School of Podiatric Medicine - Medical Student Research
Metatarsus Adductus: Literature Review and Case Study
Document Type
Poster
Publication Date
2024
Abstract
Background: Metatarsus Adductus (MA) is a foot deformity resulting from impaired fetal growth, causing medial deviation of the forefoot. It is the most prevalent abnormality in pediatric populations, affecting 1-3 per 1000 live births. Comprehensive understanding of its etiology, prevalence, and treatment is crucial for patient outcomes.
Objectives: This study aims to document surgical outcomes of persistent MA deformities and present a clinical case involving a 15-year-old male, enhancing patient care through evidence-based insights.
Methods: A literature review of pediatric MA cases from 2014 to 2024 was conducted using PubMed and Google Scholar with the search terms "metatarsus adductus" AND ped* AND surgery. The search yielded 11 papers from PubMed and 860 from Google Scholar, with non-English articles and duplicates excluded.
Results: Demographics: All studies involved pediatric patients. Two studies included 25 feet, while others included 34 and 35 feet, respectively.
Preoperative Assessment: Two studies assessed severe MA deformities only, one included moderate and severe cases, and one did not specify severity.
Surgical Interventions: Techniques included combined medial cuneiform and metatarsal osteotomies, open wedge medial cuneiform and closing wedge cuboid osteotomies, the Cahuzac procedure, and abductor hallucis tenotomy with casting.
Postoperative Outcomes: All techniques reported significant improvements in postoperative radiographic angles, with varied follow-up times ranging from 28 to 77 months.
Case Study: A 15-year-old male with severe, persistent MA experienced 10/10 pain post-metatarsal oblique osteotomies, hindering return to marching band activities. Postoperative radiographs showed notable improvements in MA and talus-1st metatarsal angles.
Conclusions: The authors of the study found that prolonged follow-up periods provided valuable insight. In our case study, we observed an alternative surgical option which demonstrated success. Furthermore, our patient has followed the trends of multiple osteotomy fixation without plating. An inconsistency encountered was the lack of a standardized collection of radiographic angles, as the angles reported varied from study to study.
Level of Evidence: Level III.
Recommended Citation
Adkins, Madelaine P. and Bolton, Steven A., "Metatarsus Adductus: Literature Review and Case Study" (2024). School of Podiatric Medicine - Medical Student Research. 5.
https://scholarworks.utrgv.edu/sopm_mspub/5
