot
deformity
characterized
by
an
inward
bending
of
the
front
half
of
the
foot.
Cause
Metatarsus
adductus
is
thought
to
occur
as
a
result
of
the
infant's
position
inside
the
uterus.
It
can
occur
when
the
feet
are
bent
inward,
toward
the
midline,
at
the
instep.
This
is
a
relatively
common
disease
affecting
about
one
out
of
every
1,000
to
2,000
live
births.
Risk
factors
may
include
a
condition
called
oligohydramnios
where
the
mother
does
not
produce
enough
amniotic
fluid
in
the
uterus.
Symptoms
The
front
of
the
foot
is
bent
inward
(toward
the
midline)
at
the
instep.
The
back
of
the
foot
and
the
ankles
are
normal.
With
a
clubfoot,
which
is
a
different
deformity,
the
foot
will
be
pointed
down
and
the
ankle
turned
in
as
well.
Signs
and
Tests
Physical
examination
is
sufficient
to
diagnose
metatarsus
adductus.
Treatment
Treatment
depends
on
the
severity
of
the
deformity.
Most
children
with
metatarsus
adductus
can
correct
the
deformity
with
normal
use
of
their
feet
as
they
develop.
These
cases
do
not
require
any
treatment.
For
children
who
cannot
do
this,
but
who
have
an
affected
foot
that
can
be
easily
manipulated
to
normal
positioning,
stretching
exercises
are
all
that
is
needed.
Rarely,
this
disease
causes
a
rigid
deformity
that
cannot
be
corrected
with
simple
manipulation.
In
these
cases,
casting
and
even
surgery
may
be
required.
Other
diagnoses
may
need
to
be
considered
in
these
children.
A
pediatric
orthopaedic
surgeon
should
be
involved
in
treating
more
severe
deformities.
Expectations
(prognosis)
Prognosis
is
excellent
with
nearly
all
patients
attaining
a
normal
appearing,
fully
functional
foot.
Complications
Developmental
dislocation
of
the
hip
may
be
associated
with
a
small
number
of
infants
with
metatarsus
adductus.
Prevention
Call
your
health
care
provider
if
you
are
concerned
about
the
appearance
or
flexibility
of
your
infant's
feet.
Recommendation
Flexifly™
Anatomical
Regular
Orthotic
Flexifly™
High
Arch
Orthotics
Flexifly™
Anatomical
Sport
Generation
II
Flexifly™
Anatomical
1/4"
Heel
Pad
w/
Dress
Leather
Cover
Casual
Orthotics
w/
metatarsal,
1/8"
Pad
&
Suede
Cover
Casual
Support
Orthotics
w/
full
1/8"
Pad,
Suede
Cover
Dress
Orthotics
w/
metatarsal
leather
cover
Flexifly™
Micro
Thin
Support
Orthoses
Silicone
Full
Length
Inserts
Silicone
Gel
3/4
length
inserts
The
content
is
not
intended
to
be
a
substitute
for
professional
medical
advice,
diagnosis,
or
treatment.
Always
seek
the
advice
of
your
physician
with
any
questions
you
may
have
regarding
a
medical
condition.
This
site
does
not
provide
medical
advice.
|