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The metatarsophalangeal joints (MTP joints) are the joints between the metatarsal bones of the foot and the proximal bones (proximal phalanges) of the toes.They are analogous to the knuckles of the hand, and are consequently known as toe knuckles in common speech.
The first is the strongest, and passes from the lateral surface of the first cuneiform to the adjacent angle of the second metatarsal. The second connects the third cuneiform with the adjacent angle of the second metatarsal. The third connects the lateral angle of the third cuneiform with the adjacent side of the base of the third metatarsal.
At the metatarsophalangeal joint the plantar plate plays an important role in the foot's weight-bearing function. The plantar plate is attached to the proximal phalanx, to the major longitudinal bands of the plantar fascia, and to the collateral ligaments. Together with the collateral ligaments, it forms a soft tissue box which is connected to ...
The intermetatarsal joints are the articulations between the base of metatarsal bones. The base of the first metatarsal is not connected with that of the second by any ligaments; in this respect the great toe resembles the thumb. The bases of the other four metatarsals are connected by the dorsal, plantar, and interosseous ligaments.
The first metatarsal articulates (forms joints) with the medial cuneiform and to a small extent with the intermediate cuneiform bone. [2] Its proximal articular surface is large and kidney-shaped; its circumference is grooved, for the tarsometatarsal ligaments, and medially gives insertion to part of the tendon of the tibialis anterior.
The collateral ligaments of metatarsophalangeal joints are strong, rounded cords, placed one on either side of each joint, and attached, by one end, to the posterior tubercle on the side of the head of the metatarsal bone, and, by the other, to the contiguous extremity of the phalanx.
The complex motion of the subtalar joint occurs in three planes and produces subtalar inversion and eversion. Along with the transverse tarsal joint (i.e. talonavicular and calcaneocuboid joint), the subtalar joint transforms tibial rotation into forefoot supination and pronation. The axis of rotation in the joint is directed upward 42 degrees ...
Stage 1 hallux rigidus involves some loss of range of motion of the big toe joint or first MTP joint and is often treated conservatively with prescription foot orthotics. Stage 2 hallux rigidus involves greater loss of range of motion and cartilage and may be treated via cheilectomy in which the metatarsal head is reshaped and bone spurs reduced.