Interphalangeal Arthroscopy: Surgical Approaches and Application

  • Ka Yuk Fan
  • Tun Hing Lui


Interphalangeal joints (IPJs) of the toes are synovial hinge joints, with a single sagittal plane of motion allowing flexion and extension. Range of motion of IPJ of the great toe is 0–90°, whereas that for second to fifth toe is variable. IPJ is stabilized by a thick plantar plate, and two strong collateral ligaments run from the lateral aspect of the phalangeal head to the base of the distally articulating phalanx [1]. There are two concave facets with a central ridge at the base of the distal articulating phalanx, conforming to the medial and lateral condyle of the pulley-shaped head of the proximal articulating phalanx. The proximal articular surface is larger than the distal counterpart [2].


  1. 1.
    Bouysset M. Bone and joint disorders of the foot and ankle. A rheumatological approach. Paris: Springer; 1998.Google Scholar
  2. 2.
    Levangie PK, Norkin CC. Joint structure and function: a comprehensive analysis. 5th ed. Philadelphia: F. A. Davis Company; 2011.Google Scholar
  3. 3.
    McCarthy DJ, et al. The hallucal interphalangeal sesamoid. J Am Podiatr Med Assoc. 1986;76(6):311.CrossRefGoogle Scholar
  4. 4.
    Kelikian AS. Sarrafian’s anatomy of the foot and ankle: descriptive, topographical, functional. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2011.Google Scholar
  5. 5.
    Sivananthan S, et al. Mercer’s textbook of orthopaedics and trauma tenth edition. London: CRC Press; 2012.Google Scholar
  6. 6.
    Helal B, et al. Surgery of disorders of the foot and ankle. Philadelphia: Lippincott-Raven; 1996.Google Scholar
  7. 7.
    Myerson MS. Reconstructive foot and ankle surgery: management of complications. 2nd ed. Philadelphia: Elsevier Saunders; 2010.Google Scholar
  8. 8.
    Lui TH. Interphalangeal arthroscopy of the toes. Foot (Edinb). 2014;24:42–6.CrossRefGoogle Scholar
  9. 9.
    Lui TH. Arthroscopically assisted modified Jones procedure. Arthrosc Tech. 2016;5:e1401–6.CrossRefGoogle Scholar
  10. 10.
    Lui TH. Small joint arthroscopy in foot and ankle. Foot Ankle Clin. 2015;20:123–38.CrossRefGoogle Scholar
  11. 11.
    Lui TH. Arthroscopic interpositional arthroplasty for Freiberg’s disease. Knee Surg Sports Traumatol Arthrosc. 2007;15:555–9.CrossRefGoogle Scholar
  12. 12.
    Lui TH. Arthroscopic release of first metatarsophalangeal arthrofibrosis. Arthroscopy. 2006;22:906.e1–4.Google Scholar
  13. 13.
    Lui TH. Arthroscopic ganglionectomy of the foot and ankle. Knee Surg Sports Traumatol Arthrosc. 2014;22:1693–700.CrossRefGoogle Scholar
  14. 14.
    Woon CYL. Dislocation of the interphalangeal joint of the great toe: is percutaneous reduction of an incarcerated sesamoid an option? A report of two cases. J Bone Joint Surg Am. 2010;92:1257–60.CrossRefGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Ka Yuk Fan
    • 1
  • Tun Hing Lui
    • 1
    • 2
    • 3
    • 4
  1. 1.Department of Orthopaedics and TraumatologyNorth District HospitalHong KongChina
  2. 2.Department of OrthopaedicsSouthern Medical UniversityHong KongChina
  3. 3.Department of Orthopaedics and TraumatologyChinese University of Hong KongHong KongChina
  4. 4.Institute of Biomedicine and Biotechnology, Shenzhen Institute of Advanced Technology, Chinese Academy of ScienceShenzhenChina

Personalised recommendations