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Second Metatarsophalangeal Joint Arthropathy

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International Advances in Foot and Ankle Surgery

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Abstract

Forefoot pain involving the lesser metatarsophalangeal joints (MTPJ) is a common complaint presenting to the foot specialist.1 Pain affecting these articulations are often referred to as “metatarsalgia”;2 a generalized term referring to a variety of different forefoot problems involving bone, articular, and soft tissue structures of the forefoot. To avoid confusion and to be more specific, pathology affecting the lesser MTPJs is referred to in this chapter generically as “arthropathy.” Due to unique structural and functional anatomy, lesser MTPJ arthropathy most commonly affects the second MTPJ which is the focus of this chapter.

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Notes

  1. 1.

    The Hibbs procedure is performed to address a specific cavus foot type (flexible forefoot equinus) with clawtoe deformity. The procedure involves releasing the long extensor tendon coursing to each of the lesser digits and transferring them as one tendon to the midfoot (3rd metatarsal-cuneiform joint area). This tendon transfer addresses the deforming force of the extensor tendons and restores muscle balance to the foot as well.

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Authors and Affiliations

  1. The Sports Medicine Clinic, Northwest Hospital, 10330 Meridian Ave. N., Suite 300, Seattle, WA, 98133, USA

    Richard T. Bouché D.P.M.

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  1. Richard T. Bouché D.P.M.
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Correspondence to Richard T. Bouché D.P.M. .

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Editors and Affiliations

  1. Department of Sports Medicine, PAFMG-Palo Alto Division, Clark Bldg., 3rd Flr 795 El Camino Real, Palo Alto, CA, 94301, USA

    Amol Saxena

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Bouché, R.T. (2012). Second Metatarsophalangeal Joint Arthropathy. In: Saxena, A. (eds) International Advances in Foot and Ankle Surgery. Springer, London. https://doi.org/10.1007/978-0-85729-609-2_10

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  • DOI: https://doi.org/10.1007/978-0-85729-609-2_10

  • Publisher Name: Springer, London

  • Print ISBN: 978-0-85729-608-5

  • Online ISBN: 978-0-85729-609-2

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