Journal article
The long-term functional and radiographic outcomes of untreated and non-operatively treated metatarsus adductus
Journal of bone and joint surgery. American volume, Vol.76(2), pp.257-265
1994
DOI: 10.2106/00004623-199402000-00014
PMID: 8113262
Abstract
Thirty-one patients (forty-five feet) who had metatarsus adductus were evaluated at our institution and were followed for an average of thirty-two years and six months. Of these thirty-one patients, twenty-one (thirty-one feet) were examined clinically and radiographically. Information on the remaining ten patients (fourteen feet) was obtained by letter or telephone, or both. Twelve patients (sixteen feet) who had a passively correctable deformity (mild or moderate) at the time of the initial presentation had no treatment. Twenty patients (twenty-nine feet) who had a partly flexible or rigid deformity (moderate or severe) at the time of the initial presentation were managed with serial manipulation and application of plaster holding casts. (One patient who had a bilateral deformity had no treatment on one side and conservative management on the other). The results were good in all sixteen of the untreated feet and in twenty-six (90 per cent) of the twenty- nine feet that had been conservatively treated. There were no poor results. The passively correctable deformities resolved spontaneously. Radiographs showed an obliquity of the medial cuneiform-metatarsal joint in twenty-one (68 per cent) of the thirty-one feet that were examined clinically and radiographically. Similar findings were observed in four of eleven contralateral, normal feet. Hallux valgus was not a common outcome. No patient had operative correction.
Details
- Title: Subtitle
- The long-term functional and radiographic outcomes of untreated and non-operatively treated metatarsus adductus
- Creators
- P Farsetti - University of Iowa Hospitals and ClinicsS. L Weinstein - University of IowaH. V Ponseti - Univ. Iowa hosp. clin., dep. orthopaedic surgery, Iowa City IA 52242-1088, United States
- Resource Type
- Journal article
- Publication Details
- Journal of bone and joint surgery. American volume, Vol.76(2), pp.257-265
- DOI
- 10.2106/00004623-199402000-00014
- PMID
- 8113262
- NLM abbreviation
- J Bone Joint Surg Am
- ISSN
- 0021-9355
- eISSN
- 1535-1386
- Publisher
- Journal of Bone and Joint Surgery Incorporated
- Language
- English
- Date published
- 1994
- Academic Unit
- Stead Family Department of Pediatrics; Orthopedics and Rehabilitation
- Record Identifier
- 9984304690902771
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