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Arthroscopy and Endoscopy of the Foot and Ankle pp 307–358Cite as

First Metatarsophalangeal Arthroscopy

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Abstract

With advancements in cutting-edge technologies, minimally invasive diagnostic and therapeutic techniques are continuing to evolve to approach this condyloid joint which is a frequent source of disease. Since Watanabe’s description in 1972 [1], although scarce, treatment of various pathologies such as pigmented villonodular synovitis [2–4], hallux rigidus [2, 5], hallux valgus [6–8], osteochondral lesions [2, 9, 10], sesamoiditis [11, 12], and gouty tophi [4, 13–15] has been reported in the past. The understanding of surgical approaches and available portals will allow surgeons to strategically address specific lesions while minimizing postoperative pain and complications.

The corresponding author of section 11.1 is Phinit Phisitkul, Email: phinit-phisitkul@uiowa.edu

The corresponding author of section 11.2 is Kenneth J. Hunt, Email: kenneth.j.hunt@ucdenver.edu

The corresponding author of section 11.3 is Thomas S. Roukis, Email: tsroukis@gundersenhealth.org

The corresponding author of section 11.4 is Jordi Vega, Email: jordivega@hotmail.com

The corresponding author of section 11.5 is Tun Hing Lui, Email: luithderek@yahoo.co.uk

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References

  1. Watanabe M. Selfox-arthroscope (watanabe no. 24 arthroscope). Tokyo: Teishin Hospital; 1972.

    Google Scholar 

  2. Ferkel R. Great toe arthroscopy. In: Whipple T, editor. Arthroscopic surgery: the foot & ankle. Philadelphia: Lippincott-Raven; 1996. p. 255–72.

    Google Scholar 

  3. Borton DC, Peereboom J, Saxby TS. Pigmented villonodular synovitis in the first metatarsophalangeal joint: arthroscopic treatment of an unusual condition. Foot Ankle Int. 1997;18:504–5.

    Article  CAS  PubMed  Google Scholar 

  4. Debnath UK, Hemmady MV, Hariharan K. Indications for technique of first metatarsophalangeal joint arthroscopy. Foot Ankle Int. 2006;27(12):1049–54.

    Article  CAS  PubMed  Google Scholar 

  5. Iqbal MJ, Chana GS. Arthroscopic cheilectomy for hallux rigidus. Arthroscopy. 1998;14(3):307–10.

    Article  CAS  PubMed  Google Scholar 

  6. Lui TH, Chan KB, Chow HT, et al. Arthroscopy-assisted correction of hallux valgus deformity. Arthroscopy. 2008;24:875–80.

    Article  PubMed  Google Scholar 

  7. Lui TH. First metatarsophalangeal joint arthroscopy in patients with hallux valgus. Arthroscopy. 2008;24:1122–9.

    Article  PubMed  Google Scholar 

  8. Lui TH, Ng S, Chan KB. Endoscopic distal soft tissue procedure in hallux valgus surgery. Arthroscopy. 2005;21:1403.e1–7.

    Google Scholar 

  9. Van Dijk CN, Veenstra KM, Nuesch BC. Arthroscopic surgery of the metatarsophalangeal first joint. Arthroscopy. 1988;4:851–5.

    Google Scholar 

  10. Bartlett DH. Arthroscopic management of osteochondritis dissecans of the first metatarsal head. Arthroscopy. 1988;4(1):51–4.

    Article  CAS  PubMed  Google Scholar 

  11. Perez Carro L, Echevarria Llata JI, Martinez Agueros JA. Arthroscopic medial bipartite sesamoidectomy of the great toe. Arthroscopy. 1999;15:321–3.

    Article  CAS  PubMed  Google Scholar 

  12. Chan PK, Lui TH. Arthroscopic fibular sesamoidectomy in the management of the sesamoid osteomyelitis. Knee Surg Sports Traumatol Arthrosc. 2006;14:664–7.

    Article  CAS  PubMed  Google Scholar 

  13. Wang CC, Lien SB, Huang GS, et al. Arthroscopic elimination of monosodium urate deposition of the first metatarsophalangeal joint reduces the recurrence of gout. Arthroscopy. 2009;25(2):153–8.

    Article  PubMed  Google Scholar 

  14. Lui TH. Endoscopic resection of the gouty tophi of the first metatarsophalangeal joint. Arch Orthop Trauma Surg. 2008;128:521–3.

    Article  PubMed  Google Scholar 

  15. Lee SS, Lin SD, Lai CS, et al. The soft-tissue shaving procedure for deformity management of chronic tophaceous gout. Ann Plast Surg. 2003;51:372–5.

    Article  PubMed  Google Scholar 

  16. Solan MC, Lemon M, Bendall SP. The surgical anatomy of the dorsomedial cutaneous nerve of the hallux. J Bone Joint Surg Br. 2001;83(2):250–2.

    Article  CAS  PubMed  Google Scholar 

  17. Vaseenon T, Phisitkul P. Arthroscopic debridement for first metatarsophalangeal joint arthrodesis with a 2- versus 3-portal technique: a cadaveric study. Arthroscopy. 2010;26(10):1363–7.

    Article  PubMed  Google Scholar 

  18. Lui TH. Arthroscopic release of first metatarsophalangeal arthrofibrosis. Arthroscopy. 2006;22:906.e1–4.

    Google Scholar 

  19. Dereymaeker G, Mulier T, Girisch P. The first metatarsophalangeal joint meniscus and its relation to hallux valgus deformity—an anatomical and clinical study. Foot Ankle Surg. 2011;17(4):270–3.

    Article  PubMed  Google Scholar 

  20. Carro LP, Vallina BB. Arthroscopic-assisted first metatarsophalangeal joint arthrodesis. Arthroscopy. 1999;15(2):215–7.

    Article  CAS  PubMed  Google Scholar 

  21. Stroud CC. Arthroscopic arthrodesis of the ankle, subtalar and first metatarsophalangeal joint. Foot Ankle Clin. 2002;7(1):135–46.

    Article  PubMed  Google Scholar 

  22. Watanabe MI, Ito K, Fujii S. Arthroscopy of small joints. 1st ed. Tokyo: Igaku-Shoin; 1985. p. 3–30.

    Google Scholar 

  23. Ferkel RD, Scranton PE Jr. Arthroscopy of the ankle and foot. J Bone Joint Surg Am. 1993;75(8):1233–42.

    Article  CAS  PubMed  Google Scholar 

  24. Lui TH, Yuen CP. Small joint arthroscopy in foot and ankle. Foot Ankle Clin. 2015;20(1):123–38.

    Article  PubMed  Google Scholar 

  25. Rammelt S, Panzner I, Mittlmeier T. Metatarsophalangeal joint fusion: why and how? Foot Ankle Clin. 2015;20(3):465–77.

    Article  PubMed  Google Scholar 

  26. Coughlin MJ, Shurnas PS. Hallux rigidus. Grading and long-term results of operative treatment. J Bone Joint Surg Am. 2003;85-A(11):2072–88.

    Article  Google Scholar 

  27. Pons M, et al. Sodium hyaluronate in the treatment of hallux rigidus. A single-blind, randomized study. Foot Ankle Int. 2007;28(1):38–42.

    Article  PubMed  Google Scholar 

  28. Solan MC, Calder JD, Bendall SP. Manipulation and injection for hallux rigidus. Is it worthwhile? J Bone Joint Surg Br. 2001;83(5):706–8.

    Article  CAS  PubMed  Google Scholar 

  29. van Dijk CN, Veenstra KM, Nuesch BC. Arthroscopic surgery of the metatarsophalangeal first joint. Arthroscopy. 1998;14(8):851–5.

    Article  PubMed  Google Scholar 

  30. Davies MS, Saxby TS. Arthroscopy of the first metatarsophalangeal joint. J Bone Joint Surg Br. 1999;81(2):203–6.

    Article  CAS  PubMed  Google Scholar 

  31. Hunt KJ. Hallux metatarsophalangeal (MTP) joint arthroscopy for hallux rigidus. Foot Ankle Int. 2015;36(1):113–9.

    Article  PubMed  Google Scholar 

  32. Carreira DS. Arthroscopy of the hallux. Foot Ankle Clin. 2009;14(1):105–14.

    Article  PubMed  Google Scholar 

  33. Ferkel R, Van Buecken K. Great toe arthroscopy: indications, technique, and results. In: Annual meeting of the Arthroscopy Association of North America; 1993. San Diego, CA, USA.

    Google Scholar 

  34. Ahn JH, Choy WS, Lee KW. Arthroscopy of the first metatarsophalangeal joint in 59 consecutive cases. J Foot Ankle Surg. 2012;51(2):161–7.

    Article  PubMed  Google Scholar 

  35. Watanabe M, Ito K, Fuji S. Equipment and procedures of small joint arthroscopy, Chapter 1. In: Watanabe M, editor. Arthroscopy of small joints. Tokyo: Igaku-Shoin; 1985. p. 18.

    Google Scholar 

  36. Lundeen RD. Arthroscopic approaches to the joints of the foot. J Am Podiatr Med Assoc. 1987;77(8):451–6.

    Article  CAS  PubMed  Google Scholar 

  37. Ferkel RD. Great toe arthroscopy, Chapter 13. In: Ferkel RD, Whipple TL, editors. Arthroscopic surgery: the foot and ankle. Philadelphia: Lippincott-Raven; 1996. p. 271.

    Google Scholar 

  38. Lui TH. Arthroscopic release of first metatarsophalangeal joint arthrofibrosis. Arthroscopy. 2006;22(8):906–e1.

    PubMed  Google Scholar 

  39. Feuerstein C, Weil L Jr, Weil LS Sr, et al. Joint manipulation under anesthesia for arthrofibrosis after hallux valgus surgery. J Foot Ankle Surg. 2016;55(1):76–80.

    Article  PubMed  Google Scholar 

  40. Bösch U. Arthrofibrose. Orthopäde. 2002;31(8):785–90.

    Article  PubMed  Google Scholar 

  41. Roukis TS. Bacterial skin contamination before and after surgical preparation of the foot, ankle and lower leg in patients with diabetes and intact skin versus patients with diabetes and ulceration: a prospective controlled therapeutic study. J Foot Ankle Surg. 2010;49(4):348–56.

    Article  PubMed  Google Scholar 

  42. Webb ST, Ghosh S. Intra-articular bupivacaine: potentially chondrotoxic? Br J Anaes. 2009;102(4):439–41.

    Article  CAS  Google Scholar 

  43. Chu CR, Coyle CH, Chu CT, et al. In vivo effects of single intra-articular injection of 0.5% bupivacaine on articular cartilage. J Bone Joint Surg Am. 2010;92(3):599–608.

    Article  PubMed  Google Scholar 

  44. Van Dijk CN, editor. Arthroscopy of the first metatarsophalangeal joint. Berlin: Springer; 2014. p. 391–2.

    Google Scholar 

  45. Derner R, Naldo J. Small joint arthroscopy of the foot. Clin Podiatr Med Surg. 2011;28(3):551–60.

    Article  PubMed  Google Scholar 

  46. Schade VL, Roukis TS. Use of a surgical preparation and sterile dressing change during office visit treatment of chronic foot and ankle wounds decreases the incidence of infection and treatment costs. Foot Ankle Spec. 2008;1(3):147–54.

    Article  PubMed  Google Scholar 

  47. Schuh R, Hofstaetter SG, Adams SB, et al. Rehabilitation after hallux valgus surgery: importance of physical therapy to restore weightbearing of the first ray during the stance phase. Phys Ther. 2009;89(9):934–45.

    Article  PubMed  Google Scholar 

  48. Van Dijk CN. Arthroscopy of the first metatarsophalangeal joint, Chapter 14. In: Guhl JF, Boynton MD, Parisien JS, editors. Foot and ankle arthroscopy. 3rd ed. New York: Springer; 2004. p. 207–14.

    Chapter  Google Scholar 

  49. Phisitkul P, Lui TH. Great toe arthroscopy, Chapter 20. In: Amendola A, Stone JW, editors. AANA advanced arthroscopy: the foot and ankle. Philadelphia: Elsevier; 2010. p. 186–202.

    Google Scholar 

  50. Stroud CC. Arthroscopy of the hallux MTP joint, Chapter 21. In: Bluman EM, Chiodo CP, editors. Minimally invasive foot and ankle surgery. Philadelphia: Wolters Kluwer; 2016. p. 149–54.

    Google Scholar 

  51. Kelikian AS, editor. Sarrafian’s anatomy of the foot and ankle: descriptive, topographic, functional. 3rd ed. Philadephia: Lippincott Williams & Wilkins; 2011.

    Google Scholar 

  52. Glasoe WM, Yack HJ, Salzman CL. Anatomy and biomechanics of the first ray. Phys Ther. 1999;79:854–9.

    CAS  PubMed  Google Scholar 

  53. Richardson EG. Hallucal sesamoid pain: causes and surgical treatment. J Am Acad Orthop Surg. 1999;7(4):270–8.

    Article  CAS  PubMed  Google Scholar 

  54. Taylor CF, Butler M, Parsons SW. Problems associated with the excision of the hallux sesamoids. Foot Ankle Clin. 2014;19(3):425–36.

    Article  PubMed  Google Scholar 

  55. Kaiman ME, Piccora R. Tibial sesamoidectomy: a review of the literature and retrospective study. J Foot Surg. 1983;22(4):286–9.

    CAS  PubMed  Google Scholar 

  56. Lee S, James WC, Cohen BE, Davis WH, Anderson RB. Evaluation of hallux alignment and functional outcome after isolated tibial sesamoidectomy. Foot Ankle Int. 2005;26(10):803–9.

    Article  CAS  PubMed  Google Scholar 

  57. Canales MB, DeMore M, Bowen MF, Ehredt DJ, Razzante MC. Fact or fiction? Iatrogenic hallux abducto valgus secondary to tibial sesamoidectomy. J Foot Ankle Surg. 2015;54(1):82–8.

    Article  PubMed  Google Scholar 

  58. Grace DL. Sesamoid problems. Foot Ankle Clin. 2000;5(3):609–27.

    CAS  PubMed  Google Scholar 

  59. Tagoe M, Brown HA, Rees SM. Total sesamoidectomy for painful hallux rigidus: a medium-term outcome study. Foot Ankle Int. 2009;30(7):640–6.

    Article  PubMed  Google Scholar 

  60. Malagelada F, Dalmau-Pastor M, Fargues B, Manzanares MC, Peña F, Vega J. Increasing the safety of minimally invasive hallux surgery. An anatomical study introducing the clock method. Foot Ankle Surg. 2018;24(1):40–4. https://doi.org/10.1016/j.fas.2016.11.004.

    Article  PubMed  Google Scholar 

  61. Clutton H. The treatment of hallux valgus. St Thomas Hosp Rep. 1891–1893;22:1–12.

    Google Scholar 

  62. Mann RA, Oates JC. Arthrodesis of the first metatarsophalangeal joint. Foot Ankle. 1980;1:159–66.

    Article  CAS  PubMed  Google Scholar 

  63. Conti SF, Dhawan S. Arthrodesis of the first metatarsophalangeal and interphalangeal joints of the foot. Foot Ankle Clin N Am. 1996;1:33–53.

    Google Scholar 

  64. Fitzgerald JA. A review of long-term results of arthrodesis of the first metatarso-phalangeal joint. J Bone Joint Surg Br. 1969;51:488–93.

    Article  CAS  PubMed  Google Scholar 

  65. Coughlin MJ. Rheumatoid forefoot reconstruction. A long-term follow-up study. J Bone Joint Surg Am. 2000;82:322–41.

    Article  CAS  PubMed  Google Scholar 

  66. Harrison M, Harvey F. Arthrodesis of the first metatarsophalangeal joint for hallux valgus and rigidus. J Bone Joint Surg Am. 1963;45:471–80.

    Article  Google Scholar 

  67. Coughlin MJ, Grebing BR, Jones CP. Arthrodesis of the first metatarsophalangeal joint for idiopathic hallux valgus: intermediate results. Foot Ankle Int. 2005;26:783–92.

    Article  PubMed  Google Scholar 

  68. Flavin R, Stephens MM. Arthrodesis of the first metatarsophalangeal joint using a dorsal titanium contoured plate. Foot Ankle Int. 2004;25(11):783–7.

    Article  PubMed  Google Scholar 

  69. Coughlin M. Arthrodesis of the first metatarsophalangeal joint. Orthop Rev. 1990;19:177–86.

    CAS  PubMed  Google Scholar 

  70. Coughlin MJ, Abdo RV. Arthrodesis of the first metatarsophalangeal joint with vitallium plate fixation. Foot Ankle. 1994;15:18–28.

    Article  CAS  PubMed  Google Scholar 

  71. Christopher F, Hyer DPM. Cost comparison of crossed screws versus dorsal plate construct for first metatarsophalangeal joint arthrodesis compared the crossed screw technique versus dorsal plating for first metatarsophalangeal arthrodesis. J Foot Ankle Surg. 2008;47(1):13–8.

    Article  Google Scholar 

  72. Watanabe M, Ito K, Fuji S. Equipments and procedures of small joint arthroscopy. In: Arthroscopy of small joints, vol. 5. Tokyo: Igaku-Shoi; 1985. p. 3–37.

    Google Scholar 

  73. Goucher NR, Coughlin MJ. Hallux metatarsophalangeal joint arthrodesis using dome-shaped reamers and dorsal plate fixation: a prospective study. Foot Ankle Int. 2006;27:869–76.

    Article  PubMed  Google Scholar 

  74. Womack JW, Ishikawa SN. First metatarsophalangeal arthrodesis. Foot Ankle Clin N Am. 2009;14:43–50.

    Article  Google Scholar 

  75. Broca P. Des difformities de la partie anterieure du pied produite par faction de la chaussure. Bull Soc Anat. 1852;27:60–7.

    Google Scholar 

  76. Davies-Colley M. Contraction of the metatarsophalangeal joint of the great toe. BMJ. 1887;1:728.

    Article  Google Scholar 

  77. Gould N, Schneider W, Ashikaga T. Epidemiological survey of foot problems in the continental United States. Foot Ankle. 1980;1:8–10.

    Article  CAS  PubMed  Google Scholar 

  78. Hattrup SJ, Johnson KA. Subjective results of hallux rigidus following treatment with cheilectomy. Clin Orthop Relat Res. 1988;226:182–91.

    Google Scholar 

  79. Moberg E. A simple operation for hallux rigidus. Clin Orthop Relat Res. 1979;142:55–6.

    Google Scholar 

  80. Van der Leeden M, Steultjens MP, Ursum J, et al. Prevalence and course of forefoot impairments and walking disability in the first eight years of rheumatoid arthritis. Arthritis Rheum. 2008;59:1596–602.

    Article  PubMed  Google Scholar 

  81. Michelson J, Easley M, Wigley FM, Hellmann D. Foot and ankle problems in rheumatoid arthritis. Foot Ankle Int. 1994;15:608–13.

    Article  CAS  PubMed  Google Scholar 

  82. Hanyu T, Yamazaki H, Murasawa A, Tohyama C. Arthroplasty for rheumatoid forefoot deformities by a shortening oblique osteotomy. Clin Orthop Relat Res. 1997;338:131–8.

    Article  Google Scholar 

  83. Lui TH. Arthroscopic triple arthrodesis in management of chronic flatfoot deformity. Arthrosc Tech. 2017;6(3):e871–7.

    Article  PubMed  PubMed Central  Google Scholar 

  84. Lui TH. Case report: correction of neglected club foot deformity by arthroscopic assisted triple arthrodesis. Arch Orthop Trauma Surg. 2010;130:1007–11.

    Article  PubMed  Google Scholar 

  85. Lui TH. Arthroscopic first metatarsophalangeal arthrodesis for repair of fixed hallux varus deformity. J Foot Ankle Surg. 2015;54:1127–31.

    Article  PubMed  Google Scholar 

  86. Sott AH. Minimally invasive arthrodesis of 1st metatarsophalangeal joint for hallux rigidus. Foot Ankle Clin N Am. 2016;21:567–76.

    Article  CAS  Google Scholar 

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Authors and Affiliations

  1. University of Iowa Hospitals and Clinics, Department of Orthopaedics and Rehabilitation, University of Iowa, Iowa City, IA, USA

    Phinit Phisitkul & Vinay Hosuru Siddappa

  2. University of Torino, AO Mauriziano “Umberto I” Hospital, Department of Orthopaedics and Traumatology, Torino, Italy

    Davide Edoardo Bonasia

  3. Duke University, Department of Orthopaedic Surgery, Durham, NC, USA

    Annunziato (Ned) Amendola

  4. Department of Orthopaedic Surgery, University of Colorado School of Medicine, Aurora, CO, USA

    Kenneth J. Hunt & Philip J. York

  5. Department of Orthopaedics and Traumatology, North District Hospital, Hong Kong, China

    Tun Hing Lui

  6. Department of Orthopaedics, Southern Medical University, Guangzhou, China

    Tun Hing Lui

  7. Institute of Biomedicine and Biotechnology, Shenzhen Institutes of Advanced Technology—Chinese Academy of Science, Shenzhen, China

    Tun Hing Lui

  8. Department of Orthopaedics and Traumatology, Chinese University of Hong Kong, Hong Kong, China

    Tun Hing Lui

  9. Orthopaedic Center, Gundersen Health System, La Crosse, WI, USA

    Thomas S. Roukis

  10. Foot and Ankle Unit, Hospital Quirón Barcelona, Barcelona, Spain

    Jordi Vega

  11. Laboratory of Arthroscopic and Surgical Anatomy, Department of Pathology and Experimental Therapeutics (Human Anatomy Unit), University of Barcelona, Barcelona, Spain

    Jordi Vega & Miki Dalmau

  12. Manresa Health Science School, University of Vic – Central University of Catalonia, Vic, Barcelona, Spain

    Miki Dalmau

  13. Department of Orthopaedics and Traumatology, Alice Ho Miu Ling Nethersole Hospital, Hong Kong, China

    Hoi Yan Lam

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  1. Phinit Phisitkul
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  2. Vinay Hosuru Siddappa
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  7. Tun Hing Lui
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  8. Thomas S. Roukis
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  9. Jordi Vega
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  10. Miki Dalmau
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Correspondence to Phinit Phisitkul .

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Editors and Affiliations

  1. Department of Orthopaedics and Traumatology, North District Hospital, Hong Kong, China

    Tun Hing Lui

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Phisitkul, P. et al. (2019). First Metatarsophalangeal Arthroscopy. In: Lui, T. (eds) Arthroscopy and Endoscopy of the Foot and Ankle. Springer, Singapore. https://doi.org/10.1007/978-981-13-0429-3_11

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  • DOI: https://doi.org/10.1007/978-981-13-0429-3_11

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