Metatarsal head resection in the rheumatoid foot: 5-year follow-up with and without resection of the first metatarsal head

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons
Narayan Hulse, Andrew M C Thomas

Abstract

Twenty-nine patients (45 feet) who underwent metatarsal head resections for rheumatoid forefoot deformities were reviewed retrospectively at a mean follow-up of 6.57 years (range, 5-9.3 years). Resections were confined to the lesser metatarsal heads in 16 feet because of a lack of involvement in the first metatarsal head. In the remaining 29 feet, all metatarsal heads were resected. A questionnaire was provided to assess subjective outcomes. Thirty-three feet (73.3%) had no pain or only mild pain, 5 feet (11%) had moderate pain, and 7 (15.5%) had severe pain. Among the 29 feet with panmetatarsal head resections, 5 (17%) required revision of metatarsal stumps at an average follow-up of 55.2 months (range, 17-84 months; standard deviation, 26.88). Among the 16 feet with only lesser metatarsal head resections, 7 (43.75%) required subsequent first metatarsal head resections at an average follow-up period of 33.14 months (range, 13-56 months; standard deviation, 16.54). In conclusion, metatarsal head resection is a simple procedure that gives long-term pain relief in over two thirds of the patients who have rheumatoid forefoot deformities. A high rate of recurrence of pain and subsequent resection of first metatarsal head is noted i...Continue Reading

References

Aug 1, 1976·Annals of the Rheumatic Diseases·A FlemingP H Wood
Jan 1, 1970·Acta Orthopaedica Scandinavica·H Brattström, M Brattström
Nov 1, 1984·Clinical Orthopaedics and Related Research·C G BeauchampJ Nelson
Jul 1, 1982·Foot & Ankle·A Cracchiolo
Jan 1, 1995·Foot & Ankle International·R A Mann, M E Schakel
Jul 1, 1994·Foot & Ankle International·H B KitaokaM Sanders

❮ Previous
Next ❯

Citations

Jul 31, 2013·International Orthopaedics·Jan Willem K Louwerens, Joost C M Schrier
Aug 15, 2013·Current Reviews in Musculoskeletal Medicine·Francis Brooks, Kartik Hariharan
Oct 2, 2014·Zeitschrift für Rheumatologie·R Fuhrmann
Nov 11, 2014·Modern Rheumatology·Shinichiro IshieShuichi Matsuda
Nov 19, 2013·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Takumi MatsumotoTetsuro Yasui
Nov 29, 2011·Foot and Ankle Clinics·Carolyn Chadwick, Terry S Saxby
Oct 12, 2010·Clinics in Podiatric Medicine and Surgery·James Good, Kyle Fiala
Sep 4, 2007·Foot and Ankle Clinics·Andrew P Molloy, Mark S Myerson
Dec 20, 2013·The International Journal of Lower Extremity Wounds·Raúl J Molines-BarrosoFrancisco Javier Álvaro-Afonso
Aug 30, 2008·Foot & Ankle International·Norman EspinosaMark S Myerson
Sep 10, 2008·Foot & Ankle International·Clifford Jeng, John Campbell
Sep 22, 2007·Radiology·Justin Q LyDouglas P Beall
Aug 3, 2010·The Journal of the American Academy of Orthopaedic Surgeons·Norman EspinosaErnesto Maceira
Feb 9, 2018·Foot & Ankle International·Masahiro HoritaToshifumi Ozaki

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.