Hallux metatarsophalangeal arthroscopy: indications and techniques.

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Abstract

[Indexed for MEDLINE] 6. Foot Ankle Clin. 2018 Jun;23(2):271-280. doi: 10.1016/j.fcl.2018.01.007. Hallux Valgus Deformity and Treatment: A Three-Dimensional Approach. Doty JF(1), Harris WT(2). Author information: (1)UT Erlanger Orthopaedics, University of Tennessee College of Medicine, 979 East Third Street C225, Chattanooga, TN 37405, USA. (2)UT Erlange Orthopaedics, University of Tennessee College of Medicine, Chattanooga, TN 37405, USA. Electronic address: wtharri@gmail.com. The cause and effect between hallux valgus and first ray hypermobility continues to be debated. Understanding the anatomic and radiographic examination of the first metatarsocuneiform (MTC) joint is critical to choosing an appropriate treatment algorithm for the surgical management of hallux valgus deformity. Some studies suggest hypermobility can be corrected without fusing the first MTC joint. Some think hypermobility arises secondarily from malalignment of the soft tissue constraints as the hallux valgus deformity progresses. Others think hypermobility is a primary cause of the hallux valgus deformity and have reported good results with surgical correction including a first tarsometatarsal arthrodesis. Copyright © 2018 Elsevier Inc. All rights reserved. DOI: 10.1016/j.fcl.2018.01.007