metatarsal bones

Summary

Summary: The five long bones of the METATARSUS, articulating with the TARSAL BONES proximally and the PHALANGES OF TOES distally.

Top Publications

  1. Rammelt S, Heineck J, Zwipp H. Metatarsal fractures. Injury. 2004;35 Suppl 2:SB77-86 pubmed
    ..The metatarsals are the most common site of stress fractures, most of which are treated nonoperatively. Symptomatic posttraumatic deformities need adequate correction, in most cases by osteotomy across the former fracture site...
  2. Jacklin B, Wright I. Frequency distributions of 174 fractures of the distal condyles of the third metacarpal and metatarsal bones in 167 Thoroughbred racehorses (1999-2009). Equine Vet J. 2012;44:707-13 pubmed publisher
    ..Additionally, grouped analyses of previous studies from the UK and USA would permit comparison between study groups and the creation of a substantial pool of international data...
  3. Fleming L, Savage T, Paden M, Stone P. Results of modified lapidus arthrodesis procedure using medial eminence as an interpositional autograft. J Foot Ankle Surg. 2011;50:272-5 pubmed publisher
    ..2% reduction in the amount of shortening of the first ray and proved to be a useful source of readily available bone graft...
  4. Greisberg J, Prince D, Sperber L. First ray mobility increase in patients with metatarsalgia. Foot Ankle Int. 2010;31:954-8 pubmed publisher
    ..We also assessed intraobserver and interobserver reliability of the simple device...
  5. Wu S, De Luca F. Inhibition of the proteasomal function in chondrocytes down-regulates growth plate chondrogenesis and longitudinal bone growth. Endocrinology. 2006;147:3761-8 pubmed
    ..In the present study, we cultured rat metatarsal bones in the presence of proteasome inhibitor I (PSI), a known inhibitor of the chymotrypsin-like activity of the ..
  6. Shim J, Park S. Treatment of brachymetatarsia by distraction osteogenesis. J Pediatr Orthop. 2006;26:250-4 pubmed
    Metatarsal lengthening by distraction osteogenesis was performed on 17 brachymetatarsia patients with 39 metatarsal bones. To lengthen the first metatarsal in an attempt to prevent development of varus deformity of the hindfoot after ..
  7. Glasoe W, Grebing B, Beck S, Coughlin M, Saltzman C. A comparison of device measures of dorsal first ray mobility. Foot Ankle Int. 2005;26:957-61 pubmed
    ..The primary difference in the devices is the method of the load imposed. This study investigates whether first ray mobility measured with the Glasoe device is similar to the amount of mobility measured with the Klaue device...
  8. Oh C, Satish B, Lee S, Song H. Complications of distraction osteogenesis in short first metatarsals. J Pediatr Orthop. 2004;24:711-5 pubmed
    ..All patients were satisfied with the procedure. To avoid potential complications such as MP joint subluxation, cavus foot, and hallux valgus, the first metatarsal lengthening should not exceed 50% of the original length...
  9. Popelka S, Vavrik P, Hromadka R, Sosna A. [Lapidus procedure in patients with rheumatoid arthritis--short-term results]. Z Orthop Unfall. 2008;146:80-5 pubmed publisher
    ..The Lapidus procedure is indicated when the hallux valgus angle is more than 15 degrees or the first tarsometatarsal joint is hypermobile. We aimed to evaluate the results of the Lapidus procedure in patients with rheumatoid arthritis...

Scientific Experts

More Information

Publications62

  1. Mårtensson K, Chrysis D, Savendahl L. Interleukin-1beta and TNF-alpha act in synergy to inhibit longitudinal growth in fetal rat metatarsal bones. J Bone Miner Res. 2004;19:1805-12 pubmed
    ..In a model of cultured fetal rat metatarsal bones, we found that IL-1beta and TNF-alpha act in synergy to inhibit longitudinal growth, an effect linked to ..
  2. Hsi W, Kang J, Lai J. Distribution of plantar pressure on the second metatarsal head during walking. J Formos Med Assoc. 2004;103:540-5 pubmed
    ..The purpose of the study was to analyze the distribution of plantar pressure on the second to the fourth metatarsal heads during walking in healthy adults...
  3. Porter D, Rund A, Dobslaw R, Duncan M. Comparison of 4.5- and 5.5-mm cannulated stainless steel screws for fifth metatarsal Jones fracture fixation. Foot Ankle Int. 2009;30:27-33 pubmed publisher
    ..The purpose of this study was to evaluate the effectiveness of 5.5-mm cannulated screw fixation for fifth metatarsal stress fractures in athletes and compare them to an earlier cohort treated with a 4.5-mm screw...
  4. Faber F, Kleinrensink G, Mulder P, Verhaar J. Mobility of the first tarsometatarsal joint in hallux valgus patients: a radiographic analysis. Foot Ankle Int. 2001;22:965-9 pubmed
    ..No correlation of TMT 1 (hyper)mobility and radiographic second ray hypertrophy was found. This simple method can produce additional information to the clinical TMT 1 hypermobility test in the sagittal plane...
  5. Vandeputte G, Dereymaeker G, Steenwerckx A, Peeraer L. The Weil osteotomy of the lesser metatarsals: a clinical and pedobarographic follow-up study. Foot Ankle Int. 2000;21:370-4 pubmed
    ..The Weil shortening osteotomy is a simple and reliable procedure which can effectively reduce the load under the lesser metatarsophalangeal joints and is helpful for the reduction of dorsally dislocated MTP joints...
  6. Zwitser E, Breederveld R. Fractures of the fifth metatarsal; diagnosis and treatment. Injury. 2010;41:555-62 pubmed publisher
    ..Type II fractures can be treated non-operatively or operatively, depending on patient activity level. Type III fractures have more complications and should be treated operatively. Several operation techniques have been described...
  7. Allen M, Cuddeford T, Glasoe W, DeKam L, Lee P, Wagner K, et al. Relationship between static mobility of the first ray and first ray, midfoot, and hindfoot motion during gait. Foot Ankle Int. 2004;25:391-6 pubmed
    ..This research provides evidence that the dynamic response of the foot may modulate the consequences of first ray mobility and that compensory strategies are most effective when static measures of dorsal mobility are most extreme...
  8. Glasoe W, Nuckley D, Ludewig P. Hallux valgus and the first metatarsal arch segment: a theoretical biomechanical perspective. Phys Ther. 2010;90:110-20 pubmed publisher
    ..To counteract the progression of hallux valgus, we use theory to discuss a possible mechanism by which foot orthoses can bolster the arch and reorient the first metatarsal axis horizontally...
  9. Husain Z, DeFronzo D. A comparison of bicortical and intramedullary screw fixations of Jones' fractures. J Foot Ankle Surg. 2002;41:146-53 pubmed
    ..The more distal the exit site of the bicortical screw was from the fracture site, the greater the load needed to displace the fixation...
  10. Larson C, Almekinders L, Taft T, Garrett W. Intramedullary screw fixation of Jones fractures. Analysis of failure. Am J Sports Med. 2002;30:55-60 pubmed
    ..Even though intramedullary screw fixation offers advantages over nonoperative treatment, a significant risk of postoperative complications exists...
  11. Mologne T, Lundeen J, Clapper M, O Brien T. Early screw fixation versus casting in the treatment of acute Jones fractures. Am J Sports Med. 2005;33:970-5 pubmed
    ..There is considerable variability in the literature concerning the optimal treatment of acute Jones fractures...
  12. MacRae V, Farquharson C, Ahmed S. The restricted potential for recovery of growth plate chondrogenesis and longitudinal bone growth following exposure to pro-inflammatory cytokines. J Endocrinol. 2006;189:319-28 pubmed
    ..The extent of recovery following cytokine exposure depends on the duration of exposure, and may be incomplete following longer periods of exposure...
  13. Miyamoto W, Takao M, Uchio Y, Kono T, Ochi M. Late-stage Freiberg disease treated by osteochondral plug transplantation: a case series. Foot Ankle Int. 2008;29:950-5 pubmed publisher
    ..The purpose of this study was to investigate the clinical, radiological and arthroscopic results of osteochondral plug transplantation for late-stage Freiberg disease...
  14. Grebing B, Coughlin M. The effect of ankle position on the exam for first ray mobility. Foot Ankle Int. 2004;25:467-75 pubmed
    ..The authors hypothesize that when performing a manual examination for evidence of increased first ray motion, the magnitude of first ray mobility varies as the position of ankle dorsiflexion/plantarflexion varies...
  15. Chagin A, Karimian E, Zaman F, Takigawa M, Chrysis D, Savendahl L. Tamoxifen induces permanent growth arrest through selective induction of apoptosis in growth plate chondrocytes in cultured rat metatarsal bones. Bone. 2007;40:1415-24 pubmed
    ..Cultured fetal rat metatarsal bones were used to study the effects of Tam on longitudinal bone growth...
  16. Lee S, Chung M, Baek G, Oh J, Lee Y, Gong H. Treatment of Freiberg disease with intra-articular dorsal wedge osteotomy and absorbable pin fixation. Foot Ankle Int. 2007;28:43-8 pubmed
    ..The purpose of this study was to evaluate the outcome of intra-articular dorsal wedge osteotomy and absorbable pin fixation for the treatment of Freiberg disease...
  17. Glasoe W, Allen M, Saltzman C. First ray dorsal mobility in relation to hallux valgus deformity and first intermetatarsal angle. Foot Ankle Int. 2001;22:98-101 pubmed
    ..01) larger amount of dorsal mobility in the group of subjects having hallux valgus. Mobility of the first ray was increased in subjects with hallux valgus and a large IM 1-2 angle may be an indicator of increased dorsal mobility...
  18. Smith B, Coughlin M. The first metatarsocuneiform joint, hypermobility, and hallux valgus: what does it all mean?. Foot Ankle Surg. 2008;14:138-41 pubmed publisher
    ..While flexibility in the first metatarsocuneiform joint is necessary for hallux valgus to develop, increased mobility is the result rather than the cause of the deformity...
  19. Chao K, Lee C, Lin L. Surgery for symptomatic Freiberg's disease: extraarticular dorsal closing-wedge osteotomy in 13 patients followed for 2-4 years. Acta Orthop Scand. 1999;70:483-6 pubmed
    ..The average follow-up period was 40 (28-54) months. The subjective outcome was good or excellent in 11 patients, fair in 1, and poor in 1. We found MRI useful in determining the extent of the lesion when planning correction...
  20. Kelly I, Glisson R, Fink C, Easley M, Nunley J. Intramedullary screw fixation of Jones fractures. Foot Ankle Int. 2001;22:585-9 pubmed
    ..A range of screw diameters from 4.5 mm to 6.5 mm can be used, but the optimal screw for this procedure has yet to be defined. In clinical practice, we have observed that failure is more likely when smaller diameter screws are used...
  21. Vertullo C, Glisson R, Nunley J. Torsional strains in the proximal fifth metatarsal: implications for Jones and stress fracture management. Foot Ankle Int. 2004;25:650-6 pubmed
    ..Intramedullary screw fixation, however, offers little resistance to rotation of the proximal and distal fragments relative to one another...
  22. Takakura Y, Tanaka Y, Fujii T, Tamai S. Lengthening of short great toes by callus distraction. J Bone Joint Surg Br. 1997;79:955-8 pubmed
    ..To prevent this the amount of lengthening should not exceed 40% of the preoperative length of the metatarsal...
  23. Kim H, Lee S, Yoo C, Kang J, Suh J. The management of brachymetatarsia. J Bone Joint Surg Br. 2003;85:683-90 pubmed
    ..Reduction of the target length enables the surgeon to carry out one-stage instead of gradual lengthening. It also shortens the length of treatment in the group undergoing callotasis and improves cosmesis...
  24. Chagin A, Karimian E, Sundström K, Eriksson E, Savendahl L. Catch-up growth after dexamethasone withdrawal occurs in cultured postnatal rat metatarsal bones. J Endocrinol. 2010;204:21-9 pubmed publisher
    ..we present a protocol for the long-term culture (up to 160 days) of fetal (E20) as well as postnatal (P8) rat metatarsal bones which allowed us to characterize ex vivo the phenomenon of catch-up growth without any influence by systemic ..
  25. Firth E, Rogers C, Doube M, Jopson N. Musculoskeletal responses of 2-year-old Thoroughbred horses to early training. 6. Bone parameters in the third metacarpal and third metatarsal bones. N Z Vet J. 2005;53:101-12 pubmed
    ..To determine the effect of a known training regimen on the size and mineral content of the third metacarpal (Mc3) and third metatarsal (Mt3) bones of 2-year-old Thoroughbred horses trained on racetracks...
  26. Yu J, Tanner J. Considerations in metatarsalgia and midfoot pain: an MR imaging perspective. Semin Musculoskelet Radiol. 2002;6:91-104 pubmed
    ..In this article, we will discuss the MR manifestation of a number of pathologic entities that elicit foot pain as a primary symptom...
  27. Kang J, Chen M, Chen S, Hsi W. Correlations between subjective treatment responses and plantar pressure parameters of metatarsal pad treatment in metatarsalgia patients: a prospective study. BMC Musculoskelet Disord. 2006;7:95 pubmed
    ..This study aims to explore the correlations between subjective pain improvement and outcome rating, and the plantar pressure parameters in metatarsalgia patients treated using MPs...
  28. Radtke C, Danova N, Scollay M, Santschi E, Markel M, Da Costa Gómez T, et al. Macroscopic changes in the distal ends of the third metacarpal and metatarsal bones of Thoroughbred racehorses with condylar fractures. Am J Vet Res. 2003;64:1110-6 pubmed
    To determine changes in the distal ends of the third metacarpal and metatarsal bones (MCIII and MTIII) of Thoroughbred racehorses that had sustained a catastrophic condylar fracture during high-speed exercise.
  29. Chagin A, Vannesjö J, Savendahl L. Androgen receptor modulation does not affect longitudinal growth of cultured fetal rat metatarsal bones. Horm Res. 2009;71:219-27 pubmed publisher
    ..It is unknown if oxandrolone acts locally at the growth plate level to stimulate longitudinal bone growth...
  30. Roukis T, Landsman A. Hypermobility of the first ray: a critical review of the literature. J Foot Ankle Surg. 2003;42:377-90 pubmed
  31. Reese K, Litsky A, Kaeding C, Pedroza A, Shah N. Cannulated screw fixation of Jones fractures: a clinical and biomechanical study. Am J Sports Med. 2004;32:1736-42 pubmed
    ..Traditional nonsurgical treatment of Jones fractures has high rates of delayed union, nonunion, and refracture. Internal fixation has become the treatment of choice in athletes and active patients...
  32. Portland G, Kelikian A, Kodros S. Acute surgical management of Jones' fractures. Foot Ankle Int. 2003;24:829-33 pubmed
    ..The authors recommend intramedullary fixation as a treatment of choice for the management of fifth metatarsal fractures distal to the tuberosity in nonathletes as well as athletes...
  33. Boffeli T, Reinking R. Plantar rotational flap technique for panmetatarsal head resection and transmetatarsal amputation: a revision approach for second metatarsal head transfer ulcers in patients with previous partial first ray amputation. J Foot Ankle Surg. 2014;53:96-100 pubmed publisher
    ..Retrospective chart review identified prompt healing of the flap in both patients. Neither patient experienced recurrent ulcers or required subsequent surgery within the first 12 months postoperatively. ..
  34. Doty J, Coughlin M, Schutt S, Hirose C, Kennedy M, Grebing B, et al. Articular chondral damage of the first metatarsal head and sesamoids: analysis of cadaver hallux valgus. Foot Ankle Int. 2013;34:1090-6 pubmed publisher
    ..The purpose of this cadaveric study was to evaluate the degree of chondral damage as it relates to increasing hallux valgus deformity...
  35. Shimasaki Y, Nagao M, Miyamori T, Aoba Y, Fukushi N, Saita Y, et al. Evaluating the Risk of a Fifth Metatarsal Stress Fracture by Measuring the Serum 25-Hydroxyvitamin D Levels. Foot Ankle Int. 2016;37:307-11 pubmed publisher
    ..25-OHD insufficiency was associated with an increased incidence of 5-MT stress fractures. This insight may be useful for intervening to prevent 5-MT stress fractures. Level III, case-control study. ..
  36. Lo H, Chu W, Wu W, Hsieh H, Chou C, Sun S, et al. Comparison of radiological measures for diagnosing flatfoot. Acta Radiol. 2012;53:192-6 pubmed publisher
    ..In the Taiwanese military, flatfoot is indicated by a calcaneal-fifth metatarsal angle (arch angle) ?165°. However, the arch angle is not always easily defined...
  37. Suresh S. Periostitis of the metatarsal caused by a date palm thorn in a child: a case report. J Foot Ankle Surg. 2011;50:227-9 pubmed publisher
    ..The presence of the date palm thorn was confirmed with ultrasound scan and computerized tomography...
  38. Sanli I, Hermus J, Poeze M. Primary internal fixation and soft-tissue reconstruction in the treatment for an open Lisfranc fracture-dislocation. Musculoskelet Surg. 2012;96:59-62 pubmed publisher
    ..This case report describes the treatment for a grade III open Lisfranc fracture-dislocation by use of primary internal fixation and soft-tissue reconstruction...
  39. Pan H, Yu G, Xiong W, Zhao Z, Ding F, Zheng Q, et al. [Miniplate internal fixation and autogenous iliac bone graft in surgical treatment of old metatarsal fractures]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2011;25:789-91 pubmed
    ..To summarize the experience of treating old metatarsal fractures with surgery methods of miniplate internal fixation and autogenous iliac bone...
  40. Staines K, Mackenzie N, Clarkin C, Zelenchuk L, Rowe P, MacRae V, et al. MEPE is a novel regulator of growth plate cartilage mineralization. Bone. 2012;51:418-30 pubmed publisher
    ..Taken together these results show MEPE to be an important regulator of growth plate chondrocyte matrix mineralization through its cleavage to an ASARM peptide...
  41. Hwang S, Song J, Kim H. Metatarsal lengthening by callotasis in adults with first brachymetatarsia. Foot Ankle Int. 2012;33:1103-7 pubmed
    ..This article presents results of callotasis for adults with first brachymetatarsia...
  42. Iannò B, Familiari F, De Gori M, Galasso O, Ranuccio F, Gasparini G. Midterm results and complications after minimally invasive distal metatarsal osteotomy for treatment of hallux valgus. Foot Ankle Int. 2013;34:969-77 pubmed publisher
    ..Minimally invasive distal metatarsal osteotomy (MIDMO) is a common technique used to correct the hallux valgus deformity, but controversy remains regarding the expected outcomes of this surgery...
  43. Wagner E, Ortiz C, Keller A, Espinosa M, Arellano S, de la Fuente P, et al. A new elevating metatarsal osteotomy: geometrical design and applications. J Surg Orthop Adv. 2013;22:299-303 pubmed
    ..Performing an elevating metatarsal osteotomy will lengthen and elevate the metatarsal head, which sometimes is necessary when treating toe deformities and instability. ..
  44. Carda S, Molteni F, Bertoni M, Zerbinati P, Invernizzi M, Cisari C. Extensor hallucis longus transfer as an alternative to split transfer of the tibialis anterior tendon to correct equinovarus foot in hemiplegic patients without overactivity of tibialis anterior. J Bone Joint Surg Br. 2010;92:1262-6 pubmed publisher
  45. Metzl J, Olson K, Davis W, Jones C, Cohen B, Anderson R. A clinical and radiographic comparison of two hardware systems used to treat jones fracture of the fifth metatarsal. Foot Ankle Int. 2013;34:956-61 pubmed publisher
    ..The purpose of this retrospective study was to compare the clinical and radiographic results of patients treated with a screw specifically designed for this fracture to a group treated with a traditional screw...
  46. Mader D, Han N. Bilateral second metatarsal stress fractures after hallux valgus correction with the use of a tension wire and button fixation system. J Foot Ankle Surg. 2010;49:488.e15-9 pubmed publisher
    ..Although this fixation system has been useful in our practice, like other surgical implants, it conveys a certain amount of risk that should be considered by surgeons using the device...
  47. Haque S, Kakwani R, Chadwick C, Davies M, Blundell C. Outcome of Minimally Invasive Distal Metatarsal Metaphyseal Osteotomy (DMMO) for Lesser Toe Metatarsalgia. Foot Ankle Int. 2016;37:58-63 pubmed publisher
    ..Minimally invasive DMMO produced good patient satisfaction, functional improvement, and low complication rates in most cases. Level IV, retrospective case series. ..
  48. Firat C, Aytekin A, Erbatur S. Management of Composite Tissue Defect of the Midfoot With a Free Anterolateral Thigh Flap and Iliac Bone Graft: A Case Report. J Foot Ankle Surg. 2016;55:263-6 pubmed publisher
    ..This technique is a safe, reliable, and functional method, offering single-stage reconstruction compared with other microsurgical techniques used for such defects. ..
  49. Zhu K, Jiao H, Li S, Cao H, Galson D, Zhao Z, et al. ATF4 promotes bone angiogenesis by increasing VEGF expression and release in the bone environment. J Bone Miner Res. 2013;28:1870-1884 pubmed publisher
    ..Thus, ATF4 is a new key regulator of the HIF/VEGF axis in osteoblasts in response to hypoxia and of VEGF release from bone matrix, two critical steps for bone angiogenesis. ..
  50. Daniels S, Baum D, Clark F, Golf M, McDonnell M, Boesing S. Diclofenac potassium liquid-filled soft gelatin capsules for the treatment of postbunionectomy pain. Curr Med Res Opin. 2010;26:2375-84 pubmed publisher
    ..The objective of this study was to investigate the efficacy and safety of DPSGC 25 mg in a multicenter, randomized, double-blind, placebo-controlled study in patients experiencing pain following first metatarsal bunionectomy...
  51. Boffeli T, Peterson M. Rotational flap closure of first and fifth metatarsal head plantar ulcers: adjunctive procedure when performing first or fifth ray amputation. J Foot Ankle Surg. 2013;52:263-70 pubmed publisher
    ..These cases highlight our patient selection criteria, staging protocol when cellulitis or abscess is present, rotational flap design, surgical technique pearls, and the typical postoperative healing progress...
  52. Tull T, Bramlage L. Racing prognosis after cumulative stress-induced injury of the distal portion of the third metacarpal and third metatarsal bones in Thoroughbred racehorses: 55 cases (2000-2009). J Am Vet Med Assoc. 2011;238:1316-22 pubmed publisher
    ..free-choice exercise treatment, prognosis, and postinjury racing performance of Thoroughbred racehorses with cumulative stress-induced bone injury (CSBI) of the distal portion of the third metacarpal and third metatarsal bones (MC3/MT3).
  53. Yang Y, Yu G, Zhou J, Li B, Li H, Zhu X. [Treatment of occult Lisfranc injury with open reduction and internal fixation]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2011;25:785-8 pubmed
    ..To evaluate the clinical effectiveness of open reduction and internal fixation in the treatment of occult Lisfranc injury...