dorsal closing wedge osteotomy

Non Operative

Options

Metatarsalgia

- preMT dome

Claw toes

- wide deep toe box

Foot drop

- AFO

Insensate foot

- custom orthosis

Varus

- lateral heel wedge

- AFO (flexible)

- medial iron with lateral T strap

Definition

Crushing osteochondritis of metatarsal head

Epidemiology

Usually 2nd metatarsal (80%)

- occasionally third

- can occur in any

Age 10-15 years

- peak 15 year old girls

- F:M = 3:1

- occurs during the growth spurt at puberty

Bilateral in 6%

Aetiology