First metatarsophalangeal arthroscopy in patients with post-traumatic hallux valgus. Issue 4 (December 2015)

• Record Type: Journal Article
• Authors: Lui, T.H.
• Is Part Of: Foot. Volume 25:Issue 4(2015:Dec.)
• Page Start: 270
• Page End: 276
• Publication Date: 2015-12
• Subjects: Metatarsophalangeal -- Medial collateral ligament -- Arthroscopy -- Hallux valgus -- Post-traumatic; Foot -- Diseases -- Periodicals; Foot -- Surgery -- Periodicals; Foot Diseases -- Periodicals; Foot -- surgery -- Periodicals; Pied -- Maladies -- Périodiques; Pied -- Chirurgie -- Périodiques; Pied -- Lésions et blessures -- Périodiques; Foot -- Diseases; Foot -- Surgery; Periodicals; Electronic journals; Electronic journals; 617.585005
• DOI: 10.1016/j.foot.2015.07.009
• Languages: English
• ISSNs: 0958-2592

Abstract

Highlights: Post-traumatic hallux valgus after medial collateral ligament injury has a high incidence of MTP-1 pathology. Post-traumatic hallux valgus can present as MTP-1 joint pain. First MTP arthroscopy has both diagnostic and therapeutic values in management of joint pain in post-traumatic hallux valgus. Abstract: Post-traumatic hallux valgus is relatively rare and has been reported after rupture of the medial collateral ligament of the first metatarsophalangeal (MTP-1) joint; Lisfranc joint injury; turf toe injury; medial plantar nerve entrapment secondary to tibial fracture or first metatarsal fracture. Post-traumatic hallux valgus after medial collateral ligament injury has a high incidence of MTP-1 pathology. Detailed history and clinical examination can facilitate differentiation of the source(s) of the patient's symptoms and assist accurate formulation of the surgical plan. First, MTP arthroscopy is a feasible diagnostic and therapeutic tool to manage the MTP-1 joint pain in hallux valgus following injury to the MTP-1 joint.