Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Toe Joint”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 253 records · Page 14Linked to original sources
PubMed1990

Irreducible dorsal dislocation of the interphalangeal joint of the great toe: report of two cases.

In this paper, we report two cases of dislocation of the hallux interphalangeal joint with interposition of the plantar plate including the sesamoid bone. These dislocations were treated with open reduction: one through lateral approach and the other through plantar approach. Plantar approach afforded repair of the plantar plate with preservation of the sesamoid bone and satisfactory result.

Adult↗
PubMedDate not supplied

[Arthrodesis of the metatarsophalangeal joint of the large toe].

Since it was first described by Clutton in 1894, numerous techniques for arthrodesis of the metatarsophalangeal joint of the great toe have been proposed; the most common methods are described. At the Orthopedic Clinic of Lübeck Medical School, arthrodesis of this joint has been performed since 1975 using a small fragment plate. The surgical technique and postoperative management are outlined. The results are described on the basis of follow-up examination of 76 patients (95 arthrodeses). They are in conformity with other figures cited in the literature, with a high consolidation rate of over 95%. The positive rating by the patients thus treated (80% very good and good) are, in our opinion, strong arguments for adopting this method on a broader scale in Europe also.

Arthrodesis↗
PubMed1981

Irreducible dorsal dislocation of the interphalangeal joint of the great toe.

A 54-year-old man had an irreducible dorsal dislocation of the interphalangeal (IP) joint of the great toe, and injury that seems not to have been previously reported in the literature. The stability at the IP joint afforded by collateral ligaments, tendons, and plantar accessory ligament along with the short level arm of the distal phalanx normally resists dislocation. A strong dorsiflexion force to this joint with the foot and metatarsophalangeal joint fixed in a weight-bearing position is necessary to produce this injury. Treatment should begin with attempted closed reduction, but if this proves unsuccessful, an invaginated volar plate may be preventing reduction, in which case open reduction will be required. A dorsal approach affords easy exposure. Once the volar plate is reflected plantarward, the joint is easily reduced. Neither repair of the volar plate nor prolonged immobilization is necessary. At 15-month follow-up, our patient had no residual instability.

Hallux↗
PubMed1981

Arthrodesis of the metatarsophalangeal joint of the great toe.

A review of the literature attests to a place for arthrodesis of the metatarsophalangeal joint of the great toe in the management of hallux valgus and rigidus. The predictability and consistency of the result of arthrodesis is noted with good results in approximately 90% of cases. The functional excellence and durability of such a result are impressive. The procedure is particularly indicated in patients with hallux rigidus and hallux valgus associated with metatarsalgia. There are a number of operative techniques, but the cone arthrodesis procedure described by Wilson is probably nearest to the ideal.

Arthrodesis↗
PubMedDate not supplied

Traumatic lesions of the metatarsophalangeal joint of the great toe in athletes.

In the 1972, 1973, and 1974 football seasons at the University of Arkansas, 74 players sustained sprains of the ankle, producing a total of 152 missed practices and 6 missed games. Although only 18 injuries of the first metatarsophalangeal joint complex were seen, these later resulted in 92 missed practices and 7 missed games. This injury has been a significant problem for both the university and for most other major institutions, judging from a 70% response to 94 questionnaires sent to trainers of 94 large colleges and universities throughout the United States. It is the researchers opinion that the artificial turf surface, particularly as it ages, the shoes, and shoe fitting are all possible contributors to the incidence of the problem. Nonoperative treatment, whose hallmark is rest, is the treatment of first choice. Taping and splinting with a 0.51-mm spring steel splint with reinforcement, both pre- and postinjury, are beneficial. Injections of steroids or any other attempt to return the still painful athlete to activity are contraindicated. Late surgery, particularly in the event of capsular ruptures, as well as early repair, can be of benefit. The need to re-evaluate the shoes and playing surfaces in the light of this and other injuries is emphasized.

Athletic Injuries↗
PubMed1988

[Silicone implants of the basal joint of the big toe. A critical 10-year study].

Long-term clinical results with Swanson silastic replacements of the basal joint of the big toe 10 to 16 years after surgery are presented. Among the 60 clinically and radiologically re-examined joints there was a striking discrepancy between subjective satisfaction and objective radiologic findings. In some cases pronounced wear of the metatarsal capitulum was seen, with synovitis of varying degrees of clinical severity. The continued use of silicone implants to replace the basal joint of the big toe can only be recommended if radiologic follow-up examinations are performed more frequently. The results of the ten-year study presented here must be taken into account in patient counselling concerning surgery.

Adult↗
PubMedDate not supplied

[Arthrodesis of the metatarsophalangeal joint of the big toe - a report on six years' experience (author's transl)].

At the orthopedic clinic of Lübeck College of Medicine surgical treatment of disorders of the metatarsophalangeal joint of the big toe has, since 1975, included arthrodesis of this joint using a small bone chip. In the light of experience gathered in 150 arthrodeses performed to date, this paper aims to point out major considerations in surgical technique and postoperative treatment; keeping these in mind should help to prevent unsatisfactory courses and optimize results.

Arthritis, Rheumatoid↗
PubMed2004

Sprains--residual instability of subtalar, Lisfranc joints, and turf toe.

Sprains of the hindfoot, midfoot and forefoot are being diagnosed with more regularity in athletes. Each of these injuries can go on to develop chronic instability with associated disability. With early diagnosis and appropriate treatment significant morbidity and loss of playing time can be avoided. Knowledge of the relevant anatomy, mechanism of injury, and available diagnostic tools is essential for making the proper diagnosis. Once the correct diagnosis is made, proper treatment can be implemented to avoid long term complications of instability.

Humans↗
PubMed1979

Arthrodesis of the metatarsophalangeal joint of the great toe.

Since 1975 the usual treatment of hallux valgus and hallux rigidus at the Medical High School, Lübeck, has been arthrodesis of the metatarophalangeal joint of the great toe. We report 48 operations performed between 1975 and 1977 on 35 patients with a follow-up of 3-32 months. The operative technique, using the "dynamic compression plate" is described in detail. The patient's assessment and the clinical and radiological situations were recorded. There were only three poor results. Thus, arthrodesis of the metatarsophalangeal joint is considered to be a reliable therapeutic method in hallux valgus, with minimal post-operative complications. It compares well with other operations, including Keller's arthroplasty.

Aged↗
PubMed2005

Gross anatomy of the interphalangeal joint of the great toe: implications for excision of plantar capsular accessory ossicles.

Bony or cartilaginous ossicles occur at the plantar aspect of the interphalangeal joint of the great toe. The variation in pattern, prevalence, and anatomic relationships of these structures is not clearly established in the literature, especially in a Caucasian population. Without this knowledge, pathology at this joint may be underestimated and surgical approaches may be poorly planned particularly as radiographs underestimate the incidence of ossicles at this joint. The aims of this study were to determine the incidence and pattern of ossicles at this joint and to establish their anatomic relationships to aid planning the approach for their excision. The interphalangeal joint of the left hallux was dissected in 40 British Caucasian cadavers and the pattern of nodules and their anatomic relationships were established. In 27.5% of subjects, there was no identifiable ossicle and, in these specimens, the tendon of flexor hallucis longus was adherent to the joint capsule. In the remaining specimens (72.5%), a bursa separated the tendon of flexor hallucis longus from the plantar joint capsule and nodules were found embedded within the joint capsule. More than half (52.5%) of the specimens had a single nodule located centrally within the plantar capsule and the remaining 20% had two nodules lying within the capsule. This study shows that a large proportion of the population have either one or two bony or cartilaginous ossicles at this joint. It has also shown that, when present, these structures do not lie within the tendon of flexor hallucis longus and may be most safely excised from a medial approach.

Adult↗
PubMed2005

Osteoarthritis in other joints (hip, elbow, foot, ankle, toes, wrist) after sports injuries.

Osteoarthritis of nonknee joints, although less common than knee osteoarthritis, remains a significant and disabling condition for many present and former athletes. These injuries can be caused by repeated loads or following a specific traumatic event. The resulting pain and loss of motion can limit function and ability. Arthroscopic techniques in many cases enable surgeons to symptomatically treat limitations of range of motion and pain, prolonging active careers. Joint replacement remains the ultimate solution for hip osteoarthritis, and may be a viable option in ankle osteoarthritis.

Ankle Injuries↗
PubMedDate not supplied

Metatarsophalangeal joint of the great toe: normal MR, MR arthrographic, and MR bursographic findings in cadavers.

OBJECTIVE: To demonstrate the normal anatomy of the metatarsophalangeal (MTP) joint of the great toe with MR imaging, MR arthrography, and MR bursography. MATERIALS AND METHODS: MR images of 12 cadaveric MTP joints of the great toe were obtained before and after arthrography, busography, or both. The MR appearances of all articular and periarticular structures were analyzed and correlated with those seen on anatomic sections. RESULTS: The sesamoid bones and ligaments, the deep transverse metatarsal ligament, and the tendon attachments of the abductor and adductor hallucis muscles were seen best in the coronal plane. The sagittal plane was best for evaluating the plantar plate, the articular cartilage, and the tendon attachments of the flexor and extensor hallucis brevis muscles. The main collateral ligaments were evaluated best in the axial plane. MR arthrography improved the visualization of all articular and periarticular structures except the collateral ligament complexes. MR bursography did not enhance the visualization of these structures. CONCLUSIONS: MR imaging and MR arthrography allow accurate visualization of the important anatomic structures in and about the MTP joint of the great toe.

Aged↗