Metatarsophalangeal joints - Articulationes metatarsophalangeae. Anatomical Parts. The metatarsophalangeal joints are of the condyloid kind, formed by the reception of the rounded heads...
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First metatarsophalangeal joint fusion is a gold standard procedure for the treatment of advanced arthritis of the first MTPJ which has not responded to non-operative measures. There are many techniques described in the literature to prepare the joint surfaces and various methods of fixation to achieve fusion.

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  • Once the capsule was identified, a capsulotomy was performed exposing the first metatarso-phalangeal joint. The joint was inspected and there was very clear evidence of a severe amount of articular surface destruction. The cartilage was gone centrally measuring a 2-cm diameter area of cartilaginous loss.
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Hammer-toe deformity is a flexion contracture in the PIP joint of a pedal digit, resulting in plantar flexion of the middle phalanx at the PIP joint with dorsal angulation of the proximal phalanx at the MTP joint. Hammer toes are associated with imbalance of soft-tissue structures around the joints in the digits and are often progressive.

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A deformity of the metatarsophalangeal joint may develop after this, at the base of the toe, and this is what gives the toe its characteristic hammer-like shape. In this position, the toe will rapidly feel uncomfortable when wearing shoes due to the excess pressure between the interphalangeal joint and the shoe.

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[1] The Source and State of the Hydroxylysine of Collagen. [2] Effects of AR7 Joint Complex on arthralgia for patients with osteoarthritis: results of a three-month study in Shanghai, China.

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the metatarsal, ending at the metatarsocuneiform joint. A longitudinal midline capsulotomy was performed in the same plane as the incision. A Kirschner (K-) wire was then placed 10 mm distal to the metatarsocuneiform joint to act as a guide to the proximal apex of the reverse Chevron oste-otomy. Next, a 60° transverse Chevron osteotomy was fashioned.

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Associated tenotomy of the extensor digitorum longus and brevis was performed in the presence of an extension deformity of the metatarsophalangeal joint (24 cases). After a mean follow-up of 30.7 ± 8.9 months, the rate of satisfaction and morphological correction was high (89.5% in both cases), as well as the number of flexible toes (88%).

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capsulotomy. [ kap″su-lot´ah-me] incision of a capsule, as that of the lens, the kidney, or a joint. Miller-Keane Encyclopedia and Dictionary of Medicine, Nursing, and Allied Health, Seventh Edition. © 2003 by Saunders, an imprint of Elsevier, Inc. All rights reserved.

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