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Second metatarsophalangeal joint instability in the athlete
1St. Alphonsus Regional Medical Center, Boise, Idaho.
Foot & Ankle
|July 1, 1993
Summary
Early second metatarsophalangeal joint instability in athletes can be diagnosed by a positive drawer sign. Surgical stabilization of this joint can yield good to excellent outcomes in most cases.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Podiatry
Background:
- Second metatarsophalangeal joint instability is a recognized condition affecting athletic individuals.
- Early diagnosis is crucial for effective management and preventing further complications.
Purpose of the Study:
- To evaluate the diagnostic utility of the drawer sign for early second metatarsophalangeal joint instability.
- To assess the outcomes of soft tissue realignment surgery for stabilizing the affected joint in athletes.
Main Methods:
- Retrospective review of athletically active patients diagnosed with second metatarsophalangeal joint instability.
- Clinical examination including the drawer sign to assess joint stability.
- Surgical intervention involving soft tissue realignment for stabilization.
Main Results:
- Nine patients (11 toes) were diagnosed with second metatarsophalangeal joint instability.
- A positive drawer sign was pathognomonic for early instability.
- Soft tissue realignment in seven toes resulted in good to excellent outcomes in 71% of cases at an average follow-up of 20.4 months.
Conclusions:
- The drawer sign is a reliable indicator for diagnosing early second metatarsophalangeal joint instability in athletes.
- Soft tissue realignment is an effective surgical option for stabilizing the second metatarsophalangeal joint, leading to favorable patient outcomes.