Hallux Metatarsophalangeal (MTP) Joint Arthroscopy for Hallux Rigidus

Abstract

Arthroscopy of the hallux metatarsophalangeal (MTP) joint is an evolving technique for hallux rigidus and other disorders of the hallux MTP joint. Purported advantages of this minimally invasive procedure include rapid rehabilitation and the ability to identify and address other intra-articular and sesamoid pathologies without additional dissection. Larger, prospective, and comparative outcomes studies are needed to optimize the treatment algorithm.

Level of Evidence: Level V, expert opinion.

Keywords

hallux rigidus MTP arthroscopy osteochondral lesion sesamoid

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References

Bartlett

. Arthroscopic management of osteochondritis dissecans of the first metatarsal head. Arthroscopy. 1988;4(1):51-54.

Coughlin

Shurnas

. Soft-tissue arthroplasty for hallux rigidus. Foot Ankle Int. 2003;24(9):661-672.

Coughlin

Shurnas

. Hallux rigidus. Grading and long-term results of operative treatment. J Bone Joint Surg Am. 2003;85-A(11):2072-2088.

Davies

Saxby

. Arthroscopy of the first metatarsophalangeal joint. J Bone Joint Surg (Br). 1999;81:203-206.

Debnath

Hemmady

Hariharan

. Indications for and technique of first MTP arthroscopy. Foot Ankle Int. 2006;27(12):1049-1054.

Deland

Williams

. Surgical management of hallux rigidus. J Am Acad Orthop Surg. 2012;20(6):347-358.

Ferkel

. Great toe arthroscopy In: Whipple

, ed. Arthroscopy, the Foot and Ankle. Philadelphia, PA: Lippincott-Raven; 1996;255-272.

Iqbal

Chana

. Arthroscopic cheiliectomy for hallux rigidus. Arthroscopy. 1998;14(3):307-310.

Lin

Murphy

. Treatment of hallux rigidus with cheilectomy using a dorsolateral approach. Foot Ankle Int. 2009;30(2):115-119.

10.

Mann

Clanton

. Hallux rigidus: treatment by cheilectomy. J Bone Joint Surg Am. 1988;70(3):400-406.

11.

Mulier

Steenwerckx

Thienpont

. Results after cheilectomy in athletes with hallux rigidus. Foot Ankle Int. 1999;20(4):232-237.

12.

van Dijk van

Veenstra

Nuesch

. Arthroscopic surgery of the first metatarsophalangeal joint. Arthroscopy. 1998;14:851-855.