Role of toe flexor tendoscopy in management of an unusual cause of metatarsalgia

  • Tun Hing LuiEmail author
  • Hung Tsan Chow
Sports Medicine


The purpose of this study is to describe an endoscopic approach to toe flexor tendons at the level of metatarsal head region. And this study is a kind of retrospective case series. Three patients with toe flexor tenosynovitis were evaluated after a follow-up of 2 years after toe flexor tendoscopy. One patient suffered from infective toe flexor tendosynovitis resulting from a penetrating injury and other two patients suffered from idiopathic focal toe flexor tenosynovitis. Pre-operative metatarsalgia subsided after toe flexor tendoscopy. No endoscopy-related complication was observed. Toe flexor tendoscopy can be an effective operative means in the management of focal toe flexor tenosynovitis.


Flexor digitorum longus Tenosynovitis Toe flexor Tendoscopy Metatarsalgia 


  1. 1.
    Myerson MS, Dockery GL Foot and ankle disorders, vol 1, chap 12, p 362Google Scholar
  2. 2.
    Scranton PE (1980) Metatarsalgia: diagnosis and treatment. J Bone Joint Surg 62(A):723PubMedGoogle Scholar
  3. 3.
    Holmes GB Jr (1992) Quantitive determination of intermetatarsal pressure. Foot Ankle 13(9):532–535PubMedGoogle Scholar
  4. 4.
    DiGiovanni CW, Kuo R, Tejwani N, Price R, Hansen ST Jr, Cziernecki J, Sangeorzan BJ (2002) Isolated gastrocnemius tightness. J Bone Joint Surg 84-A(6):962–970PubMedGoogle Scholar
  5. 5.
    Sharp RJ, Wade CM, Hennessy MS, Saxby TS (2003) The role of MRI and ultrasound imaging in Morton’s neuroma and the effect of size of lesion on symptoms. J Bone Joint Surg 85-B(7):999–1005CrossRefGoogle Scholar
  6. 6.
    Erickson SJ (2000) Sonography of the foot and ankle. Foot Ankle Clin 5(1):29–48PubMedGoogle Scholar
  7. 7.
    Ashman CJ, Klecker RJ, Yu JS (2001) Forefoot pain involving the metatarsal region: differential diagnosis with MR imaging. Radiographics 21(6):1425–1440PubMedGoogle Scholar
  8. 8.
    van Dijk CN, Kort N, Scholten PE (1997) Tendoscopy of the posterior tibial tendon. Arthroscopy 13(6):692–698PubMedGoogle Scholar
  9. 9.
    van Dijk CN, Kort N (1998) Tendoscopy of the peroneal tendons. Arthroscopy 14(5):471–478PubMedGoogle Scholar

Copyright information

© Springer-Verlag 2005

Authors and Affiliations

  1. 1.Department of Orthopedics and TraumatologyNorth District HospitalSheung ShuiChina

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