Indications Excision of a Morton or interdigital neuroma is indicated for neuritic forefoot pain not responsive to conservative means of treatment. A Morton neuroma: Is more common in women Is usually footwear related Is most common in the third web…
Indications Lesser metatarsophalangeal (MTP) joint instability with toe deformity and metatarsalgia Plantar plate rupture Subluxated lesser MTP joint Indications Pitfalls Lesser MTP joint instability is a new concept that addresses all the components behind the old concept of “crossover toe.”…
Capsular-ligamentous injuries of the first metatarsophalangeal (MTP) joint are caused by sudden hyperextension of the joint while playing sports or during motor vehicles accidents, as well as when falling from a height. Traditionally, stretching and partial tears are managed by…
Indications Wide forefoot with symptomatic fifth metatarsal (5MT) head and medial deviation of fifth toe Failure of nonoperative treatment (shoe modifications) Weight-bearing anteroposterior (AP) foot radiograph demonstrating a widened fourth-fifth intermetatarsal angle (4/5 IMA) Examination/Imaging Wide forefoot Symptomatic 5MT head…
Indications Chronic pain and deformity of the forefoot from rheumatoid arthritis Recurrent ulceration Failure of nonoperative measures, including shoe modification and orthotics Indications Pitfalls Active infection or ulceration should be eradicated prior to surgery. Severe skin fragility may preclude operative…
Indications End-stage arthritis of the first metatarsophalangeal (MTP) joint End-stage arthritis of the sesamoid to metatarsal head articulation Disruption of the plantar plate Gouty arthritis Indications Pitfalls Arthroscopic fusion is limited to minimal deformity as an open release of soft-tissue…
Indications Chronic joint pain from advanced arthritis Severe deformity that limits activity or footwear Controversies Arthrodesis is the most commonly performed procedure for advanced symptomatic arthritis or severe deformity of the great toe. The end result is highly predictable, alleviates…
Indications Symptomatic first metatarsophalangeal (MTP) joint arthritis Maintenance of functional motion of the first MTP joint Minimal first ray deformity (valgus, varus, elevation) Arthritis of appropriate severity (K–L grades III or IV) Indications Pitfalls A plantar flexed first MTP joint…
Indications Arthritis of the first metatarsophalangeal (MTP) joint beyond cheilectomy treatment Concomitant arthritis of the sesamoid bones Failed cheilectomy Indications Pitfalls Very stiff joints may be better fused; do not expect as much motion. Infected joints may need a two-stage…
Indications Cheilectomy of the first metatarsophalangeal joint (MTPJ) is indicated for painful hallux rigidus with impinging bone spurs. Most frequently indicated for grade I and grade II hallux rigidus, but may also be utilized for grade III. Grade I includes…