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Osteoarthritis of the Great Toe Metatarsophalangeal Joint

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European Surgical Orthopaedics and Traumatology

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Abstract

Degenerative arthritis of the first metatarsophalyngeal joint (MTPJ) is the second commonest pathological problem to affect the great toe after hallux valgus. Clinically, the condition presents with a painful MTPJ, with a restricted range of motion. Patients with early stage disease can be managed initially by non-surgical means (corticosteroid injections, anti-inflammatory tablets, shoe modification). In disease that has progressed, the cheilectomy surgical procedure has good results. Despite a range of surgical treatment options for end stage disease, arthrodesis remains the most predictable method to relieve symptoms. The poor results of arthroplasty make this treatment only appropriate in carefully designed and conducted clinical trials.

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Authors and Affiliations

  1. Luton and Dunstable University Hospital, Luton, UK

    David Gordon

  2. Royal National Orthopaedic Hospital, Stanmore, Middlesex, UK

    Dishan Singh

Authors
  1. David Gordon
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  2. Dishan Singh
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Corresponding author

Correspondence to David Gordon .

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Editors and Affiliations

  1. Royal National Orthopaedic Hospital, Stanmore, United Kingdom

    George Bentley

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© 2014 EFORT

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Gordon, D., Singh, D. (2014). Osteoarthritis of the Great Toe Metatarsophalangeal Joint. In: Bentley, G. (eds) European Surgical Orthopaedics and Traumatology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-34746-7_162

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  • DOI: https://doi.org/10.1007/978-3-642-34746-7_162

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-34745-0

  • Online ISBN: 978-3-642-34746-7

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