In this article, a definition of metatarsalgia is followed by an analysis of factors involved: biomechanical alterations, diseases of the forefoot and general diseases with an impact on the forefoot.

This is followed by a brief recall of the historical background and a description of the pathological anatomy and determining anatomic and biomechanical factors.

The frequency, symptoms and differential diagnosis are discussed together with the clinical, radiological, ultrasonographic and magnetic resonance imaging findings.

Conservative and surgical treatments are proposed together with a detailed description of the procedures and the supramalleolar anesthesia used in our department.

The diagnosis and preoperative planning for fractures of the calcaneum are based on magnetic resonance imaging. This leads to a pathological classification used to predict the prognosis and detail operative techniques. Complications of this technique are discussed together with the social impact of this complex fracture.

Progress in diagnostic tools had enabled a more precise assessment of fractures of the talar neck. We discuss classifications based on magnetic resonance imaging which have provided an important aid for preoperative planning.

We recall here changing attitudes concerning the treatment of these fractures as well as their classification based on surgical anatomy. Details of the surgical technique are also discussed and the postoperative phase described.

This work is completed by comments on complications we have observed in our experience, focusing on the social cost of these complex fractures, their treatment and outcome, and the unpredictability of the disability caused by fractures of the talar neck, even after perfect reduction.