First metatarsophalangeal joint arthroscopy in patients with hallux valgus.

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First metatarsophalangeal joint arthroscopy in patients with hallux valgus.

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26th November 2008, 03:27 PM

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First metatarsophalangeal joint arthroscopy in patients with hallux valgus.

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First metatarsophalangeal joint arthroscopy in patients with hallux valgus.
Lui TH.
Arthroscopy. 2008 Oct;24(10):1122-9

Quote:

Purpose: The purpose of this study was to evaluate the results of first metatarsophalangeal joint (MTPJ) arthroscopy in patients with hallux valgus.

Methods: The arthroscopic findings of 121 first MTPJ arthroscopies were analyzed together with the radiologic assessment of hallux valgus angle, sesamoid position, and foot type.

Results: In those patients with first MTPJ pain, pain is associated with metatarsophalangeal compartment synovitis and cartilage lesions. Of those with first MTPJ pain, 90% had complete or significant relief of the joint pain after arthroscopic synovectomy.

Conclusions: Metatarsophalangeal compartment synovitis and cartilage lesions are significantly associated with first MTPJ pain in patients in hallux valgus. Synovitis and cartilage lesions of the metatarso-sesamoid compartment are not associated with first MTPJ pain. Patients with hallux valgus can complain of first MTPJ pain without any bunion pain. First MTPJ arthroscopy is an effective tool to control MTPJ pain when conservative management fails.

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4th December 2008, 08:09 AM

drsarbes

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Re: First metatarsophalangeal joint arthroscopy in patients with hallux valgus.

Are there surgeons out there with small arthroscopy equipment looking for a joint to enter?

What is this study saying?

"PATIENTS WITH HALLUX VALGUS CAN COMPLAIN OF FIRST MTPJ PAIN WITHOUT ANY BUNION PAIN"
What does this mean? I will assume that "they" are referring to pain at the medial first metahead as BUNION PAIN!

The researchers need to refine their terminology and understanding of the pathophysiology of hallux valgus PRIOR to setting up a study.

Steve

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