Kalichman L, Hernández-Molina G. Midfoot and forefoot osteoarthritis. Foot (Edinb). 2014 Sep;24(3):128-34. Epub 2014 May 23. Review. PMID: 25022694.

Foot (Edinb). 2014 Sep;24(3):128-34. doi: 10.1016/j.foot.2014.05.002. Epub 2014 May 23.

Midfoot and forefoot osteoarthritis.

Kalichman L(1), Hernández-Molina G(2).

Author information:
(1)Department of Physical Therapy, Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva 84105, Israel.
(2)Department of Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Vasco de Quiroga 15, Col. Sección XVI, 1400 Mexico City, Mexico. Electronic address: gabyhm@yahoo.com.

BACKGROUND: Foot osteoarthritis (OA) is linked with chronic foot pain and functional impairment.

OBJECTIVE: To review the current knowledge on midfoot and forefoot OA.

METHODS: PubMed, CINAHL, PEDro, and the ISI Web of Science databases (1950-2013) were searched for keywords: foot OA, midfoot OA, forefoot OA and metatarsal OA. The search was limited to reports in human subjects and English language. Published cohort, cross-sectional studies and clinical trials relating to epidemiology, clinical features, functional impairment, risk factors and treatment were included.

RESULTS: We found heterogeneity in the design, radiographic views and grading systems used among studies. Most of the literature focused on radiographic OA, being the prevalence between 0.1% and 61%, depending on gender, age and joint evaluated. The age and female gender were the main associated factors, whereas structural (bone length) and mechanical factors (hypermobility, altered tarso-metatarsal stress, etc.) seemed to be related. Various treatments are widely used, i.e. physical therapy, orthotics, steroid injection, analgesics and  arthrodesis. However, scarce research supports their efficacy.

CONCLUSION: Most of the current knowledge comes from observational and small case-control studies. Future population-based studies as well as controlled studies are essential to understand the risk factors and to evaluate the effectiveness of treatment options.

Copyright © 2014 Elsevier Ltd. All rights reserved.

PMID: 25022694 [PubMed - indexed for MEDLINE]

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