title: The laterality of the surgical correction of forefoot pathology.
abstract: Lateral prevalence has not been traditionally attributed to the development and presentation of pathologic forefoot complaints. The objective of this study was to determine if a laterality prevalence exists for surgically corrected forefoot deformities. All cases performed at the Inova Fairfax Hospital Ambulatory Surgery Center over a 76-month period were reviewed and classified into the following categories: hallux abductovalgus deformity correction, hallux limitus deformity correction, specific digital deformity correction, neuroma surgery, and combinations of these categories (n = 1821). Our analyses indicated no laterality difference in the surgical correction of most common forefoot pathologies. A measure of all examined surgical corrections (hallux abductovalgus, hallux limitus, digital deformity, and/or neuroma) did not demonstrate a difference between the surgical correction of the right and left extremities (chi(2) = 0.003; P = .94). There was also no significant difference in the surgical correction of the right and left extremities when studying the individual categories of any hallux abductovalgus correction (chi(2) = 0.416; P = .52), any hallux limitus correction (chi(2) = 2.050; P = .15), any digital deformity correction (chi(2) = 1.251; P = .26), or any neuroma surgery (chi(2) = 0.784; P = .38). Only the surgical correction of hallux limitus deformity without surgical correction of digital deformity or neuroma demonstrated a significant laterality with surgical correction of the right lower extremity being more common (chi(2) = 4.600; P = .03).
  
  
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authors.affiliation: INOVA Fairfax Hospital, Podiatric Surgical Residency Office, Falls Church, VA 20042, USA. ajmeyr@gmail.com
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Meyr
authors.forename: Queen J
authors.initials: QJ
authors.lastname: Mbanuzue
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Sheridan
authors.forename: Atoosa
authors.initials: A
authors.lastname: Kashani
mesh_terms: D000556:Ambulatory Surgical Procedures; D005545:Forefoot, Human / Q000473:pathology / Q000601:surgery*; D007839:Functional Laterality; D020857:Hallux Limitus; D006215:Hallux Valgus; D006801:Humans; D019637:Orthopedic Procedures; D016896:Treatment Outcome