Interphalangeal arthroscopy of the toes

Area of Science:

• Orthopedic surgery
• Minimally invasive techniques
• Foot and ankle pathology

Background:

• Interphalangeal (IP) joint pathology in toes is often overlooked by orthopedic surgeons.
• IP joints can develop intra-articular issues such as osteoarthritis, synovitis, chondral lesions, arthrofibrosis, and instability.
• Corrective surgeries for toe deformities frequently involve IP joint procedures, despite it not being the primary site of pathology.

Observation:

• Traditional IP joint surgeries are typically performed via open procedures.
• This study details the technique of interphalangeal arthroscopy.
• The application of interphalangeal arthroscopy for diverse IP joint pathologies is discussed.

Findings:

• Interphalangeal arthroscopy provides a minimally invasive treatment option for IP joint pathologies.
• Arthroscopic ganglionectomy for recurrent IP ganglions is identified as a primary indication.
• The technique allows for visualization and treatment of intra-articular conditions within the IP joint.

Implications:

• Interphalangeal arthroscopy may offer advantages over open surgery, including reduced morbidity.
• This technique expands the surgical armamentarium for treating complex toe joint problems.
• Further research may establish arthroscopic approaches as the standard of care for select IP joint pathologies.