In hallux rigidus, limitation of the dorsiflexion of the first metatarsophalangeal joint can be a result of dorsal impingement and plantar contracture of the joint. The purpose of this Technical Note is to describe the details of arthroscopic dorsal cheilectomy, plantar capsular release, flexor hallucis brevis release, and sesamoid cheilectomy for the management of early stages of hallux rigidus. This minimally invasive technique can deal with both dorsal and plantar pathologies of the first metatarsophalangeal joint.
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http://dx.doi.org/10.1016/j.eats.2024.103198 | DOI Listing |
J Foot Ankle Surg
March 2025
Hospital for Special Surgery, 535 E 70th Street, New York, NY 10021, USA. Electronic address:
It is unclear which patient reported outcome metric correlates best with clinical improvement. The patient acceptable symptom state (PASS) incorporates the patient's subjective outcome experience into the outcome measurement. This study aims to establish PASS thresholds using Patient-Reported Outcome Measurement Information System (PROMIS) scores in patients undergoing hallux rigidus (HR) correction.
View Article and Find Full Text PDFArthrosc Tech
February 2025
Queen Elizabeth Hospital, Hong Kong, China.
In hallux rigidus, limitation of the dorsiflexion of the first metatarsophalangeal joint can be a result of dorsal impingement and plantar contracture of the joint. The purpose of this Technical Note is to describe the details of arthroscopic dorsal cheilectomy, plantar capsular release, flexor hallucis brevis release, and sesamoid cheilectomy for the management of early stages of hallux rigidus. This minimally invasive technique can deal with both dorsal and plantar pathologies of the first metatarsophalangeal joint.
View Article and Find Full Text PDFFoot Ankle Spec
February 2025
Rothman Orthopedic Institute, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.
Background: The combined effect of fixation type and preoperative deformity together might influence the union rate after the first metatarsophalangeal (MTP) arthrodesis. This study aimed to compare the nonunion and failure rate of dorsal locking plate versus cross-screws for the first MTP arthrodesis considering the preoperative deformity, including hallux valgus versus rigidus. We secondarily aimed to compare the observed nonunion rate with the rate in the systematic reviews.
View Article and Find Full Text PDFJ Foot Ankle Surg
February 2025
Fellowship-Trained, Board Certified Foot and Ankle Surgeon; Orthopedic Foot and Ankle Center, 350W. Wilson Bridge Rd, Ste. 200, Worthington, OH 43085, USA. Electronic address:
Arthrodesis of the first metatarsophalangeal joint is a common surgical procedure used to treat a variety of forefoot pathologies. The purpose of this study was to evaluate radiographic outcomes for hallux valgus and first tarsometatarsal joint alignment after first metatarsophalangeal joint arthrodesis. A retrospective radiographic analysis of the first intermetatarsal angle, hallux valgus angle, first metatarsal-cuneiform angle, and medial cuneiform-first metatarsal angle was performed preoperatively and postoperatively.
View Article and Find Full Text PDFFoot Ankle Clin
March 2025
Department of Foot and Ankle Surgery, Schön Klinik München Harlaching - FIFA Medical Centre, Harlachinger Straße 51, Munich 81547, Germany; Department of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital, LMU Munich, Marchioninistraße 15 81377, München; Department of Orthopedic Surgery, University of Wuerzburg, Brettreichstrasse 11, Würzburg 97074, Germany; Paracelsus Medical University, Strubergasse 21, Salzburg 5020, Austria. Electronic address:
Injuries to the first metatarsophalangeal joint are often missed and not adequately treated, resulting in secondary deformities and degenerative arthritis. The particular anatomy of the joint puts mainly soft tissue structures at risk, which is why conditions such as turf toe injury and valgus or varus deformities can occur. Because the sesamoid bones are receiving high pressures, fractures should be considered.
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