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The type of surgery is based on the stage of hallux rigidus. According to the Coughlin and Shurnas Clinical Radiographic Scale: [6] 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.
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.
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 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.
The bump itself is partly due to the swollen bursal sac or an osseous (bony) anomaly on the metatarsophalangeal joint. The larger part of the bump is a normal part of the head of the first metatarsal bone that has tilted sideways to stick out at its distal (far) end (metatarsus primus varus).
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 base of each metatarsal bone articulates with one or more of the tarsal bones at the tarsometatarsal joints, and the head with one of the first row of phalanges at the metatarsophalangeal joints. Their bases also articulate with each other at the intermetatarsal joints
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.