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metatarsophalangeal

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Book Chapter
Published: 29 October 2024
10.1159/000540732
EISBN: 978-3-318-07284-6
... revealed 1st metatarsophalangeal joint MTP moderate osteoarthritis. The patient suffered from shoe-fitting problems ( Fig. 1 ). Fig. 1. AP and lateral weight-bearing X-rays showing hallux valgus deformity, and osteophytes 1st metatarsal head. The 6 weeks postoperative right and left...
Book Chapter
Published: 29 October 2024
10.1159/000540568
EISBN: 978-3-318-07284-6
... J , Boike A . Long-term follow-up of the cheilectomy for degenerative joint disease of the first metatarsophalangeal joint . J Foot Ankle Surg . 2015 ; 54 ( 6 ): 1010 – 20 . 4. Coughlin MJ , Shurnas PS . Hallux rigidus. Grading and long-term results of operative...
Book Chapter
Published: 29 October 2024
10.1159/000540166
EISBN: 978-3-318-07284-6
... Abstract Hallux rigidus is the most common degenerative condition of the foot and ankle and the second most prevalent disease of the first metatarsophalangeal joint after hallux valgus. If left untreated, it can lead to significant limitations in gait, mobility and daily function. Treatment...
Book Chapter
Published: 29 October 2024
10.1159/000540174
EISBN: 978-3-318-07284-6
... Abstract The first metatarsophalangeal joint (MTPJ) sesamoids are two seed-shaped bones that form an integral portion of the hallux metatarsophalangeal joint complex and are subject to several disorders that can severely affect a patient’s function. The sesamoid complex transmits about 50...
Book Chapter
Published: 29 October 2024
10.1159/000540615
EISBN: 978-3-318-07284-6
... Abstract Hallux rigidus is a degenerative arthritis that affects the metatarsophalangeal joint of the first ray; it produces pain and functional limitation in the mobility of this joint. The Green-Watermann osteotomy is a distal metatarsal osteotomy that allows decompression of the first...
Book Chapter
Published: 29 October 2024
10.1159/000540616
EISBN: 978-3-318-07284-6
... Abstract Primary fusion of the first metatarsophalangeal joint is a commonly performed procedure with good outcomes and high patient satisfaction rate. A variety of fixation techniques and implants have been described over the past decades. Of the different fixation methods, the use of a dorsal...
Book Chapter
Published: 29 October 2024
EISBN: 978-3-318-07284-6
.... Munteanu SE , Zammit GV , Menz HB , Landorf KB , Handley CJ , Elzarka A , . Effectiveness of intra-articular hyaluronan (Synvisc, hylan G-F 20) for the treatment of first metatarsophalangeal joint osteoarthritis: a randomised placebo-controlled trial . Ann Rheum Dis . 2011...
Book Chapter
Published: 29 October 2024
EISBN: 978-3-318-07284-6
... . 2. Coughlin MJ , Mann RA . Arthrodesis of the first metatarsophalangeal joint as salvage for the failed Keller procedure . J Bone Jt Surg Am . 1987 ; 69 ( 1 ): 68 – 75 . 3. Singh D , Dudkiewicz I . Lengthening of the shortened first metatarsal after Wilson's...
Book Chapter
Published: 29 October 2024
10.1159/000540617
EISBN: 978-3-318-07284-6
... Abstract Failed metatarsophalangeal (MTP) 1 fusion, and necrosis of the metatarsal head after osteotomies or former resection arthroplasties can be indications for revision MTP 1 arthrodesis. These often lead to shortening and insufficiency of the first ray, which can cause metatarsalgia due...
Book Chapter
Published: 29 October 2024
EISBN: 978-3-318-07284-6
... JK , Easley ME , Nunley JA . A comparison of nonlocking semitubular plates and precontoured locking plates for first metatarsophalangeal joint arthrodesis . Foot Ankle Int . 2014 ; 35 ( 5 ): 438 – 44 . 3. Hyer CF , Scott RT , Swiatek M . A retrospective...
Book Chapter
Published: 29 October 2024
EISBN: 978-3-318-07284-6
...References References 1. Tan J , Lau JTC . Metatarso-sesamoid osteoarthritis as a cause of pain after first metatarsophalangeal joint fusion: case report . Foot Ankle Int . 2011 ; 32 ( 8 ): 822 – 5 . 2. Boike A , Schnirring-Judge M , McMillin S...
Book Chapter
Published: 29 October 2024
EISBN: 978-3-318-07284-6
... metatarsophalangeal joint deformities . Clin Podiatr Med Surg . 2016 ; 33 ( 1 ): 71 – 84 . 3. Kirchner JS , Wagner E . Girdlestone-Taylor flexor extensor tendon transfer . Tech Foot Ankle Surg . 2004 ; 3 ( 2 ): 91 – 9 . 4. Nery C , Baumfeld D . Lesser metatarsophalangeal joint...
Book Chapter
Published: 29 October 2024
10.1159/000540625
EISBN: 978-3-318-07284-6
... a subcutaneous tunnel. The tendon transfer has the objective of replacing the loss of intrinsic muscular function (i.e., flexion at the metatarsophalangeal joint and resistance to extension at the interphalangeal joints), and help to rebalance the deformity, especially deviations in the coronal plane...
Book Chapter
Published: 29 October 2024
10.1159/000540626
EISBN: 978-3-318-07284-6
... Abstract In recent years, the relevance of the plantar plate in the stability of the lesser metatarsophalangeal (MTP) joint has become more generally acknowledged. When the plantar plate is damaged or attenuated, crossover or hammertoe deformity with hyperextension of the MTP joint is frequent...
Book Chapter
Published: 29 October 2024
10.1159/000540630
EISBN: 978-3-318-07284-6
... deformity, with significant correction of both 4–5 intermetatarsal and metatarsophalangeal angles, with very few complications reported in the literature. Indications Painful bunionette deformity unresponsive to conservative treatment. Contraindications Asymptomatic. Stiffness...
Book Chapter
Published: 29 October 2024
10.1159/000540179
EISBN: 978-3-318-07284-6
... of bony and soft tissue procedures. Preventive, joint-sparing procedures should be preferred in the early stages. In patients with erosive changes of the first metatarsophalangeal joint, fusion is considered as the golden standard. For the lesser toes joint-sparing osteotomies or metatarsal head resection...
Book Chapter
Published: 29 October 2024
EISBN: 978-3-318-07284-6
...References References 1. Watson TS , Reid DY , Frerichs TL . Dorsal approach for plantar plate repair with Weil osteotomy: operative Technique . Foot Ankle Int . 2014 ; 35 ( 7 ): 730 – 9 . 2. Hsu RY , Barg A , Nickisch F . Lesser metatarsophalangeal...
Book Chapter
Published: 29 October 2024
10.1159/000540723
EISBN: 978-3-318-07284-6
... A 78-year-old male with crossover 2nd rigid hammer toe with a painful dorsal callosity and cannot wear shoes ( Figs. 1 - 2 ). A modified Lapidus procedure, 2nd and 3rd Weil’s osteotomy, 2nd metatarsophalangeal joints plantar plate repair with proximal interphalangeal joint fusion (K-wire...
Book Chapter
Published: 29 October 2024
10.1159/000539819
EISBN: 978-3-318-07284-6
... A 46-year-old man presented with persistent pain under II metatarsophalangeal joint (MTPJ) with II toe progressively losing ground touch. Drawer test ++ ( Fig. 1 ) conducted. MRI shows isolated II metatarsophalangeal (MTP) plantar plate rupture. Conservative treatments (FANS, Insoles) for more...
Book Chapter
Published: 29 October 2024
10.1159/000540710
EISBN: 978-3-318-07284-6
... not reduce the patient's symptoms, and the stiffness and pain increased. The patient refers to the impossibility of walking with usual footwear. Physical exam : Pain and swelling in the first metatarsophalangeal (MTP) joint. MTP joint stiffness. Dorsal and medial deformity with footwear irritation...