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Related Experiment Videos

Arthroplasty of the second toe.

M S Myerson1

  • 1Foot and Ankle Services, Union Memorial Hospital, Baltimore, MD 21218.

Seminars in Arthroplasty
|December 10, 1991
PubMed
Summary
This summary is machine-generated.

This study details the causes and surgical correction of claw, hammer, and crossover toe deformities. It emphasizes soft-tissue releases around the metatarsophalangeal joint for effective treatment.

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Area of Science:

  • Orthopedic surgery
  • Foot and ankle anatomy
  • Biomechanics

Background:

  • Claw, hammer, and crossover toe deformities are common foot conditions.
  • Understanding the underlying pathology and anatomy is crucial for effective treatment.

Purpose of the Study:

  • To present the pathology, pathophysiology, and clinical anatomy of toe deformities.
  • To highlight the role of collateral ligaments and intrinsic tendons in deformity.
  • To describe a sequential approach for soft-tissue release surgery.

Main Methods:

  • Review of anatomical structures involved in toe deformities.
  • Description of a step-by-step surgical technique for soft-tissue release.
  • Discussion of metatarsophalangeal joint instability, including subluxation and dislocation.

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Main Results:

  • Emphasis on the deforming forces of collateral ligaments and intrinsic tendons.
  • Presentation of a sequential surgical release method for deformity correction.
  • Inclusion of information on second metatarsophalangeal joint instability.

Conclusions:

  • Soft-tissue releases around the metatarsophalangeal joint are key to correcting toe deformities.
  • A thorough understanding of anatomy and pathology guides surgical intervention.
  • The described approach addresses both static deformities and dynamic instability.