Journal List > J Korean Foot Ankle Soc > v.24(1) > 1144012

J Korean Foot Ankle Soc. 2020 Mar;24(1):9-13. Korean.
Published online Mar 13, 2020.
Copyright © 2020 Korean Foot and Ankle Society
Treatment of Metatarsalgia after a Surgery
Dong-il Chun,
Department of Orthopaedic Surgery, Soonchunhyang University Seoul Hospital, Seoul, Korea.

Corresponding Author: Dong-il Chun. Department of Orthopaedic Surgery, Soonchunhyang University Seoul Hospital, 59 Daesagwan-ro, Yongsan-gu, Seoul 04401, Korea. Tel: 82-2-709-9250, Fax: 82-2-710-3191, Email:
Received Feb 17, 2020; Revised Feb 24, 2020; Accepted Feb 27, 2020.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.


Metatarsalgia is a generalized term used to describe forefoot pain. The possible etiologies can range from direct to indirect pathologies. Metatarsalgia has several causes. This paper evaluates the recent literature to provide an in-depth review of metatarsalgia after forefoot surgery.

Keywords: Metatarsalgia; Osteotomy


Figure 1
Hallux vagus with 1st Tarso-Metatarsal joint hypermobility. (A) Severe hallux valgus with 2nd Metatarsophalangeal joint subluxation and 1st Tarsometatarsal joint hypermobility. (B) Correction was made by 1st Tarsometatarsal arthrodesis using plate & screw and Weil osteotomy on 2nd metatarsal head.
Click for larger image

Figure 2
Distal metatarsal osteotomy (Weil osteotomy). After an osteotomy parallel to the supporting surface, distal fragment is repositioned proximally and fixed with the dorsal fragment.
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Figure 3
Metatarsal shaft osteotomy (lesser toes). (A) Oblique osteotomy: after an oblique osteotomy of metatarsal shaft on sagittal plane, rotate the distal fragment from dorsoplantar plane to medial plane. (B) Scalf osteotomy (5th metatarsal bone): after an Z-shaped osteotomy of the metatarsal shaft on the sagittal plane, medially translate and dorsally rotate the distal fragment.
Click for larger image

Figure 4
Proximal metatarsal osteotomy (5th metatarsal bone). (A) Chevron osteotomy: after a chevron osteotomy of the proximal metatarsal bone on the sagittal plane, medially translate and dorsally rotate the distal fragment. (B) Wedge osteotomy: after a medial wedge osteotomy on the dorsoplantar plane, medially rotate the distal fragment.
Click for larger image


Table 1
Different Types of Metatarsalgia
Click for larger image


Financial support:None.

Conflict of interest:None.

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