Home Forums Marketplace Table of Contents Events Member List Site Map Register Mark Forums Read



Welcome to the Podiatry Arena forums, for communication between foot health professionals about podiatry and related topics.

You are currently viewing our podiatry forum as a guest which gives you limited access to view all podiatry discussions and access our other features. By joining our free global community of Podiatrists and other interested foot health care professionals you will have access to post podiatry topics (answer and ask questions), communicate privately with other members (PM), upload content, view attachments, receive a weekly email update of new discussions, earn CPD points and access many other special features. Registered users do not get displayed the advertisments in posted messages. Registration is fast, simple and absolutely free so please, join our global Podiatry community today!

If you have any problems with the registration process or your account login, please contact contact us.


Tags:

Metatarsus adductus: Development of a non-surgical treatment pathway.

Reply
Submit Thread >  Submit to Digg Submit to Reddit Submit to Furl Submit to Del.icio.us Submit to Google Submit to Yahoo! This Submit to Technorati Submit to StumbleUpon Submit to Spurl Submit to Netscape  < Submit Thread
 
Thread Tools Display Modes
  #1  
Old 8th May 2013, 11:39 AM
NewsBot's Avatar
NewsBot NewsBot is offline
The Admin that posts the news.
 
About:
Join Date: Jan 2006
Location: The Zoo, where all good monkeys should be
Posts: 18,212
Join Date: Jan 2006
Marketplace reputation 53% (0)
Thanks: 19
Thanked 728 Times in 589 Posts
Default Metatarsus adductus: Development of a non-surgical treatment pathway.

Podiatry Arena members do not see these ads
Metatarsus adductus: Development of a non-surgical treatment pathway.
Williams CM, James AM, Tran T.
J Paediatr Child Health. 2013 May 6
Quote:
Metatarsus adductus (MA) occurs in one to two cases per 1000 births and is the most common congenital foot deformity in newborns. The appearance is that of a curved or adducted forefoot with a normal hindfoot. A systematic literature review was conducted to answer the following question: For a child who presents with MA, what is the most evidence-based conservative treatment option? Thirteen articles were reviewed using the National Health and Medical Research Council levels of evidence and guidelines for clinical practice. Conservative treatment options reported on included the following: no treatment, stretching, splinting, serial casting, sitting and sleeping positions and footwear/orthotics. There was strong evidence supporting no treatment in the case of flexible MA. Some limited evidence was found for the treatment of semi-rigid MA. Clinicians should use these recommendations together with clinical experience when advising parents on treatment of MA.
Reply With Quote
Sponsored Links
  #2  
Old 9th May 2013, 12:54 AM
Admin2's Avatar
Admin2 Admin2 is offline
Administrator
 
About:
Join Date: May 2005
Location: Cyberspace
Posts: 4,651
Join Date: May 2005
Marketplace reputation 0% (0)
Thanks: 16
Thanked 144 Times in 128 Posts
Default Re: Metatarsus adductus: Development of a non-surgical treatment pathway.

Related Threads:
Other threads tagged with metatarsus adductus
Metadductus in a toddler
7 yr old met adductus advice
Metatarsus Adductus Serial Casting
Metatarsus adductus Tx
Metatarsus Adductus, 2009 - the year of the comeback
Foot position during serial casting
Metatarsus adductus
Met Adductus in Adults
Reply With Quote
  #3  
Old 20th November 2013, 01:16 PM
NewsBot's Avatar
NewsBot NewsBot is offline
The Admin that posts the news.
 
About:
Join Date: Jan 2006
Location: The Zoo, where all good monkeys should be
Posts: 18,212
Join Date: Jan 2006
Marketplace reputation 53% (0)
Thanks: 19
Thanked 728 Times in 589 Posts
Default Re: Metatarsus adductus: Development of a non-surgical treatment pathway.

Resistant metatarsus adductus: prospective randomized trial of casting versus orthosis.
Herzenberg JE, Burghardt RD.
J Orthop Sci. 2013 Nov 19
Quote:
BACKGROUND:
Metatarsus adductus is a common pediatric foot deformity related to intrauterine molding. It is usually a mild deformity that responds well to simple observation or minimal treatment with a home program of stretching. Resistant cases may need a more aggressive approach such as serial casting or special bracing to avoid the need for surgical intervention. We compared clinical outcomes using serial casting with orthoses for resistant metatarsus adductus.
METHODS:
We prospectively treated 27 infants (43 feet) between the ages 3 and 9 months who failed home stretching treatment. Patients were randomized to either serial plaster casting or Bebax orthoses. Footprints and simulated weight-bearing anteroposterior and lateral view radiographs were made at entry and follow-up.
RESULTS:
There was no statistical difference between casting and Bebax for the following parameters: age at study entry, length of treatment, number of clinic visits, follow-up, and follow-up maintenance treatments. Both groups showed improvement in footprint and radiographic measurements post-treatment, without worsening of heel valgus. The Bebax group had greater improvement in the footprint heel bisector measurement than the casting group. The Bebax treatment requires more active parental cooperation. A simulated cost analysis of materials and office visit charges, however, revealed that Bebax treatment was significantly less expensive, about half the cost of casting.
CONCLUSION:
Because of the cost savings and virtually identical clinical results, we recommend the Bebax orthosis for resistant metatarsus in pre-walking infants with parents who are compliant. Other considerations include specific insurance plans, which may pay for casts but not orthoses.
Thread Starter
Reply With Quote
  #4  
Old 21st March 2014, 11:41 AM
NewsBot's Avatar
NewsBot NewsBot is offline
The Admin that posts the news.
 
About:
Join Date: Jan 2006
Location: The Zoo, where all good monkeys should be
Posts: 18,212
Join Date: Jan 2006
Marketplace reputation 53% (0)
Thanks: 19
Thanked 728 Times in 589 Posts
Default Re: Metatarsus adductus: Development of a non-surgical treatment pathway.

This clinical trial was just registered:
Effectiveness of Parent's Manipulation in Newborn With Metatarsus Adducts. a Randomized Controlled Trial
Quote:
The purpose of this study is to determine whether the result of parent's feet manipulation compared with nonmanipulated group within first 6 months of life and observe spectrum of the disease within this period.
Thread Starter
Reply With Quote
  #5  
Old 30th June 2014, 08:31 AM
NewsBot's Avatar
NewsBot NewsBot is offline
The Admin that posts the news.
 
About:
Join Date: Jan 2006
Location: The Zoo, where all good monkeys should be
Posts: 18,212
Join Date: Jan 2006
Marketplace reputation 53% (0)
Thanks: 19
Thanked 728 Times in 589 Posts
Default Re: Metatarsus adductus: Development of a non-surgical treatment pathway.

From Podiatry Today:
Managing The Tricky Metatarsus Adductus Foot
Thread Starter
Reply With Quote
  #6  
Old 31st January 2015, 02:21 AM
NewsBot's Avatar
NewsBot NewsBot is offline
The Admin that posts the news.
 
About:
Join Date: Jan 2006
Location: The Zoo, where all good monkeys should be
Posts: 18,212
Join Date: Jan 2006
Marketplace reputation 53% (0)
Thanks: 19
Thanked 728 Times in 589 Posts
Default Re: Metatarsus adductus: Development of a non-surgical treatment pathway.

Influence of a Metatarsus Adductus Foot Type on Plantar Pressures During Walking in Adults Using a Pedobarograph
William D. Fishco, DPM, MS, FACFAS, Mark B. Ellis, DPM, Mark W. Cornwall, PT, PhD
Jnl Foot Ank Surg; Article in Press
Quote:
Metatarsus adductus is a relatively common congenital foot deformity that is often unrecognized at birth. Thus, the adult foot with metatarsus adductus is prone to pathologic entities that have been theorized to result from lateral column overload. We present a descriptive study comparing plantar foot pressure distribution during gait in subjects with and without metatarsus adductus. A total of 65 subjects were recruited for the study: 28 subjects with and 37 subjects without metatarsus adductus. An EMED® pedobarograph was used to collect the data. The analysis of the peak pressure and pressure-time integral in each of the 8 regions of the plantar surface of the foot showed significant (p < .05) differences between each of the regions and a significant (p < .05) interaction effect between the 8 regions and the 2 groups. A series of independent Student's t tests were therefore performed to determine which of the plantar regions showed a significant difference between the 2 groups. The result of those t tests showed that the peak pressure and pressure-time integral were significantly different (p < .05) between the 2 groups for the “heel,” “lateral midfoot,” and “lateral forefoot.” The results of the present study support the concept that during gait, the adult foot with metatarsus adductus has increased peak plantar pressures on the lateral side of the foot.
Thread Starter
Reply With Quote
  #7  
Old 20th June 2015, 05:33 AM
NewsBot's Avatar
NewsBot NewsBot is offline
The Admin that posts the news.
 
About:
Join Date: Jan 2006
Location: The Zoo, where all good monkeys should be
Posts: 18,212
Join Date: Jan 2006
Marketplace reputation 53% (0)
Thanks: 19
Thanked 728 Times in 589 Posts
Default Re: Metatarsus adductus: Development of a non-surgical treatment pathway.

Corrective Bandage for Conservative Treatment of Metatarsus Adductus: Retrospective Study.
Utrilla-Rodriguez E, Guerrero-Martínez-Cañavete MJ, Albornoz-Cabello M, Munuera PV
Phys Ther. 2015 Jun 18
Quote:
BACKGROUND:
Metatarsus adductus is the most common congenital foot deformity observed in children.
OBJECTIVE:
To analyze the evolution of a corrective bandage of the semi-rigid metatarsus adductus (MA) foot in newborn and to recommend the age interval at which to start treatment of MA with corrective bandage alone, without the need of splints.
STUDY DESIGN:
An observational, clinical study was performed at the University Hospital "Virgen Macarena," in Seville, Spain. Children born with semi-rigid metatarsus adductus feet at the Virgen Macarena University Hospital in Seville during the years 2010-2011 were included. Corrective bandaging was applied to all children until clinical correction of the deformity. Sex, laterality of the deformity, weight and length of the newborn, age at the start of treatment, antecedents related to the pregnancy and birth, type of treatment (bandaging, splints) and correction or no correction with bandaging alone were recorded. Age differences at the start of the bandaging treatment between patients whose deformity was corrected with and without the need of splints were examined. The ROC curve method was applied to analyze the predictive ability of the age at the start of bandaging treatment relative to whether the deformity was corrected or not corrected with bandaging alone.
RESULTS:
The bandage achieved complete correction in 68.1% of the metatarsus adductus patients and corrected the deformity more frequently in girls compared to boys (p=0.017). Of the 56 patients who began the treatment within the first month of life, 92.8% were corrected with the corrective bandaging alone.
CONCLUSIONS:
Corrective bandages showed high effectiveness, particularly in girls, and overall when started within the first month of life.
Thread Starter
Reply With Quote
  #8  
Old 1st January 2016, 04:06 AM
NewsBot's Avatar
NewsBot NewsBot is offline
The Admin that posts the news.
 
About:
Join Date: Jan 2006
Location: The Zoo, where all good monkeys should be
Posts: 18,212
Join Date: Jan 2006
Marketplace reputation 53% (0)
Thanks: 19
Thanked 728 Times in 589 Posts
Default Re: Metatarsus adductus: Development of a non-surgical treatment pathway.

Corrective Bandage for Conservative Treatment of Metatarsus Adductus: Retrospective Study
Elia Utrilla-Rodr?guez, Mar?a Jes?s Guerrero-Mart?nez-Ca?avete, Manuel Albornoz-Cabello and Pedro V. Munuera-Mart?nez
Physical Therapy January 2016 vol. 96 no. 1 46-52
Quote:
Background Metatarsus adductus (MA) is the most common congenital foot deformity observed in children.

Objectives The aims of this study were: (1) to analyze the evolution of a corrective bandage for semirigid MA in newborns and (2) to recommend the age interval at which to start treatment of MA with the corrective bandage alone, without the need of splints.

Design An observational clinical study was conducted.

Methods The study was conducted at Virgen Macarena University Hospital in Seville, Spain. Children born with semirigid MA at the hospital during the years 2010–2011 were included. Corrective bandaging was applied to all children until clinical correction of the deformity. Sex, laterality of the deformity, weight and length of the newborn, age at the start of treatment, antecedents related to the pregnancy and birth, type of treatment (bandaging, splints), and correction or no correction with bandaging alone were recorded. Age differences at the start of the bandaging treatment between children whose deformity was corrected with and without the need of splints were examined. The receiver operating characteristic curve method was applied to analyze the predictive ability of the age at the start of bandaging treatment relative to whether the deformity was corrected or not corrected with bandaging alone.

Results The bandage achieved complete correction in 68.1% of the children and corrected the deformity more frequently in girls compared with boys. Of the 56 children who began the treatment within the first month of life, 92.8% achieved correction of the foot deformity with the corrective bandaging alone.

Limitations Patients' follow-up time was only 2 years, so it was only feasible to analyze the corrective bandaging method over the short term and medium term.

Conclusions Corrective bandages showed high effectiveness, particularly in girls, and overall when started within the first month of life.
Thread Starter
Reply With Quote
Reply



Thread Tools
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts
vB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Forum Jump

Translate This Page

Similar Threads
Thread Thread Starter Forum Replies Last Post
Metatarsus Adductus Serial Casting Guito Pediatrics 9 10th November 2015 01:07 PM
Metatarsus adductus in toddler RSSFeedBot Foot Health Forum 0 30th August 2012 01:30 AM
Metatarsus adductus Tx mahtay2000 Biomechanics, Sports and Foot orthoses 15 21st September 2010 06:30 AM
Metatarsus adductus maryanne Pediatrics 3 6th October 2007 10:06 PM


New To Site? Need Help?

Finding your way around:

Browse the forums.

Search the site.

Browse the tags.

Search the tags.


All times are GMT -7. The time now is 02:10 PM.