Abstract
Central metatarsalgia is a disease of the second, third and fourth metatarsal heads, described as pain in the forefoot, which extends from the plantar to the heel and on the dorsum of the foot; in some cases, it may be associated to hyperkeratosis. It is often accompanied by other symptoms like hallux rigidus and hallux valgus and/or the claw-foot syndrome. Usually the surgeon is able to clinically diagnose it with a radiographic foot survey, which allows him to calculate the “metatarsal formula”. Surgical treatment is suggested in case conservative treatment fails. The operation consists of radical surgical techniques, such as resection and realignment of the bone, as well as conservative techniques like distal and proximal osteotomies.
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