Rothbart BA: Metatarsus adductus and its clinical significance. JAPA 62: 187, 1972.
Evans A: “Metatarsus Adductus,” in The Pocket Podiatry Guide: Paediatrics, p 165, Elsevier Health Sciences, Philadelphia, 2010.
Furdon SA, Donlon CR: Examination of the newborn foot: positional and structural abnormalities. Adv Neonatal Care 2: 248, 2002.
Farsetti P, Weinstein SL, Ponseti IV: The long term functional and radiographic outcomes of untreated and non-operatively treated metatarsus adductus. J Bone Joint Surg Am 76: 257, 1994.
Trott AW: Hallux valgus in adolescents. Instr Course Lect 21: 262, 1972.
Scranton PE Jr, Zuckerman JD: Bunion surgery in adolescents: results of surgical treatment. Pediatr Orthop 4: 39, 1984.
Ferrari J, Malone-Lee J: A radiographic study of the relationship between metatarsus adductus and hallux valgus. J Foot Ankle Surg 42: 9, 2003.
Aiyer AA, Shariff R, Ying L, et al: Prevalence of metatarsus adductus in patients undergoing hallux valgus surgery. Foot Ankle Int 35: 1292, 2014.
Harley BD, Fritzhand AJ, Little JM, et al: Abductory midfoot osteotomy procedure for metatarsus adductus. J Foot Ankle Surg 34: 153, 1995.
Brink DS, Levitsky DR: Cuneiform and cuboid wedge osteotomies for correction of residual metatarsus adductus: a surgical review. J Foot Ankle Surg 34: 371, 1995.
Okuda R, Kinoshita M, Morikawa J, et al: Adult hallux valgus with metatarsus adductus: a case report. Clin Orthop Relat Res 396: 179, 2002.
Mizel MS, Temple HT, Michelson JD, et al: Thromboembolism after foot and ankle surgery: a multicenter study. Clin Orthop Relat Res 348: 180, 1998.
Dayton P, Feilmeier M, Hunziker B, et al: Reduction of the intermetatarsal angle after first metatarsal phalangeal joint arthrodesis: a systematic review. J Foot Ankle Surg 53: 620, 2014.
Tada M, Koike T, Okano T, et al: Preference of surgical procedure for the forefoot deformity in the rheumatoid arthritis patients: a prospective, randomized, internal controlled study. Mod Rheumatol 25: 362, 2015.
Defrino PF, Brodsky JW, Pollo FE, et al: First metatarsophalangeal arthrodesis: a clinical pedobarographic and gait analysis study. Foot Ankle Int 23: 496, 2002.
Tomczak RL, Lewandowski JE: A meta-analysis of first metatarsal osteotomies for the correction of metatarsus primus adductus. J Foot Surg 30: 364, 1991.
Martinelli N, Marinozzi A, Cancilleri F, et al: Hallux valgus correction in a patient with metatarsus adductus with multiple distal oblique osteotomies. JAPMA 100: 204, 2010.
Trepal MJ: Hallux valgus and metatarsus adductus: the surgical dilemma. Clin Podiatr Med Surg 6: 103, 1989.
Kilmartin TE, Flintham C: Hallux valgus surgery: a simple method for evaluating the first-second intermetatarsal angle in the presence of metatarsus adductus. J Foot Ankle Surg 42: 165, 2003.
Metatarsus adductus is a structural deformity that may be associated with hallux valgus and that may lead to metatarsal pain and functional abnormality of the foot. Correcting hallux valgus is complicated in these cases because of the deviation in adduction of the lesser metatarsals, especially the second metatarsal that occupies the first intermetatarsal space. We report the case of a 49-year-old man who underwent a scarf osteotomy in the first metatarsal, shortening and abductor oblique distal osteotomies of the lesser metatarsals, and arthrodesis of the central toes with Z-lengthening of the capsule and long extensor tendons of the toes.